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In the province of East Java in 2017, 97% and 78% of ladies had a minimum of one and 4 ANC visits to expert attendants . Despite this access, many women suffered from issues; and the reported MMR in East Java was ninety one per a hundred,000 reside births in 2017, with 534 maternal deaths. Over the final few years, the East Java MMR has stagnated with little discount . Yet internationally there’s Health news a steadily lowering MMR everywhere except in sub Saharan Africa . However, this general decline has been gradual, doubtless as a outcome of delays in entry to care and to poor high quality of care—and for lots of across the globe, this care continues to be ‘too little too late’ and for some ‘too much too soon’ .
Guidelines for resubmitting your figure information can be found beneath the reviewer comments on the end of this letter. I agree with the comments made by Reviewer #2, that overall the paper needs to be shorter, extra centered on the most important data, and edited for syntax, grammar and spelling. I look ahead to seeing the revised version where I may present further feedback. 20 ladies out of the 30 had a concomitant sickness, of whom 8 had CVD , 4 had pre-existing hypertension, 2 had hyperthyroidism, and one had TB, one HIV/AIDS, one diabetes, one renal illness, one retinoblastoma, and one weight problems. While these concomitant diseases contributed to the complexity and severity, not all concomitant diseases were the principle cause of demise.
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69 of the 70 girls who died at this peak referral hospital had been first seen at a decrease stage hospital; 36 had spent at least 24 hours at a frontline hospital before being transferred on. Of the 70 deaths that occurred at this hospital, fifty five were to girls whose place of residence was outside of town where it is located. The causes of dying for these 70 ladies included PE/Eclampsia (27%), haemorrhage (17%), infection (30%) and others (30%—including CVD, ARDS, embolism, SLE, TB, cancers, SLE and so on.). In East Java, there have been 529 maternal deaths in 2017 and 522 in 2018. The MMR differed substantially throughout the districts from a excessive of 301 to lower than 50 in six districts.