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What are the costs associated with child and maternal healthcare within Australia? A study protocol for the use of data linkage to identify health service use, and health system and patient costs.

BMJ Open · 2018 · PMC5829863 · PMID 29437751

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a decreasing trendno p-value reported
5 Supportive of this is a decreasing trend in Down syndrome birth rates for women residing in metropolitan areas or those who receive prenatal care from a private obstetrician.

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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.