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Trends and causes of maternal mortality in a tertiary care hospital over five years: 2013-2017.

Pak J Med Sci · 2019 · PMC6659062 · PMID 31372155

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a decreasing trendno p-value reported
Conclusion: There is a decreasing trend of maternal death from 2013 to 2016 but a slight increase was noted in 2017.

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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.