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Table 1 Annual percent change (APC) in the prevalence of clinical characteristics among 722 068 women having a non-instrumental vaginal delivery in Portuguese public hospitals, 2000 – 2015

From: Time trends in episiotomy and severe perineal tears in Portugal: a nationwide register-based study

Clinical Characteristics

Trend 1

Trend 2

Trend 3

Trend 4

Time period

prevalence %

APC (%) [95%CI]

Time period

prevalence %

APC (%) [95%CI]

Time period

prevalence %

APC (%) [95%CI]

Time period

prevalence %

APC (%) [95%CI]

Primiparous women ≥ 35 years old

2000

0.2

12.0

[10.0; 14.0]

         

2015

1.6

         

Previous caesarean section

2000

1.0

10.7

[5.7; 16.1]

2006

1.9

-2.3

[-23.7; 25.2]

2009

1.7

15.1

[11.0; 19.3]

   

2006

1.9

2009

1.7

2015

4.1

   

Induced labour

2000

14.8

9.1

[-4.2; 24.3]

2002

17.5

-3.0

[-9.5; 3.8]

2006

15.5

5.0

[3.7; 6.3]

   

2002

17.5

2006

15.5

2015

24.7

   

Anomalous presentation or malposition of fetus

2000

0.7

-6.7

[-10.1; -3.3]

2010

0.4

12.0

[-1.7; 27.6]

      

2010

0.4

2015

0.6

      

Disproportion/obstructed labor/long labor

2000

0.9

-5.3

[-16.3; 7.2]

2004

0.7

11.5

[7.1; 16.1]

2013

2.1

-14.7

[-40.8; 22.9]

   

2004

0.7

2013

2.1

2015

1.5

   

Large for gestational age newborn

2000

1.2

19.9

[6.4; 33.0]

2004

2.1

-6.7

[-9.2; -4.0]

      

2004

2.1

2015

1.3

      

Epidural analgesia

2000

7.7

30.7

2005

29.3

18.0

2008

48.5

11.2

2011

65.8

2.6

2005

29.3

[28.4; 33.0]

2008

48.5

[12.2; 24.0]

2011

65.8

[6.6; 16.0]

2015

73.9

[1.3; 4.0]

  1. Trend is the segment between two consecutive joinpoints (calendar years) characterized by a specific APC