ParentData with Emily Oster cover image

ParentData with Emily Oster

Racial Disparity in C-Section Rates: Unpacking bias in the medical system

Nov 7, 2024
Molly Schnell, an assistant professor of economics at Northwestern University, dives into the alarming racial disparities in C-section rates, revealing that Black mothers are 25% more likely to undergo unscheduled C-sections than their white counterparts. She discusses the implications of implicit bias in healthcare and the potential financial incentives affecting medical decisions. Exploring big data, Molly emphasizes the need for policy changes, such as promoting doulas and increasing workforce diversity, to improve maternal outcomes and combat these disparities.
39:41

Episode guests

Podcast summary created with Snipd AI

Quick takeaways

  • A significant racial disparity exists in C-section rates, with Black mothers 25% more likely to have uncontrolled deliveries by C-section than white mothers.
  • Understanding the interplay of implicit biases and financial incentives in healthcare is crucial for addressing the racial gap in C-section rates.

Deep dives

Overview of C-Section Rates in the U.S.

Around one-third of all deliveries in the U.S. are cesarean sections, with only about 16% being planned. High rates of C-sections are concerning, as they are major abdominal surgeries that carry risks for both mothers and babies. The World Health Organization suggests that only 10 to 15% of births should be C-sections, indicating a possible overuse in the U.S. Notably, a significant racial disparity exists, with Black women disproportionately affected by higher C-section rates compared to their white counterparts.

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