Examining women's choice between home and institutional births: Insights from the Salud Mesoamérica Initiative (SMI).

PLoS One · 2026 · PMC13016324 · PMID 41880333

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a positive trendno p-value reported

A positive trend in adherence to quality domains was observed throughout the follow-up periods, particularly in Honduras, Nicaragua, and Chiapas, indicating improvements in intrapartum care of institutional deliveries over time.

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a clear trendno p-value reported

There is a clear trend of increasing institutional births over time as it has been reported in previous publications from the Initiative [ 8 ].

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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.