Earlier routine induction of labor—Consequences on mother and child morbidity

IF 2 3区医学 Q2 ECONOMICS

Health economics Pub Date : 2024-07-04 DOI:10.1002/hec.4877

Maria Koch Gregersen

引用次数: 0

Abstract

A growing number of birth interventions had led to a concern for potential health consequences. This study investigates the consequences of earlier routine labor induction. It exploits a natural experiment caused by the introduction of new Danish obstetric guidelines in 2011. Consequently, routine labor induction was moved forward from 14 to 10–13 days past the expected due date (EDD) and extended antenatal surveillance was introduced from 7 days past the EDD. Using administrative data, I find that affected mothers on average had a 9–11 percentage points (32%–38%) higher risk of being induced the following years. Yet, mother and child short- and medium-term morbidity were largely unaffected.

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早期常规引产--对母婴发病率的影响。

越来越多的分娩干预措施引起了人们对潜在健康后果的关注。本研究调查了提前常规引产的后果。该研究利用了 2011 年丹麦新产科指南的出台所引发的自然实验。因此，常规引产从预产期（EDD）后 14 天提前到 10-13 天，产前监测从预产期后 7 天开始延长。利用行政数据，我发现受影响的母亲在随后几年接受引产的风险平均高出 9-11 个百分点（32%-38%）。然而，母婴的短期和中期发病率基本未受影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health economics 医学-卫生保健

CiteScore

3.60

自引率

4.80%

发文量

177

审稿时长

4-8 weeks

期刊介绍： This Journal publishes articles on all aspects of health economics: theoretical contributions, empirical studies and analyses of health policy from the economic perspective. Its scope includes the determinants of health and its definition and valuation, as well as the demand for and supply of health care; planning and market mechanisms; micro-economic evaluation of individual procedures and treatments; and evaluation of the performance of health care systems. Contributions should typically be original and innovative. As a rule, the Journal does not include routine applications of cost-effectiveness analysis, discrete choice experiments and costing analyses. Editorials are regular features, these should be concise and topical. Occasionally commissioned reviews are published and special issues bring together contributions on a single topic. Health Economics Letters facilitate rapid exchange of views on topical issues. Contributions related to problems in both developed and developing countries are welcome.