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Maternity Ward Closures and Infant Health Outcomes, Maternal Health Outcomes, and Birth Procedures

Author

Listed:
  • Astrid de Linde
  • Jostein Grytten
  • Irene Skau
  • Jonas Minet Kinge

Abstract

We analyze the short‐ and long‐term impacts of maternity ward closures using registry data on every delivery in Norway from 1981 through 2019. Among those directly experiencing a closure, we find a small decline in 5‐minute Apgar score and increased probability of birth outside institution. Since this drop in Apgar is not reflected across the other indicators, we hypothesize it reflects different institutional scoring standards as opposed to a health effect. For long‐term outcomes, we find treatment as an infant increases the likelihood of beginning high school by 1 percentage point, but has no effect on graduating. Furthermore, for infants assigned female at birth, we find early‐life treatment does not change the probability of giving birth as an adult or experiencing negative health conditions during pregnancy. We hypothesize robust prenatal care and health and social services may mitigate the impact of closures and thus account for a limited treatment effect.

Suggested Citation

  • Astrid de Linde & Jostein Grytten & Irene Skau & Jonas Minet Kinge, 2026. "Maternity Ward Closures and Infant Health Outcomes, Maternal Health Outcomes, and Birth Procedures," Health Economics, John Wiley & Sons, Ltd., vol. 35(2), pages 360-376, February.
    • Handle: RePEc:wly:hlthec:v:35:y:2026:i:2:p:360-376
    DOI: 10.1002/hec.70053
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    References listed on IDEAS

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    1. Douglas Almond & Janet Currie & Valentina Duque, 2018. "Childhood Circumstances and Adult Outcomes: Act II," Journal of Economic Literature, American Economic Association, vol. 56(4), pages 1360-1446, December.
    2. Daniel Avdic & Petter Lundborg & Johan Vikström, 2024. "Does Health Care Consolidation Harm Patients? Evidence from Maternity Ward Closures," American Economic Journal: Economic Policy, American Economic Association, vol. 16(1), pages 160-189, February.
    3. Douglas Almond & Janet Currie, 2011. "Killing Me Softly: The Fetal Origins Hypothesis," Journal of Economic Perspectives, American Economic Association, vol. 25(3), pages 153-172, Summer.
    4. Pinka Chatterji & Chun-Yu Ho & Xue Wu, 2023. "Obstetric Unit Closures and Racial/Ethnic Disparity in Health," NBER Working Papers 30986, National Bureau of Economic Research, Inc.
    5. Stefanie Fischer & Heather Royer & Corey White, 2024. "Health Care Centralization: The Health Impacts of Obstetric Unit Closures in the United States," American Economic Journal: Applied Economics, American Economic Association, vol. 16(3), pages 113-141, July.
    6. Erin M. Johnson & M. Marit Rehavi, 2016. "Physicians Treating Physicians: Information and Incentives in Childbirth," American Economic Journal: Economic Policy, American Economic Association, vol. 8(1), pages 115-141, February.
    7. Martin Gaynor & Harald Seider & William B. Vogt, 2005. "The Volume–Outcome Effect, Scale Economies, and Learning-by-Doing," American Economic Review, American Economic Association, vol. 95(2), pages 243-247, May.
    8. Almond, Douglas & Currie, Janet, 2011. "Human Capital Development before Age Five," Handbook of Labor Economics, in: O. Ashenfelter & D. Card (ed.), Handbook of Labor Economics, edition 1, volume 4, chapter 15, pages 1315-1486, Elsevier.
    9. Callaway, Brantly & Sant’Anna, Pedro H.C., 2021. "Difference-in-Differences with multiple time periods," Journal of Econometrics, Elsevier, vol. 225(2), pages 200-230.
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    More about this item

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth

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