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6 to 9.1%, p = 0.001). The caesarean section rate rose (5.9 to 29.7%, p less then 0.001). Vaginal birth after caesarean section rate dropped (90.4 to 28.2%, p less then 0.001) without significant change in rate of uterine rupture (0.4 to 0.7%, p = 0.1). The perinatal mortality rate improved (48.5 to 5.4 per 1000 births, p less then 0.001). Preterm birth rate rose (4.9 to 6.6%, p = 0.001). Foetal macrosomia decreased in this time (2.5 to 1.7%, p = 0.007), despite a rise in the incidence of gestational diabetes mellitus. CONCL
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