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Trend in primary caesarean delivery: a five-year experience in ABRUZZO, ITALY.

BMC Health Serv Res · 2018 · PMC6029124 · PMID 29970095

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an increasing trendno p-value reported
Despite that, in the last year of the analyzed period, Pescara hospital showed an increasing trend (from 21.1 to 25.4%).

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a decreasing trendno p-value reported
Results The five-year PCS rate was 28.9%, with a decreasing trend from 31.4% in 2009 to 26.1% in 2013.

also in 47,180 other papers

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.