| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w24493 |
| 来源ID | Working Paper 24493 |
| The Health Effects of Cesarean Delivery for Low-Risk First Births | |
| David Card; Alessandra Fenizia; David Silver | |
| 发表日期 | 2018-04-09 |
| 出版年 | 2018 |
| 语种 | 英语 |
| 摘要 | Cesarean delivery for low-risk pregnancies is generally associated with worse health outcomes for infants and mothers. The interpretation of this correlation, however, is confounded by potential selectivity in the choice of birth mode. We use birth records from California, merged with hospital and emergency department (ED) visits for infants and mothers in the year after birth, to study the causal health effects of cesarean delivery for low-risk first births. Building on McClellan, McNeil, and Newhouse (1994), we use the relative distance from a mother’s home to hospitals with high and low c-section rates as an instrument for c-section. We show that relative distance is a strong predictor of c-section but is orthogonal to many observed risk factors, including birth weight and indicators of prenatal care. Our IV estimates imply that cesarean delivery causes a relatively large increase in ED visits of the infant, mainly due to acute respiratory conditions. We find no significant effects on mothers’ hospitalizations or ED use after birth, or on subsequent fertility, but we find a ripple effect on second birth outcomes arising from the high likelihood of repeat c-section. Offsetting these morbidity effects, we find that delivery at a high c-section hospital leads to a significant reduction in infant mortality, driven by lower death rates for newborns with high rates of pre-determined risk factors. |
| 主题 | Health, Education, and Welfare ; Health ; Labor Economics ; Demography and Aging |
| URL | https://www.nber.org/papers/w24493 |
| 来源智库 | National Bureau of Economic Research (United States) |
| 引用统计 | |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/582167 |
| 推荐引用方式 GB/T 7714 | David Card,Alessandra Fenizia,David Silver. The Health Effects of Cesarean Delivery for Low-Risk First Births. 2018. |
| 条目包含的文件 | ||||||
| 文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
| w24493.pdf（684KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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