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9%), 1.8 OR (95% CI 1.1-2.7, p = 0.006)]. On multivariate logistic regression analysis, the lack of epidural analgesia and duration of second stage of labor were both independently positively associated with OASIS [adjusted OR 2.67 (95% CI 1.55-4.62), p less then 0.001, adjusted OR 1.23 (95% CI 1.11-1.43), p less then 0.001, respectively)]. CONCLUSION Sonographic head circumference and birth weight are not associated with OASIS occurrence among primiparous women delivering by an unassisted vaginal delivery. Prolonged second stage and the
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