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(2021)
Paper 25-2018: Oops, I D-I-D it again! advanced difference-indifferences models in SAS
- Publisher
- American Medical Association
- Copyright
- Copyright 2021 American Medical Association. All Rights Reserved.
- ISSN
- 0098-7484
- eISSN
- 1538-3598
- DOI
- 10.1001/jama.2021.3816
- Publisher site
- See Article on Publisher Site
Abstract
Key PointsQuestionWhat were the rates of cesarean delivery for nulliparous, term, singleton, vertex (NTSV) births in California from 2014 to 2019 in the context of a mentor-led hospital collaborative intervention and statewide policy initiatives to reduce the rates of cesarean delivery? FindingsIn this observational study of 7 574 889 NTSV births that compared the rates of cesarean delivery between 2014 and 2019, the rates in California had a statistically significant decrease from 26.0% to 22.8% (relative risk, 0.88). The cesarean delivery rate for NTSV births in the US (excluding California) was 26.0% in both 2014 and 2019. MeaningBetween 2014 and 2019, the rates of cesarean delivery for NTSV births in California decreased over time in the setting of a coordinated hospital-level collaborative and statewide initiatives designed to support vaginal birth.
Journal
JAMA – American Medical Association
Published: Apr 27, 2021