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The effect of increasing Women's autonomy on primary and repeated caesarean sections in Brazil

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  • Victor Hugo de Oliveira
  • Ines Lee
  • Climent Quintana‐Domeque

Abstract

Caesarean section (C‐section) rates continue to rise globally. Yet, there is little consensus about the key determinants of rising C‐section rates and the sources of variation in C‐section rates across the world. While C‐sections can save lives when medically justified, unnecessary surgical procedures can be harmful for women and babies. We show that a state‐wide law passed in São Paulo (Brazil), which increased women's autonomy to choose to deliver via C‐section even when not medically necessary, is associated with a 3% increase in overall C‐section rates. This association was driven by a 5% increase in primary C‐sections, rather than repeated C‐sections. Since the law emphasizes women's autonomy, these results are consistent with mothers' demand being an important contributor to high C‐section rates in this context.

Suggested Citation

  • Victor Hugo de Oliveira & Ines Lee & Climent Quintana‐Domeque, 2022. "The effect of increasing Women's autonomy on primary and repeated caesarean sections in Brazil," Health Economics, John Wiley & Sons, Ltd., vol. 31(8), pages 1800-1804, August.
    • Handle: RePEc:wly:hlthec:v:31:y:2022:i:8:p:1800-1804
    DOI: 10.1002/hec.4522
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    1. Patricia K. Foo & Robin S. Lee & Kyna Fong, 2017. "Physician Prices, Hospital Prices, and Treatment Choice in Labor and Delivery," American Journal of Health Economics, University of Chicago Press, vol. 3(3), pages 422-453, Summer.
    2. Bruno Ferman & Cristine Pinto & Vitor Possebom, 2020. "Cherry Picking with Synthetic Controls," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 39(2), pages 510-532, March.
    3. Alberto Abadie & Javier Gardeazabal, 2003. "The Economic Costs of Conflict: A Case Study of the Basque Country," American Economic Review, American Economic Association, vol. 93(1), pages 113-132, March.
    4. de Elejalde, Ramiro & Giolito, Eugenio, 2021. "A demand-smoothing incentive for cesarean deliveries," Journal of Health Economics, Elsevier, vol. 75(C).
    5. Sebastian Galiani & Brian Quistorff, 2017. "The synth runner package: Utilities to automate synthetic control estimation using synth," Stata Journal, StataCorp LP, vol. 17(4), pages 834-849, December.
    6. Eduardo Cavallo & Sebastian Galiani & Ilan Noy & Juan Pantano, 2013. "Catastrophic Natural Disasters and Economic Growth," The Review of Economics and Statistics, MIT Press, vol. 95(5), pages 1549-1561, December.
    7. Cristina Borra & Libertad González & Almudena Sevilla, 2019. "The Impact of Scheduling Birth Early on Infant Health," Journal of the European Economic Association, European Economic Association, vol. 17(1), pages 30-78.
    8. de Elejalde, Ramiro & Giolito, Eugenio, 2019. "More Hospital Choices, More C-Sections: Evidence from Chile," IZA Discussion Papers 12297, Institute of Labor Economics (IZA).
    9. Janet Currie & W. Bentley MacLeod, 2008. "First Do No Harm? Tort Reform and Birth Outcomes," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 123(2), pages 795-830.
    10. Alberto Abadie, 2021. "Using Synthetic Controls: Feasibility, Data Requirements, and Methodological Aspects," Journal of Economic Literature, American Economic Association, vol. 59(2), pages 391-425, June.
    11. Abadie, Alberto & Diamond, Alexis & Hainmueller, Jens, 2010. "Synthetic Control Methods for Comparative Case Studies: Estimating the Effect of California’s Tobacco Control Program," Journal of the American Statistical Association, American Statistical Association, vol. 105(490), pages 493-505.
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    Cited by:

    1. Catalina Herrera-Almanza & Fernanda Marquez-Padilla & Silvia Prina, 2024. "C-Sections, Obesity, and Healthcare Specialization: Evidence from Mexico," The World Bank Economic Review, World Bank, vol. 38(1), pages 139-160.
    2. Carolina Melo & Naercio Menezes‐Filho, 2023. "The effects of a national policy to reduce c‐sections in Brazil," Health Economics, John Wiley & Sons, Ltd., vol. 32(2), pages 501-517, February.

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