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The Long-Run Effects of Cesarean Sections

Author

Listed:
  • Ana Costa-Ramón
  • Mika Kortelainen
  • Ana Rodríguez-González
  • Lauri Sääksvuori

Abstract

We analyze the long-term effects of potentially avoidable cesarean sections on children’s health. Using Finnish administrative data, we document that physicians perform more unplanned C-sections during their regular working hours on days that precede a weekend or public holiday and use this exogenous variation as an instrument for C-sections. We supplement our instrumental variables results with a differences-in-differences estimation strategy that exploits variation in birth mode within sibling pairs and across families. Our results suggest that avoidable, unplanned C-sections increase the risk of asthma, but do not affect other immune-mediated disorders previously associated with C-sections.

Suggested Citation

  • Ana Costa-Ramón & Mika Kortelainen & Ana Rodríguez-González & Lauri Sääksvuori, 2022. "The Long-Run Effects of Cesarean Sections," Journal of Human Resources, University of Wisconsin Press, vol. 57(6), pages 2048-2085.
    • Handle: RePEc:uwp:jhriss:v:57:y:2022:i:6:p:2048-2085
    Note: DOI: 10.3368/jhr.58.2.0719-10334R1
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    File URL: http://jhr.uwpress.org/cgi/reprint/57/6/2048
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    Cited by:

    1. Barili, Emilia & Bertoli, Paola & Grembi, Veronica, 2021. "Neighborhoods, networks, and delivery methods," Journal of Health Economics, Elsevier, vol. 80(C).
    2. Fréget, Louis & Koch Gregersen, Maria, 2025. "Health and Economic Impacts of an Early Labor Induction Policy for High-BMI Mothers," CEPREMAP Working Papers (Docweb) 2501, CEPREMAP.
    3. Maxim Alekseev & Xinjue, Lin, 2025. "Trade Policy in the Shadow of Conflict: The Case of Dual-Use Goods," CEPREMAP Working Papers (Docweb) 2502, CEPREMAP.

    More about this item

    JEL classification:

    • J10 - Labor and Demographic Economics - - Demographic Economics - - - General
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth

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