Returns to Childbirth Technologies: Evidence from Preterm Births

64 Pages Posted: 28 Dec 2013

See all articles by N. Meltem Daysal

N. Meltem Daysal

Tilburg University; IZA

Mircea Trandafir

University of Southern Denmark - Department of Business and Economics

Reyn van Ewijk

Johannes Gutenberg University Mainz - Department of Economics

Abstract

We investigate the impact of obstetrician supervision, as opposed to midwife supervision, on the short-term health of low-risk newborns. We exploit a unique policy rule in the Netherlands that creates a large discontinuity in the probability of a low-risk birth being attended by an obstetrician at gestational week 37. Using a fuzzy regression discontinuity design, we consistently find no health benefits from obstetrician supervision, despite increased rates of neonatal intensive care unit admissions among births supervised by obstetricians. These results indicate potential cost savings from increased use of midwifery care for low-risk deliveries.

Keywords: medical technology, birth, midwife, mortality

JEL Classification: I11, I12, I18, J13

Suggested Citation

Daysal, N. Meltem and Trandafir, Mircea and van Ewijk, Reyn, Returns to Childbirth Technologies: Evidence from Preterm Births. IZA Discussion Paper No. 7834, Available at SSRN: https://ssrn.com/abstract=2372543

N. Meltem Daysal (Contact Author)

Tilburg University ( email )

P.O. Box 90153
Tilburg, DC Noord-Brabant 5000 LE
Netherlands

HOME PAGE: http://www.meltemdaysal.com

IZA ( email )

P.O. Box 7240
Bonn, D-53072
Germany

HOME PAGE: http://www.meltemdaysal.com

Mircea Trandafir

University of Southern Denmark - Department of Business and Economics ( email )

DK-5230 Odense
Denmark

Reyn Van Ewijk

Johannes Gutenberg University Mainz - Department of Economics ( email )

Saarstrasse 21
Mainz, D-55099
Germany

HOME PAGE: http://www.econometrics.economics.uni-mainz.de/392.php

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