Unscheduled C-Sections May Depend on the Color of Your Skin
Nov 20, 2024
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Adriana Corredor-Waldron, an assistant professor of economics at NC State University, explores troubling disparities in C-section rates. She highlights that Black infants are 20% more likely to be delivered by C-section than white infants, even among low-risk patients. Corredor-Waldron discusses how physician discretion plays a significant role, raising concerns about unnecessary procedures. She advocates for systemic changes in medical education and hospital policies to address these inequalities and ensure safer outcomes for all patients.
The higher rate of unscheduled C-sections among Black patients compared to white patients highlights systemic racial disparities in maternal healthcare practices.
Promoting equity in maternal health may require increasing provider diversity and implementing value-based payment models to reduce unnecessary surgical procedures.
Deep dives
Disparities in C-section Rates
Research shows that Black patients are significantly more likely to undergo unscheduled C-sections compared to white patients, even when controlling for medical risk factors and socioeconomic status. In New Jersey, Black pregnant individuals face a 20% increased likelihood of receiving an unscheduled C-section despite having similar medical histories to their white counterparts. This disparity is troubling, as unnecessary surgical procedures carry risks that can affect maternal and fetal health negatively. Moreover, the gap in C-section rates persists even when both individuals are seen by the same healthcare provider, indicating systemic issues within the healthcare system.
Potential Solutions for Equity
To promote equity in maternal healthcare, several systemic changes are suggested, including increasing diversity among healthcare providers. Evidence indicates that the racial gap in C-section rates narrows when Black patients are treated by Black physicians. Additional approaches involve utilizing patient advocates, such as doulas, to help navigate the healthcare system, although these services are often not covered by insurance. Moreover, implementing value-based payment models could reduce financial incentives for unnecessary procedures, ultimately promoting better health outcomes for all patients.
Disparities in health are not indicated by adverse outcomes alone. Adriana Corredor-Waldron, an assistant professor of economics at NC State University, sought to understand why Black infants are more likely to be delivered by C-section than white infants. A working paper she co-authored found that the elevated number of low-risk Black pregnant people who were given C-section surgeries in New Jersey from 2008 to 2017 was likely caused by physician discretion. Corredor-Waldron explains why unnecessary C-sections can be risky and what medical education and financial incentives could do to close the gap.
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Science Quickly is produced by Rachel Feltman, Fonda Mwangi, Kelso Harper, Madison Goldberg and Jeff DelViscio. This episode was hosted by Rachel Feltman with guest Adriana Corredor-Waldron
Our show is edited by Jeff DelViscio with fact-checking by Shayna Posses and Aaron Shattuck. The theme music was composed by Dominic Smith.