Caesarean section and the manipulation of exact delivery time

Fabbri, Daniele ; Monfardini, Chiara ; Castaldini, Ilaria ; Protonotari, Adalgisa (2015) Caesarean section and the manipulation of exact delivery time. Bologna: Dipartimento di Scienze economiche DSE, p. 31. DOI 10.6092/unibo/amsacta/4400. In: Quaderni - Working Paper DSE (1036). ISSN 2282-6483.
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Abstract

Physicians are often alleged responsible for the manipulation of delivery timing. We investigate this issue in a setting that negates the influence of financial incentives behind “physician’s demand induction” but allows for “risk aversion” to medical errors and “demand for leisure” motivations. Working on a sample of women admitted at the onset of labor in a big public hospital in Italy we estimate a model for the exact time of delivery as driven by individual indication to receive Caesarean Section (CS) and covariates. We find that ICS does not affect the day of delivery but leads to a circadian rhythm in the likelihood of delivery. The pattern is consistent with the postponement of high ICS deliveries in the late night\early morning shift. Our evidence hardly supports the manipulation of timing of births as driven by medical staff’s “demand for leisure”. An explanation based on “risk aversion” attitude seems more appropriate.

Abstract
Document type
Monograph (Working Paper)
Creators
CreatorsAffiliationORCID
Fabbri, Daniele
Monfardini, Chiara
Castaldini, Ilaria
Protonotari, Adalgisa
Keywords
timing of delivery, physician incentives, caesarean section, scheduling
Subjects
ISSN
2282-6483
DOI
Deposit date
26 Oct 2015 09:09
Last modified
07 Jun 2017 08:01
URI

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