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Controlling the rise in cesarean section rates by the dissemination of information from vital records

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  • Williams, R.L.
  • Chen, P.M.

Abstract

The recent rapid increase in cesarean childbirth is a source of growing public health concern. The authors suggest that one method of ameliorating the rise would be to disseminate hospital-specific cesarean section rates. To make such rates comparable between hospitals, it is necessary to adjust for variations in maternal and newborn factors associated with cesarean section. They therefore applied an indirect standardization technique to three years of California vital records data. The results show sizable variations in cesarean section rates among individual hoospitals and by hospital type, both before and after standardization. For such a method to be effective, complete and accurate information from birth certificates is an obvious prerequisite.

Suggested Citation

  • Williams, R.L. & Chen, P.M., 1983. "Controlling the rise in cesarean section rates by the dissemination of information from vital records," American Journal of Public Health, American Public Health Association, vol. 73(8), pages 863-867.
    • Handle: RePEc:aph:ajpbhl:1983:73:8:863-867_5
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    Cited by:

    1. Ke-Zong Ma & Edward Norton & Shoou-Yih Lee, 2011. "Mind the information gap: fertility rate and use of cesarean delivery and tocolytic hospitalizations in Taiwan," Health Economics Review, Springer, vol. 1(1), pages 1-15, December.
    2. Darren Grant, 2000. "Race and cesarean delivery in Florida," The Review of Black Political Economy, Springer;National Economic Association, vol. 28(1), pages 37-47, September.
    3. Darren Grant, 2005. "Information and sorting in the market for obstetrical services," Health Economics, John Wiley & Sons, Ltd., vol. 14(7), pages 703-719, July.

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