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Fig 1.

Flowchart: How we derived the dataset for analysis.

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Table 1.

Numbers of singleton births in NHS maternity units by onset of labour, mode of birth, and gestational age group, 2005–2014.

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Fig 2.

Mean number of singleton births in NHS maternity units per hour over the week, England 2005–2014.

“All births”: All singleton births in NHS maternity units in England linked in this study, 2005–2014: N = 5,999,732 (missing times: 54,804); “Study”: Singleton births included in study: n = 5,048,269 (missing times: 45,346).

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Fig 3.

Average number of term births per hour by type of day: Spontaneous onset of labour.

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Fig 4.

Average number of term births per hour by type of day: Induced births.

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Fig 5.

Average number of term births per hour by type of day: Caesarean births without prior onset of labour.

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Fig 6.

Average number of term births per hour by type of day: Spontaneous onset of labour (larger scale).

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Fig 7.

Average number of term births per hour by type of day: Induced births (larger scale).

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Table 2.

Adjusted rate ratios for frequency of term births by day of the week, compared to the overall average, by onset of labour and mode of birth (99% confidence intervals in brackets).

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Fig 8.

Rate ratios and confidence intervals for type of day differences by gestational age: Spontaneous onset and birth.

Vertical axes show rate ratios relative to the overall average for each gestational age group within each figure. Error bars show 99% confidence intervals. Likelihood Ratio Test of H0: Type of day differences do not differ between term, pre-term and post-term births.

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Fig 9.

Rate ratios and confidence intervals for type of day differences by gestational age: Spontaneous onset, emergency caesarean.

Vertical axes show rate ratios relative to the overall average for each gestational age group within each figure. Error bars show 99% confidence intervals. Likelihood Ratio Test of H0: Type of day differences do not differ between term, pre-term and post-term births.

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Fig 10.

Rate ratios and confidence intervals for type of day differences by gestational age: Spontaneous onset, instrumental birth.

Vertical axes show rate ratios relative to the overall average for each gestational age group within each figure. Error bars show 99% confidence intervals. Likelihood Ratio Test of H0: Type of day differences do not differ between term, pre-term and post-term births.

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Fig 11.

Rate ratios and confidence intervals for type of day differences by gestational age: Induced onset, spontaneous birth.

Vertical axes show rate ratios relative to the overall average for each gestational age group within each figure. Error bars show 99% confidence intervals. Likelihood Ratio Test of H0: Type of day differences do not differ between term, pre-term and post-term births.

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Fig 11 Expand

Fig 12.

Rate ratios and confidence intervals for type of day differences by gestational age: Induced onset, emergency caesarean.

Vertical axes show rate ratios relative to the overall average for each gestational age group within each figure. Error bars show 99% confidence intervals. Likelihood Ratio Test of H0: Type of day differences do not differ between term, pre-term and post-term births.

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Fig 12 Expand

Fig 13.

Rate ratios and confidence intervals for type of day differences by gestational age: Induced onset, instrumental birth.

Vertical axes show rate ratios relative to the overall average for each gestational age group within each figure. Error bars show 99% confidence intervals. Likelihood Ratio Test of H0: Type of day differences do not differ between term, pre-term and post-term births.

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Fig 14.

Rate ratios and confidence intervals for type of day differences by gestational age: Elective caesarean.

Vertical axes show rate ratios relative to the overall average for each gestational age group within each figure. Error bars show 99% confidence intervals. Likelihood Ratio Test of H0: Type of day differences do not differ between term, pre-term and post-term births.

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Fig 15.

Rate ratios and confidence intervals for type of day differences by gestational age: Emergency caesarean, no labour.

Vertical axes show rate ratios relative to the overall average for each gestational age group within each figure. Error bars show 99% confidence intervals. Likelihood Ratio Test of H0: Type of day differences do not differ between term, pre-term and post-term births.

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