Barely Significant
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Regional differences in usage of antenatal care and safe delivery services in Indonesia: findings from a nationally representative survey.

BMJ Open · 2017 · PMC5293995 · PMID 28159851

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a decreasing trendno p-value reported
However, ANC usage shows a decreasing trend with the fourth and fifth and above birth order.

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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.