Barely Significant
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Factors associated with bypassing primary healthcare facilities for childbirth among women in Devchuli municipality of Nepal.

PLoS One · 2024 · PMC11025753 · PMID 38635554

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a notable trendno p-value reported
Despite the availability of emergency obstetric care services at primary health facilities in Nepal, there has been a notable trend of pregnant women bypassing these facilities and directly seeking childbirth services at tertiary-level hospitals without referral [ 4 , 5 ].

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.