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Cutting Fertility? The Effect of Cesarean Deliveries on Subsequent Fertility and Maternal Labor Supply

Martin Halla, Harald Mayr, Gerald Pruckner and Pilar Garcia-Gomez

Working Papers from Faculty of Economics and Statistics, Universität Innsbruck

Abstract: The incidence of Cesarean deliveries (CDs) has been on the rise. The procedure's cost and benefits are discussed controversially; in particular, since non-medically indicated cases seem widespread. We study the effect of CDs on subsequent fertility and maternal labor supply. Identification is achieved by exploiting variation in the supply-side's incentives to induce non-medically indicated CDs across weekdays. On weekends and public holidays obstetricians' are less likely to induce CDs (due tighter capacity constraints in hospital). On Fridays and other days preceding a holiday, they face an increased incentive to induce CDs (due to their demand for leisure on non-working days). We use high-quality administrative data from Austria. Women giving birth on different weekdays are pre-treatment observationally identical. Our instrumental variable estimates show that a non-planned CD at parity one decreases life cycle fertility by almost 17 percent. This reduction in fertility translates into a temporary increase in maternal employment.

Keywords: Caesarean delivery; Caesarean section; fertility; female labor supply (search for similar items in EconPapers)
JEL-codes: I12 J11 J13 J21 J22 (search for similar items in EconPapers)
Pages: 46 pages
Date: 2016-05
New Economics Papers: this item is included in nep-eur and nep-lab
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (8)

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https://www2.uibk.ac.at/downloads/c4041030/wpaper/2016-14.pdf (application/pdf)

Related works:
Journal Article: Cutting fertility? Effects of cesarean deliveries on subsequent fertility and maternal labor supply (2020) Downloads
Working Paper: Cutting Fertility? The Effect of Cesarean Deliveries on Subsequent Fertility and Maternal Labor Supply (2016) Downloads
Working Paper: Cutting Fertility? The Effect of Cesarean Deliveries on Subsequent Fertility and Maternal Labor Supply (2016) Downloads
Working Paper: Cutting Fertility? The Effect of Cesarean Deliveries on Subsequent Fertility and Maternal Labor Supply (2016) Downloads
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