Exploring Factors Associated with Cesarean Section Deliveries in the United States: An Analysis of the National Inpatient Sample, 2017
Racine, Kyrstin Leigh
Experts in maternal health have long noted that the United States has a high rate of cesarean section utilization for maternity patients. This thesis uses the 2017 National Inpatient Sample (NIS) to assess the impact of patient, hospital, and area-level factors on all cesarean section deliveries, and, only on those without complications. As policy makers, payers, patients, clinicians, and other stakeholders interested in safely reducing cesarean section rates consider interventions, it is important for them to understand the factors associated with cesarean section deliveries. This thesis finds that there are associations between cesarean section delivery rates and patient, hospital, and area-level factors. This thesis finds sizable variation in cesarean section rates across race cohorts and their expected primary payers. This thesis also finds higher proportions of cesarean section deliveries in for-profit hospitals than public or non-profit hospitals, which could be due in part to the patient mix and different financial motivations at these hospitals.
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Arguments in the cases arising under the Railway Labor Act and the National Labor Relations Act before the Supreme Court of the United States, February 8-11, 1937. The Virginian Railway Co. v. System Federation No. 40; the Associated Press v. National Labor Relations Board; Washington, Virginia and Maryland Coach Co. v. National Labor Relations Board; National Labor Relations Board v. Jones & Laughlin Steel Corp.; National Labor Relations Board v. Fruehauf Trailer Co.; National Labor Relations Board v. Friedman-Harry Marks Clothing Co., Inc United States. Supreme Court (Washington, Govt. print. off., 1937, 1937)