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Appendix 1. Average Birth Weight and Frequency of Birth Weight

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Wood S, Tang. Changes in Rates of cesarean delivery in primiparous women in labor in a Canadian population, 1992–-2018. Obstet Gynecol 2021;137.

The authors provided this information as a supplement to their article.

©2021 American College of Obstetricians and Gynecologists. Page 1 of 3

Appendix 1. Average Birth Weight and Frequency of Birth Weight ≥4000gm and ≥4500 Grams by Year of Birth Categories

Year of Birth Birth weight, mean (SD) ≥4000gm n (%) ≥4500gm n (%)

1992-1998 3374 gm (484) 8116 (9.5) 1102 (1.3)

1999-2003 3412 gm (483) 7572 (11.1) 1060 (1.5)

2004-2008 3389 gm (483) 8385 (10.0) 1152 (1.4)

2009-2013 3359 gm (474) 8206 (8.7) 1016 (1.1)

2014-2018 3325 gm (467) 6977 (7.4) 800 (0.9)

Nulliparous women in labor, singleton pregnancies, vertex presentation Alberta 1992-2018.

(2)

Wood S, Tang. Changes in Rates of cesarean delivery in primiparous women in labor in a Canadian population, 1992–-2018. Obstet Gynecol 2021;137.

The authors provided this information as a supplement to their article.

©2021 American College of Obstetricians and Gynecologists. Page 2 of 3

Appendix 2. Odds Ratios (adjusted) and 95% Confidence Intervals for Associations Between Maternal Risk Factors and Cesarean Delivery by Time Period

1992-1998 1999-2003 2004-2008 2009-2013 2014-2018 Maternal Risk

Factors Maternal

weight >91kg 2.48 (2.23,

2.76) 2.13 (2.00,

2.26) 1.87 (1.77,

1.98) 1.85 (1.76,

1.94) 1.63 (1.55, 1.71) Gestational

Diabetes 1.48 (1.24,

1.78) 1.57 (1.41,

1.75) 1.63 (1.50,

1.77) 1.45 (1.36,

1.55) 1.31 (1.24, 1.39) Smoking

during pregnancy

0.89 (0.83,

0.97) 0.86 (0.81,

0.90) 0.93 (0.89,

0.97) 0.96 (0.92,

1.00) 0.98 (0.93, 1.03) Pregnancy

Induced Hypertension

1.81 (1.60,

2.05) 1.68 (1.57,

1.80) 1.72 (1.63,

1.83) 1.61 (1.52,

1.70) 1.56 (1.48, 1.65) Antepartum

Risk Score ≥7 1.52 (1.20,

1.92) 1.24 (1.07,

1.43) 1.26 (1.22,

1.41) 1.09 (0.98,

1.21) 1.32 (1.21, 1.45) Maternal

age≥35 years 2.26 (2.10,

2.44) 2.13 (2.00,

2.27) 1.95 (1.85,

2.06) 1.87 (1.78,

1.97) 1.74 (1.67, 1.82) Pre-existing

hypertension 1.06 (0.78,

1.44) 1.37 (1.14,

1.66) 1.41 (1.19,

1.67) 1.27 (1.07,

1.48) 1.38 (1.20, 1.58) Pre-existing

diabetes 2.54 (1.61,

3.17) 2.62 (2.12,

3.25) 1.97 (1.65,

2.36) 1.95 (1.68,

2.26) 1.62 (1.43, 1.84)

(3)

Wood S, Tang. Changes in Rates of cesarean delivery in primiparous women in labor in a Canadian population, 1992–-2018. Obstet Gynecol 2021;137.

The authors provided this information as a supplement to their article.

©2021 American College of Obstetricians and Gynecologists. Page 3 of 3

Appendix 3. Observed and estimated cesarean delivery rates assuming no change from 1992 in rate of cesarean delivery in the second stage of labor. Nulliparous women in labor, singleton pregnancies, vertex presentation, Alberta, 1992–2018.

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

Year of Birth

Total Cesarean Delivery Rate (Actual)

1st Stage Cesarean

Delivery Rate (Actual)

2nd Stage Cesarean

Delivery Rate (Actual)

2nd Stage Cesarean

Delivery Rate (Calculated)

Total Cesarean Delivery

Rate (Calculated)

Referensi

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