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Cases have been selected from amongst the 70 maternal deaths that occurred at this peak referral hospital between 1 January and 31 December 2017. Maternal deaths of all 15 ladies who have been residents of the city where this hospital relies have been reviewed. 30 deaths were reviewed in light of our research in East Kalimantan province of Indonesia informing that a detailed review of these many deaths allows an in-depth understanding of the domestically relevant root causes to maternal deaths. The …
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