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Table 2 Annual Percent change (APC) in the prevalence of clinical characteristics among 186 931 women having an instrumental 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

0.7

13.1

[11.4; 14.8]

         

2015

4.1

         

Previous caesarean section

2000

3.4

2.5

[0.4; 4.7]

2009

4.4

11.3

[8.0; 14.7]

      

2009

4.4

2015

8.5

     

Induced labour

2000

20.0

6.0

[-0.1; 12.6]

2003

24.1

-4.4

[-15.3; 7.8]

2006

20.8

4.1

[3.1; 5.2]

   

2003

24.1

2006

20.8

2015

31.2

   

Anomalous presentation or malposition of fetus

2000

2.1

-6.6

[-8.5; -4.6]

2010

1.1

4.5

[-2.2; 11.7]

      

2010

1.1

2015

1.3

      

Disproportion/obstructed /long labor

2000

36.5

-1.1

[-3.5; 0.4]

2007

33.4

7.6

[4.1; 11.2]

2012

48.7

1.4

[-3.3; 6.2]

   

2007

33.4

2012

48.7

2015

50.7

   

Large for gestational age newborn

2000

2.1

4.9

[-2.6; 13.0]

2005

2.8

-6.5

[-9.2; -3.8]

      

2005

2.8

2015

1.6

      

Epidural analgesia

2000

18.3

22.0

2004

41.1

12.2

2008

64.3

9.7

2011

84.2

0.3

2004

41.1

[20.5; 23.5]

2008

64.3

[10.7; 13.8]

2011

84.2

[7.2; 12.2]

2015

86.7

[-0.3; 1.0]

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