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Effects of c-sections on mothers' health outcomes: An examination of childbirth in Peru

Thursday 3 May 2018, 1.00PM to 2.00pm

Speaker(s): Misael Anaya Montes

Abstract: Although there is a steady rise of c-section around the world, including Peru, there is a shortage of knowledge about their effects on women’s health.  We analyse 318,828 child deliveries in Lima, 33% of them by c-sections, covered financially by a public health insurance program, in 50 public providers during the period 2011-2015. We use instrumental variables (day of week, a physician strike, distances to different types of delivery providers with different c-section rates) to allow for the endogenous choice between c-section and vaginal delivery. We found that c-sections reduced the probability of having perineal laceration and obstetric trauma (-5.1%) and retained placenta and membranes (-3.1%) while increasing the probability of suffering postpartum haemorrhage (13.1%), puerperal sepsis (1.9%) and other puerperal infections (5.8%), and no effect on the maternal mortality rate.

Location: A/EC202 Economics Staff Room

Admission: Staff and PhD Students