6 Discussion 6.1 Main findings This nationwide cohort study with data of spontaneous vaginal births in the Netherlands showed a rising trend in incidence of SPT in midwife-led care and a decreasing trend in episiotomy rate between 2000 and 2019.
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Differences in rates of severe perineal trauma between midwife-led and obstetrician-led care in the Netherlands: A nationwide cohort study.
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