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Cesarean Section, Childhood Health, and Schooling: Quasi-Experimental Evidence From Denmark, Norway and Sweden
Copenhagen Univ Hosp, Dept Obstet & Gynecol, Copenhagen, Denmark.;Univ Copenhagen, Dept Clin Med, Copenhagen, Denmark..
Norwegian Sch Econ, Dept Econ, Bergen, Norway..
Copenhagen Univ Hosp, Dept Obstet & Gynecol, Copenhagen, Denmark..ORCID iD: 0000-0001-5433-4776
Uppsala University, Units outside the University, The Institute for Evaluation of Labour Market and Education Policy (IFAU). Karolinska Inst, Dept Global Publ Hlth, Solna, Sweden.
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2025 (English)In: Health Economics, ISSN 1057-9230, E-ISSN 1099-1050, Vol. 34, no 3, p. 431-441Article in journal (Refereed) Published
Abstract [en]

Despite being one of the most common surgical procedures in industrialized countries, there is limited causal evidence on the long-term consequences of Cesarean section (CS). We study the impacts of CS on health during ages 1-12 years and human capital outcomes at age 16 years, using exogenous variation in the probability of receiving a CS for breech births at term-a group with high CS risk. We use administrative data from Denmark, Norway, and Sweden to show that preventing complicated vaginal births benefits health at birth and reduces the number of all-cause hospital nights during childhood. Our findings for childhood diagnoses for asthma, allergies, diabetes mellitus type 1, and school outcomes are imprecise and do thus not lend strong support for prominent hypotheses on CS causing long-term immune dysfunction disorders and, thereby, worse human capital outcomes.

Place, publisher, year, edition, pages
John Wiley & Sons, 2025. Vol. 34, no 3, p. 431-441
Keywords [en]
breech births, cesarean section, long-term outcomes, medical procedure use, regression discontinuity design
National Category
Gynaecology, Obstetrics and Reproductive Medicine Public Health, Global Health and Social Medicine
Identifiers
URN: urn:nbn:se:uu:diva-555111DOI: 10.1002/hec.4914ISI: 001361097700001PubMedID: 39578372Scopus ID: 2-s2.0-85210004776OAI: oai:DiVA.org:uu-555111DiVA, id: diva2:1954029
Funder
Swedish Research Council, 2019-06385The Research Council of Norway, 262675The Research Council of Norway, 315269Danish National Research Foundation, DNRF134Available from: 2025-04-23 Created: 2025-04-23 Last updated: 2025-04-23Bibliographically approved

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Krebs, LoneMühlrad, HannaWüst, Miriam
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