Unequal Motherhood: Racial-Ethnic and Socioeconomic Disparities in Cesarean Sections in the United States

@article{Roth2012UnequalMR,
  title={Unequal Motherhood: Racial-Ethnic and Socioeconomic Disparities in Cesarean Sections in the United States},
  author={Louis M. Roth and Megan M. Henley},
  journal={Social Problems},
  year={2012},
  volume={59},
  pages={207-227}
}
Disparities in cesarean rates in the United States represent an important social problem because cesareans are related to maternal deaths and to the high cost of American health care. There are pervasive racial-ethnic and socioeconomic disparities in maternity care as in health care more generally, yet there has been little scrutiny of how overuse of cesarean deliveries might be linked to these disparities. There are at least two possibilities when it comes to c-sections: black, Hispanic… 

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References

SHOWING 1-10 OF 120 REFERENCES

Racial/ethnic differences in the likelihood of cesarean delivery, California.

The findings cannot establish causation, but the significant racial/ethnic disparities in delivery mode, despite adjustment for social, economic, medical, and hospital factors, suggest inappropriate influences on clinical decision making that would not be addressed by changes in reimbursement.

Race/ethnic differentials in heavy weight and cesarean births

The results confirm that previously identified determinants of macrosomia such as maternal diabetes, maternal weight gain, parity and a previous heavy weight infant are highly predictive of a macrosomic birth, independent of race/ethnic effects.

Physician gender and cesarean sections.

Barriers to prenatal care for low-income women.

The difficulty finding physicians willing to take pregnant women indicates that these women need special support services to ensure adequate care during pregnancy, and the value ascribed to prenatal care by women and physicians' perceptions of women's attitudes about care contrasted sharply.

Are Brazilian women really choosing to deliver by cesarean?

  • K. Hopkins
  • Medicine, Political Science
    Social science & medicine
  • 2000

Maternal Age: An Independent Risk Factor for Cesarean Delivery

Maternal age appears to be an independent risk factor for cesarean delivery in women who delay childbearing into their later reproductive years, using a well-defined cohort and controlling for differences in baseline susceptibility such as complications of pregnancy and labor.

Race, Socioeconomic Status, and Health The Added Effects of Racism and Discrimination

The complex ways in which race and socioeconomic status (SES) combine to affect health are considered, which accounts for much of the observed racial disparities in health.

Choosing Cesarean

This article uses the US debate over elective Cesarean section to re-consider some of the more contentious issues raised in feminist debates about childbirth. Three waves of feminist commentary and

Maternal factors associated with delivery of infants with birthweight less than 2000 grams in a low socioeconomic population.

Medical factors, demographic factors, and lifestyle factors, including drug and alcohol abuse, are found to be more common among women giving birth to infants weighing less than 2000 g, which can be used to develop more effective intervention programs for low SES populations.
...