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Fig 1.

Flowchart of women included with their first birth in Scotland between 1997 and 2010.

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Fig 2.

Third- or fourth-degree tears in first and second vaginal births over time in Scotland 1997–2015.

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Table 1.

First pregnancy characteristics for women according to their exposure status.

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Table 2.

Univariate comparison of demographic and pregnancy characteristics for women who had second pregnancies.

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Table 3.

Crude and adjusted Odds Ratios (99% CI) for second pregnancy outcomes for women with and without an initial third- or fourth-degree tear.

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Table 4.

Demographic and pregnancy characteristics for all women with an initial third- or fourth-degree tear who had a second vaginal birth (nested case-control study).

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