A1 Refereed original research article in a scientific journal
The Long-Run Effects of Cesarean Sections
Authors: Ana María Costa-Ramón, Mika Kortelainen, Ana Rodríguez-González, Lauri Sääksvuori
Publisher: University of Wisconsin Press
Publishing place: Madison, Wiaconsin
Publication year: 2022
Journal: Journal of Human Resources
Volume: 57
First page : 2048
Last page: 2085
eISSN: 1548-8004
DOI: https://doi.org/10.3368/jhr.58.2.0719-10334R1
Self-archived copy’s web address: https://research.utu.fi/converis/portal/detail/Publication/48744182
This paper analyzes the long-term effects of potentially avoidable C-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 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.
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