Maternity Services (Hansard, 28 May 2004)

§ Mrs. Iris Robinson
To ask the Secretary of State for Health what the costs to the NHS of(a)a Caesarean section and (b)a normal vaginal delivery was in the last period for which figures are available; and if he will make a statement. [173583]

§ Dr. Ladyman
The costs to the national health service of caesarean sections and normal vaginal delivery are shown in the table.
159W

£

HRG code National average unit
cost per day case
finished consultant
episode(FCE)
National average
unit cost per non-
elective inpatient FCE
National average
unit cost per
elective inpatient
FCE

N06 Normal delivery with complications and comorbidities 432 1,496 1,598

N07 Normal delivery without complications and comorbidities 386 817 956

N08 Assited delivery with complications and comorbidities 307 1,768 1,664

N09 Assited delivery without complications and comorbidities 360 1,254 1,323

N10 Caesarean section with complications and comorbidities 536 2,865 2,803

N11 Caesarean section without complications and comorbidities 439 2,062 2,113

Source:

National schedule of reference costs 2003: Appendix 1—NHS trusts own data.

The reference costs 2003 are collected from each NHS provider in England and are used to provide national average costs related to specific treatments and procedures. They have been available from 1998, although the range of services that has been included each year is iterative.

§ Mrs. Iris Robinson
To ask the Secretary of State for Health how many(a)normal vaginal, (b)Caesarean section and (c)other deliveries there were in each of the last 10 years. [173828]

§ Dr. Ladyman
The numbers and percentages of national health service hospital deliveries that were normal vaginal, by caesarean section and by other methods for each of the last 10 years are shown in the tables.

1. Vaginal deliveries without use of instruments¹, NHS hospitals, England, 1993–94 to 2002–03

Estimated number
of vaginal deliveries
Percentage of deliveries
that were vaginal

2002–03 368,300 67.2

2001–02 361,900 66.8

2000–01 368,600 67.1

1999–2000 383,200 67.8

1998–99 400,700 69.4

1997–98 413,600 70.7

1996–97 430,400 72.4

1995–96 432,600 73.0

1994–95 444,200 73.5

1993–94 462,000 74.5

¹Includes deliveries that were spontaneous vertex, spontaneous other, breech deliveries without instrument.

These figures can also be found in table 3 of NHS Maternity Statistics, England: 2002–03, which can be found at www.publications.doh.gov.uk/public/sb0410.htm. A copy of the bulletin is available in the Library.

2. Caesarean deliveries, NHS hospitals, England, 1993–94 to 2002—03

Estimated numbers
of caesarean
deliveries
Percentage of
deliveries that were
by caesarean

2002–03 120,600 22.0

2001–02 119,100 22.0

2000–01 118,100 21.5

1999–2000 116,200 20.6

1998–99 110,300 19.1

1997–98 106,500 18.2

1996–97 101,100 17.0

160W

2. Caesarean deliveries. NHS hospitals, England, 1993–94 to 2002–03

Estimated numbers
of caesarean
deliveries
Percentage of
deliveries that were
by caesarean

1995–96 96,600 16.3

1994–95 93,700 15.5

1993–94 93,000 15.0

3. Instrumental deliveries¹, NHS hospitals, England, 1993–94 to 2002–03

Estimated numbers of
instrumental
deliveries
Percentage of
deliveries that were
by instrumental

2002–03 59,100 10.8

2001–02 60,700 11.2

2000–01 62,900 11.4

1999–2000 65,900 11.7

1998–99 66,500 11.5

1997–98 64,400 11.0

1996–97 64,200 10.8

1995–96 64,000 10.8

1994–95 66,500 11.0

1993–94 65,700 10.6

¹Includes deliveries by forceps and ventouse, breech deliveries with instrument and other methods of delivery.

£
HRG code	National average unit cost per day case finished consultant episode(FCE)	National average unit cost per non- elective inpatient FCE	National average unit cost per elective inpatient FCE
N06	Normal delivery with complications and comorbidities	432	1,496	1,598
N07	Normal delivery without complications and comorbidities	386	817	956
N08	Assited delivery with complications and comorbidities	307	1,768	1,664
N09	Assited delivery without complications and comorbidities	360	1,254	1,323
N10	Caesarean section with complications and comorbidities	536	2,865	2,803
N11	Caesarean section without complications and comorbidities	439	2,062	2,113
Source:
National schedule of reference costs 2003: Appendix 1—NHS trusts own data.

1. Vaginal deliveries without use of instruments¹, NHS hospitals, England, 1993–94 to 2002–03
	Estimated number of vaginal deliveries	Percentage of deliveries that were vaginal
2002–03	368,300	67.2
2001–02	361,900	66.8
2000–01	368,600	67.1
1999–2000	383,200	67.8
1998–99	400,700	69.4
1997–98	413,600	70.7
1996–97	430,400	72.4
1995–96	432,600	73.0
1994–95	444,200	73.5
1993–94	462,000	74.5
¹Includes deliveries that were spontaneous vertex, spontaneous other, breech deliveries without instrument.

2. Caesarean deliveries, NHS hospitals, England, 1993–94 to 2002—03
	Estimated numbers of caesarean deliveries	Percentage of deliveries that were by caesarean
2002–03	120,600	22.0
2001–02	119,100	22.0
2000–01	118,100	21.5
1999–2000	116,200	20.6
1998–99	110,300	19.1
1997–98	106,500	18.2
1996–97	101,100	17.0

2. Caesarean deliveries. NHS hospitals, England, 1993–94 to 2002–03
	Estimated numbers of caesarean deliveries	Percentage of deliveries that were by caesarean
1995–96	96,600	16.3
1994–95	93,700	15.5
1993–94	93,000	15.0

3. Instrumental deliveries¹, NHS hospitals, England, 1993–94 to 2002–03
	Estimated numbers of instrumental deliveries	Percentage of deliveries that were by instrumental
2002–03	59,100	10.8
2001–02	60,700	11.2
2000–01	62,900	11.4
1999–2000	65,900	11.7
1998–99	66,500	11.5
1997–98	64,400	11.0
1996–97	64,200	10.8
1995–96	64,000	10.8
1994–95	66,500	11.0
1993–94	65,700	10.6
¹Includes deliveries by forceps and ventouse, breech deliveries with instrument and other methods of delivery.