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Cervical dilatation over time is a poor predictor of severe adverse birth outcomes: a diagnostic accuracy study.

BJOG · 2018 · PMC6032950 · PMID 29498187

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a marked trendno p-value reported
As countries navigate through the obstetric transition, 28 a marked trend towards the medicalisation of labour and childbirth is observed.

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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.