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Table 3 Effects of prenatal care and socioeconomic status on cesarean delivery use, logit model 1 (odds ratios)

From: Prenatal care and socioeconomic status: effect on cesarean delivery

 

Full sample

Low-risk subsample

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

Prenatal care

 First prenatal visit

  Second trimester

1.10 (0.129)

1.09 (0.129)

  

1.06 (0.174)

1.05 (0.169)

1.75c(0.509)

1.67c(0.464)

1.40 (0.573)

1.34 (0.524)

  Third trimester

1.06 (0.252)

1.05 (0.249)

  

0.46 (0.259)

0.46 (0.258)

1.92 (1.379)

1.93 (1.386)

2.24 (1.528)

2.27 (1.543)

 Obstetric ultrasounds

  < 3

1.02 (0.062)

1.02 (0.061)

  

1.05 (0.190)

1.05 (0.190)

1.04 (0.329)

1.06 (0.337)

0.87 (0.326)

0.88 (0.334)

  ≥ 4

1.31a(0.057)

1.31a(0.058)

  

1.32a(0.090)

1.32a(0.091)

1.12 (0.113)

1.11 (0.110)

1.10 (0.121)

1.09 (0.118)

 No nuchal translucency ultrasound

0.98 (0.076)

0.99 (0.074)

  

0.96 (0.130)

0.97 (0.129)

0.95 (0.293)

1.00 (0.289)

1.01 (0.355)

1.06 (0.345)

 No morphology ultrasound

0.75b(0.108)

0.75b(0.108)

  

0.69a(0.076)

0.69a(0.076)

0.82 (0.221)

0.78 (0.205)

0.71 (0.235)

0.67 (0.218)

 No early prenatal interview

1.06b(0.049)

1.06 (0.049)

  

1.05 (0.048)

1.05 (0.047)

1.00 (0.079)

1.01 (0.077)

0.97 (0.093)

0.98 (0.092)

 No prenatal education

1.33a(0.022)

1.33a(0.022)

  

1.39a(0.038)

1.39a(0.038)

1.25a(0.068)

1.26a(0.062)

1.22b(0.098)

1.22a(0.092)

Woman’s socioeconomic level

 Single

  

0.77a(0.071)

0.77a(0.072)

0.72c(0.129)

0.72c(0.131)

0.44a(0.113)

0.44a(0.115)

0.48a(0.119)

0.48a(0.122)

 Uninsured

  

1.06 (0.078)

1.06 (0.078)

1.10 (0.094)

1.10 (0.094)

0.91 (0.306)

0.92 (0.311)

0.67 (0.247)

0.68 (0.251)

 Education

  Primary school

  

1.23c(0.140)

1.22c(0.141)

1.19 (0.172)

1.19 (0.173)

1.45 (0.578)

1.45 (0.582)

1.47 (0.603)

1.46 (0.595)

  Some secondary school

  

1.33a(0.059)

1.33a(0.059)

1.29a(0.083)

1.29a(0.084)

1.34b(0.161)

1.35b(0.164)

1.32b(0.151)

1.34b(0.155)

  Completed secondary school

  

1.29a(0.039)

1.29a(0.039)

1.24a(0.035)

1.24a(0.034)

1.27a(0.081)

1.28a(0.084)

1.29a(0.082)

1.30a(0.085)

 Occupation

  Manual worker

  

1.26a(0.097)

1.26a(0.097)

1.33a(0.131)

1.33a(0.131)

1.55 (0.492)

1.55 (0.495)

1.47 (0.553)

1.50 (0.570)

  Office, sales, or service staff

  

1.13a(0.042)

1.13a(0.042)

1.12a(0.041)

1.12a(0.041)

1.14c (0.080)

1.14c(0.081)

1.12c(0.072)

1.12c(0.071)

  Farmer

  

1.24 (0.455)

1.25 (0.457)

1.03 (0.426)

1.04 (0.431)

1.29 (0.877)

1.32 (0.892)

1.80 (1.186)

1.82 (1.194)

  Craft/trades worker or entrepreneur

  

1.10 (0.080)

1.10 (0.080)

1.14c(0.090)

1.14c(0.090)

1.16 (0.281)

1.15 (0.275)

1.18 (0.354)

1.17 (0.347)

  Intermediate (technical)

  

1.13a(0.052)

1.13a(0.052)

1.13c(0.075)

1.13c(0.074)

1.19a(0.058)

1.20a(0.064)

1.25a(0.078)

1.26a(0.085)

Work status

  Unemployed

  

1.14b(0.066)

1.14b(0.066)

1.14c(0.080)

1.14c(0.080)

0.81 (0.111)

0.81 (0.114)

0.74b(0.099)

0.74b(0.101)

  Not in labor force

  

0.94 (0.041)

0.94 (0.041)

0.91 (0.058)

0.91 (0.058)

1.01 (0.111)

1.01 (0.108)

1.01 (0.113)

1.01 (0.116)

Partner’s socioeconomic level

 Occupation

  Manual worker

  

1.15a(0.057)

1.15a(0.057)

1.08 (0.067)

1.08 (0.067)

    

  Office, sales, or service staff

  

1.13a(0.033)

1.13a(0.033)

1.11a(0.043)

1.11a(0.043)

    

  Farmer

  

1.06 (0.218)

1.06 (0.217)

1.05 (0.273)

1.05 (0.271)

    

  Craft/trades worker or entrepreneur

  

1.10 (0.075)

1.10 (0.074)

1.06 (0.087)

1.06 (0.086)

    

  Intermediate (technical)

  

1.07 (0.054)

1.07 (0.055)

1.09 (0.095)

1.09 (0.096)

    

 Work status

  Unemployed

  

1.01 (0.080)

1.01 (0.080)

1.11 (0.114)

1.11 (0.115)

    

  Not in labor force

  

1.17a(0.050)

1.17a(0.050)

1.12b(0.064)

1.12b(0.064)

    

Epidemiologic controls

Yes

Yes

Yes

Yes

Yes

Yes

No

No

No

No

Hospital controls

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Year fixed effects

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Hospital effects

Fixed

Random

Fixed

Random

Fixed

Random

Fixed

Random

Fixed

Random

Residence fixed effects

No

No

No

No

No

No

No

No

Yes

Yes

N (observations)

68,314

68,314

58,324

58,324

41,141

41,141

9507

9507

8020

8020

  1. Columns 1–6 use the full sample of women while columns 7–10 use the subsample of low-risk women (nulliparous, aged 20–34 years, without any diagnosis or co-morbidity, giving birth at full term, during labor, without induction, to a singleton infant in cephalic presentation, and with a normal birth weight). Epidemiologic control variables include woman’s demographics (age and parity) and medical risk factors (previous cesarean, diabetes, hypertension, eclampsia or preeclampsia, fetal growth restriction, placental bleeding, other obstetric pathology, plurality, term at delivery, fetal presentation, induced labor, and birth weight). Hospital control variables include hospital type (ownership status, equipment level, and teaching status), organization (day of delivery, obstetrician availability, and size), and staff (midwives, obstetricians, and anesthetists in FTEs per bed). Hospital invariant control variables (ownership status, equipment level, and teaching status) are only included in regressions with hospital random effects. Robust standard errors in parentheses
  2. a = 1% significance level, b = 5%, c = 10%