TY - RPRT AU - Daysal, N. Meltem AU - Trandafir, Mircea AU - Ewijk, Reyn van TI - Returns to Childbirth Technologies: Evidence from Preterm Births PY - 2013/Dec/ PB - Institute of Labor Economics (IZA) CY - Bonn T2 - IZA Discussion Paper IS - 7834 UR - https://www.iza.org/index.php/publications/dp7834 AB - We investigate the impact of obstetrician supervision, as opposed to midwife supervision, on the short-term health of low-risk newborns. We exploit a unique policy rule in the Netherlands that creates a large discontinuity in the probability of a low-risk birth being attended by an obstetrician at gestational week 37. Using a fuzzy regression discontinuity design, we consistently find no health benefits from obstetrician supervision, despite increased rates of neonatal intensive care unit admissions among births supervised by obstetricians. These results indicate potential cost savings from increased use of midwifery care for low-risk deliveries. KW - medical technology KW - birth KW - midwife KW - mortality ER -