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Science Quickly

Unscheduled C-Sections May Depend on the Color of Your Skin

Nov 20, 2024
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.
11:41

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Quick takeaways

  • 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.

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