Neighborhood Deprivation Increases the Risk of Post-Induction Cesarean Delivery


A recent study featuring PISC Senior Scholar Mary Regina Boland, MA, MPhil, PhD, measures the association between neighborhood deprivation and cesarean delivery. A retrospective cohort study was conducted from 2010 to 2017. The study includes 8,672 people who underwent labor induction at term at Penn Medicine. Primary exposure was measured through a nationally validated Area Deprivation Index, with scores ranging from 1 to 100. Additionally, a generalized linear mixed model was used to calculate the odds of postinduction cesarean delivery. Results indicate that people living in the most deprived neighborhoods were 29% more likely to experience post-induction cesarean delivery than people living in the least deprived neighborhoods. The team concludes that this striking disparity represents “an important first step in understanding the impact of disadvantaged neighborhoods on adverse delivery outcomes.”


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