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The effect of increasing Women's autonomy on primary and repeated caesarean sections in Brazil

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  • Victor Hugo de Oliveira
  • Ines Lee
  • Climent Quintana‐Domeque

Abstract

Caesarean section (C‐section) rates continue to rise globally. Yet, there is little consensus about the key determinants of rising C‐section rates and the sources of variation in C‐section rates across the world. While C‐sections can save lives when medically justified, unnecessary surgical procedures can be harmful for women and babies. We show that a state‐wide law passed in São Paulo (Brazil), which increased women's autonomy to choose to deliver via C‐section even when not medically necessary, is associated with a 3% increase in overall C‐section rates. This association was driven by a 5% increase in primary C‐sections, rather than repeated C‐sections. Since the law emphasizes women's autonomy, these results are consistent with mothers' demand being an important contributor to high C‐section rates in this context.

Suggested Citation

  • Victor Hugo de Oliveira & Ines Lee & Climent Quintana‐Domeque, 2022. "The effect of increasing Women's autonomy on primary and repeated caesarean sections in Brazil," Health Economics, John Wiley & Sons, Ltd., vol. 31(8), pages 1800-1804, August.
    • Handle: RePEc:wly:hlthec:v:31:y:2022:i:8:p:1800-1804
    DOI: 10.1002/hec.4522
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    References listed on IDEAS

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    Cited by:

    1. Herrera-Almanza, Catalina & Marquez-Padilla, Fernanda & Prina, Silvia, 2023. "C-Sections, Obesity, and Health-Care Specialization: Evidence from Mexico," IZA Discussion Papers 16302, Institute of Labor Economics (IZA).
    2. Carolina Melo & Naercio Menezes‐Filho, 2023. "The effects of a national policy to reduce c‐sections in Brazil," Health Economics, John Wiley & Sons, Ltd., vol. 32(2), pages 501-517, February.

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