Document Detail


Declining fertility and the use of cesarean delivery: evidence from a population-based study in Taiwan.
MedLine Citation:
PMID:  20545781     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Ke-Zong M Ma; Edward C Norton; Shoou-Yih D Lee
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Health services research     Volume:  45     ISSN:  1475-6773     ISO Abbreviation:  Health Serv Res     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-13     Completed Date:  2010-09-30     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  0053006     Medline TA:  Health Serv Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1360-75     Citation Subset:  IM    
Copyright Information:
Copyright © Health Research and Educational Trust.
Affiliation:
Graduate Institute of Healthcare Administration, Kaohsiung Medical University, 100 Shih-Chuan 1st Road, Kaohsiung 80708, Taiwan. kezong@kmu.edu.tw
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MeSH Terms
Descriptor/Qualifier:
Adult
Birth Rate / trends*
Cesarean Section / adverse effects,  psychology,  utilization*
Choice Behavior
Community Health Planning
Female
Fertility*
Health Care Surveys
Health Services Needs and Demand / trends
Humans
Longitudinal Studies
National Health Programs / statistics & numerical data
Patient Acceptance of Health Care / psychology,  statistics & numerical data
Patient Selection
Pregnancy
Pregnant Women / psychology
Regression Analysis
Retrospective Studies
Social Values
Surgical Procedures, Elective / adverse effects,  psychology,  utilization*
Taiwan
Unnecessary Procedures / adverse effects,  psychology,  utilization
Comments/Corrections

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