{"title":"Declining Fertility and the Use of Cesarean Delivery: Evidence from a Population-Based Study in Taiwan","authors":"Ke-Zong M. Ma, Edward C. Norton, Shoou-Yih D. Lee","doi":"10.1111/j.1475-6773.2010.01125.x","DOIUrl":null,"url":null,"abstract":"<p><b>Objective. </b> To test the hypothesis that declining fertility would affect the number of cesarean sections (c-sections) on maternal demand, but not medically indicated c-sections.</p><p><b>Data Sources. </b> The 1996–2004 National Health Insurance Research Database in Taiwan for all singleton deliveries.</p><p><b>Study Design. </b> Retrospective population-based, longitudinal study. Estimation was performed using multinomial probit models.</p><p><b>Principal Findings. </b> Results revealed that declining fertility had a significant positive effect on the probability of having a c-section on maternal request but not medically indicated c-section.</p><p><b>Conclusions. </b> Our findings offer a precautionary note to countries experiencing a fertility decline. Policies to contain the rise of c-sections should understand the role of women's preferences, especially regarding cesarean deliveries on maternal request.</p>","PeriodicalId":55065,"journal":{"name":"Health Services Research","volume":"45 5p1","pages":"1360-1375"},"PeriodicalIF":3.2000,"publicationDate":"2010-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1475-6773.2010.01125.x","citationCount":"16","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Services Research","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/j.1475-6773.2010.01125.x","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 16
Abstract
Objective. To test the hypothesis that declining fertility would affect the number of cesarean sections (c-sections) on maternal demand, but not medically indicated c-sections.
Data Sources. The 1996–2004 National Health Insurance Research Database in Taiwan for all singleton deliveries.
Study Design. Retrospective population-based, longitudinal study. Estimation was performed using multinomial probit models.
Principal Findings. Results revealed that declining fertility had a significant positive effect on the probability of having a c-section on maternal request but not medically indicated c-section.
Conclusions. Our findings offer a precautionary note to countries experiencing a fertility decline. Policies to contain the rise of c-sections should understand the role of women's preferences, especially regarding cesarean deliveries on maternal request.
期刊介绍：
Health Services Research (HSR) is a peer-reviewed scholarly journal that provides researchers and public and private policymakers with the latest research findings, methods, and concepts related to the financing, organization, delivery, evaluation, and outcomes of health services. Rated as one of the top journals in the fields of health policy and services and health care administration, HSR publishes outstanding articles reporting the findings of original investigations that expand knowledge and understanding of the wide-ranging field of health care and that will help to improve the health of individuals and communities.
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