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

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Autor(es):
Melo, Carolina ; Menezes-Filho, Naercio
Número total de Autores: 2
Tipo de documento: Artigo Científico
Fonte: HEALTH ECONOMICS; v. 32, n. 2, p. 17-pg., 2022-11-12.
Resumo

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)

Processo FAPESP: 21/05978-5 - Desenho e implementação de estudo de coorte em município parceiro
Beneficiário:Carolina Pedrosa Gomes de Melo
Modalidade de apoio: Bolsas no Brasil - Pós-Doutorado
Processo FAPESP: 19/12553-0 - Centro Brasileiro para o Desenvolvimento na Primeira Infância
Beneficiário:Naercio Aquino Menezes Filho
Modalidade de apoio: Auxílio à Pesquisa - Programa Centros de Pesquisa em Engenharia