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Improved Fecundity in Northern China: A Secular Trend from 1980 to 2003.

PLoS One · 2016 · PMC5082934 · PMID 27788188

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an increasing trendno p-value reported
The occurrence of adverse outcomes in the first pregnancy remained at a low level, but exhibited an increasing trend over time ( Table 1 ).

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.