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63; 95% confidence interval [CI] 0.60-0.66) reduction in CD. This reduction was observed in both nulliparous women with singleton cephalic term pregnancy (aOR 0.57; 95% CI 0.54-0.6, and multiparous women with singleton cephalic term pregnancy without scar (aOR 0.41; 95% CI 0.30-0.55). CONCLUSION The rate of cesarean delivery in our Chinese population has declined significantly in the past few years. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.OBJECTIVE The aim of this study was to evaluate the effects of