| Declining fertility and the use of cesarean delivery: evidence from a population-based study in Taiwan. | |
MedLine Citation:
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PMID: 20545781 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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:
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Ke-Zong M Ma; Edward C Norton; Shoou-Yih D Lee |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Health services research Volume: 45 ISSN: 1475-6773 ISO Abbreviation: Health Serv Res Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-09-13 Completed Date: 2010-09-30 Revised Date: 2013-05-29 |
Medline Journal Info:
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Nlm Unique ID: 0053006 Medline TA: Health Serv Res Country: United States |
Other Details:
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Languages: eng Pagination: 1360-75 Citation Subset: IM |
Copyright Information:
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Copyright © Health Research and Educational Trust. |
Affiliation:
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Graduate Institute of Healthcare Administration, Kaohsiung Medical University, 100 Shih-Chuan 1st Road, Kaohsiung 80708, Taiwan. kezong@kmu.edu.tw |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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 | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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