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1 Appendix Appendix Table A. Complication codes by

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Regression coefficients are expressed as percentage points and represent the impact on average annual complication rates of a one year increase in ...

Appendix Appendix Table A. Complication codes by delivery mode Appendix Table B. Regression results Appendix Figure A. Unadjusted annual maternal complication rates by physician years of experience for stayer physicians Appendix Figure B. Adjusted annual maternal complication rates by physician years of experience for stayer physicians

1

Appendix Table A. Complication codes by delivery mode ICD-9 Diagnosis Codes Vaginal

Haemorrhage: 287.4, 648.22, 649.32, 666.02, 666.04, , 666.10, 666.12, 666.14,

delivery

666.20, 666.22, 666.24, 666.32, 667.02, 667.12, 998.11 Laceration: 664.21, 664.31, 664.41, 664.51, 664.61 ,664.81, 664.91, 665.31, 665.41, 674.22 Infection: 646.62, 670.02, 672.02, 996.60, 996.62, 999.3 Thrombotic and other: 512.0, 512.1, 512.8, 518.4, 518.81, 584.5, 584.8, 584.9, 665.51, 669.12, 669.22,669.42, 669.82, , 671.42, 671.52, , 673.12,673.22, 674.32,674.52, 674.92, 785.50, 785.51, 785.59, 996.31, 998.4, 998.7, 999.2, , 999.4, 999.5, 999.6, 999.7, 999.8, 999.9

Cesarean Haemorrhage: 287.4, 648.22, 649.32, 666.02, 666.04, 666.10, 666.12, 666.14, delivery

666.20, 666.22, 666.24, 666.32, 667.02, 667.12, 998.11 Infection: 646.62, 670.02, 672.02, , 674.12, 674.32, 998.59, 999.3 Operative: 669.42, 998.20, 998.4, 999.83 Thrombotic and Other: 512.0, 512.1, 512.8, 518.4, 518.81, 584.5, 584.8, 584.9, 669.12, 669.22, 669.82, 671.42, 671.52, 673.12, 673.22, 674.52, 674.92, 785.50, 785.51, 785.59, 996.31, 996.60, 996.62, 998.60, 998.7, 999.2, 999.4, 999.5, 999.6, 999.7, 999.8, 999.9

2

Appendix Table B. Regression results All Deliveries All Physicians Elapsed Years Since Residency Completion 1-10 11-20 21-30 31-40 N physician-years N physicians

Stayer Physicians

Unadjusted Adjusted -0.24*** -0.21*** [-0.28, -0.20] [-0.23, -0.19] -0.17*** -0.11*** [-0.21, -0.13] [-0.13, -0.09] -0.13*** -0.05*** [-0.20, -0.07] [-0.08, -0.01] -0.03 0.06 [-0.29, 0.23] [-0.04, 0.16] 54,736 5,175 Cesarean Deliveries All Physicians

Elapsed Years Since Residency Completion 1-10 11-20 21-30 31-40 N physician-years N physicians

Unadjusted Adjusted -0.36*** -0.19*** [-0.42, -0.30] [-0.23, -0.16] -0.18*** -0.11*** [-0.23, -0.12] [-0.14, -0.08] -0.15*** -0.04* [-0.24, -0.05] [-0.09, 0.01] 0.08 0.01 [-0.26, 0.43] [-0.14, 0.16] 53,453 5,162 Vaginal Deliveries All Physicians

Elapsed Years Since Residency Completion 1-10 11-20 21-30 31-40 N physician-years N physicians

Unadjusted Adjusted -0.20*** -0.23*** [-0.24, -0.16] [-0.25, -0.20] -0.16*** -0.11*** [-0.20, -0.12] [-0.14, -0.09] -0.11*** -0.04** [-0.18, -0.04] [-0.07, -0.01] -0.07 0.06 [-0.35, 0.20] [-0.06, 0.18] 54,079 5,169

*** p