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Published on: January 17, 2019
Declining fertility and the use of cesarean delivery: evidence from a population-based study in Taiwan
Ke-Zong M Ma1, Edward C Norton, Shoou-Yih D Lee
1Graduate Institute of Healthcare Administration, Kaohsiung Medical University, 100 Shih-Chuan 1st Road, Kaohsiung 80708, Taiwan. kezong@kmu.edu.tw
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.
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