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Key indicators of obstetric and neonatal care in the Republic of Sakha (Yakutia).

Int J Circumpolar Health · 2016 · PMC5156853 · PMID 27974143

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a decreasing trendno p-value reported
Maternal and infant mortality were also higher compared with all-Russian data, but had a decreasing trend.

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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.