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The effects of a national policy to reduce c-sections in Brazil

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Author(s):
Melo, Carolina ; Menezes-Filho, Naercio
Total Authors: 2
Document type: Journal article
Source: HEALTH ECONOMICS; v. 32, n. 2, p. 17-pg., 2022-11-12.
Abstract

In this paper, we assess the effects of a national policy implemented in Brazil to avoid unnecessary cesareans. The policy has a supply-side component that prohibits elective c-sections before the 39th gestational week and a demand-side awareness component. Since the policy is not binding for cases with a strong medical c-section indication, we use births of breech- and transverse-positioned babies as a counterfactual for births of cephalic-positioned babies in a difference-in-differences framework. Our results reveal that the policy decreases the rate of c-sections by 1.6 percentage point, and slightly increases gestational time, birthweight, and first-minute APGAR scores. There is evidence that policy effectiveness is driven by its demand-side component. (AU)

FAPESP's process: 21/05978-5 - Design and implementation of a cohort study in a partner municipality
Grantee:Carolina Pedrosa Gomes de Melo
Support Opportunities: Scholarships in Brazil - Post-Doctoral
FAPESP's process: 19/12553-0 - Brazilian Center for Early Child Development
Grantee:Naercio Aquino Menezes Filho
Support Opportunities: Research Grants - Research Centers in Engineering Program