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首页> 外文期刊>Journal of health economics >Mother's mental health after childbirth: Does the delivery method matter?
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Mother's mental health after childbirth: Does the delivery method matter?

机译：分娩后母亲的心理健康：分娩方式重要吗？

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摘要

The dramatic increase in the utilization of caesarean section has raised concerns on its impact on public expenditure and health. While the financial costs associated with this surgical procedure are well recognized, less is known on the intangible health costs borne by mothers and their families. We contribute to the debate by investigating the effect of unplanned caesarean deliveries on mothers' mental health in the first nine months after the delivery. Differently from previous studies, we account for the unobserved heterogeneity due to the fact that mothers who give birth through an unplanned caesarean delivery may be different than mothers who give birth with a natural delivery. Identification is achieved exploiting exogenous variation in the position of the baby in the womb at the time of delivery while controlling for hospital unobserved factors. We find that mothers having an unplanned caesarean section are at higher risk of developing postnatal depression and this result is robust to alternative specifications. (C) 2018 Elsevier B.V. All rights reserved.
机译：剖宫产的利用急剧增加，引起了人们对其剖宫产对公共支出和健康的影响的担忧。尽管与这种外科手术有关的财务费用已得到公认，但对于母亲及其家庭承担的无形健康费用却知之甚少。我们通过调查分娩后头九个月意外剖腹产对母亲心理健康的影响，为辩论做出了贡献。与以前的研究不同，我们解释了未观察到的异质性，因为通过计划外剖腹产分娩的母亲可能与自然分娩的母亲有所不同。通过控制分娩时婴儿在子宫内的位置的外源变化，同时控制医院未观察到的因素，可以实现识别。我们发现，剖腹产计划外的母亲患产后抑郁症的风险较高，这一结果对于其他规格而言是可靠的。 （C）2018 Elsevier B.V.保留所有权利。

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