Increased knowledge and parents fertility decisions. The effect of the CUB-test on abortions.

Abstract: New and more advanced prenatal tests have steadily been introduced in the Swedish maternity care system in the last 30 years. The combined test, CUB, was introduced step wise in Swedish maternal care from 2008 and onward. The CUB test detects children with chromosomal abnormalities prenatally and is offered at no charge for women in treated counties. This thesis investigate the reform using a difference-in-difference approach to determine the effect of the CUB test on the number of late abortions performed. My theoretical framework suggest that the introduction of CUB should increase the number of abortions of children with chromosomal aberrations. As supported by theory I find a positive effect of CUB on late abortions for my main group of interest, women 35-39 years old. These women were the ones most effected by CUB. The positive effect of 0.47 percentage units is statistically significant at the 10% level. It corresponds to a 3.6-7.1% decrease in the number of babies born with chromosomal aberrations.