The same is true for a C-section.
Labor rooms are scarce, and patients (and their doctors) may be subject to implicit or explicit pressure to avoid “taking too long.”  Hospitals also tend to be risk-averse; many have developed systems that are intended to improve patient safety, but may result in pressure to perform C-sections rather than letting labor continue. If there is any doubt that the culture of individual hospitals can have an effect on a patient’s chance of a C-section, one need only observe that hospitals’ C-section rates vary from 7 percent to 70 percent. This financial nudge might just have something to do with the rate of non-indicated C-sections in the U.S. Emily Oster: New evidence on pot during pregnancy . For this purpose, Google Analytics uses cookies, small text files placed on your computer.The information generated by cookies regarding the way the site is used – standard journal information about the use of Internet (including your IP address) and information regarding visitors’ behaviour, in an anonymous format – are sent to Google and stored, including on servers in the United States. Data from 121 countries shows between 1990 and 2014, the global average c-section rate increased by 12.4%. 0000003585 00000 n 0000002255 00000 n Increases in C-section rates have not translated to healthier moms or babies. xref

0000014462 00000 n 0000012860 00000 n But in most instances, the surgery is not the preferred mode of delivery. Recent statistics from 150 countries shows a global c-section rate of 18.6% of all births – almost 1 in 5 women around the world will give birth via c-section. We use cookies for a better experience of our site. One reason is the adage “Once a C-section, always a C-section.” Women who have C-sections are most likely to have a C-section with a subsequent pregnancy, although some of them may choose to try for a vaginal birth, or VBAC.

0000008842 00000 n startxref H�\�͎�@F� On the disparities of cesarean section rates around the world. Cookies are widely used in order to make the sites functional or more efficient, and to offer information to the owner of the site.Most of the browsers allow you:If you choose to delete the cookies, you have to take into consideration the loss of certain preferences. Even if serious complications don’t occur, C-section recovery tends to be longer and harder.And the fact is that a lot of C-sections are performed in clinical gray areas, where the necessity is not clear—for reasons like “abnormal labor progress,” or out of concern for the baby’s safety based on the fetal heart tracing (an intervention notoriously poor at identifying babies who truly are at risk if they continue in labor). %%EOF Simply paying more for something risks making that problem worse.What this argument misses, though, is that the public will get much of its money back—possibly quite a lot of it.But something else would change: Namely, the C-section rate would go down. Until very recently, medical labour practices in Brazil have done little to change this belief.Up until a decade ago episiotomies – surgical cuts made at the opening of the vagina during childbirth – were used for every single natural birth. This share has gone up significantly over time, and many in the scientific community believe that it’s higher than is necessary. 0000012696 00000 n Why are C-sections performed? Vaginal birth can be very straightforward, but it can also be very complicated and time-consuming. Lying in bed during labor (versus … So we propose an alternative: Raise the payment rate for vaginal births to the C-section rate, and leave the C-section rate where it is.Policy makers will object that this method is expensive.

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