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effectiveness was determined by primary (maternal/perinatal morbidity) and secondary medical outcome. Evaluation also included women’s and providers perceptions, cost-effectiveness, compliance with the protocol, and process outcomes, although these were evaluated in terms of service use. Women in the new model had a mean number of five visits, as some (for example in Cuba) called on their primary care provider (GP), if they felt they needed more visits. The primary and secondary clinical outcomes in both groups were similar, although rates of pre-eclampsia/ eclampsia were slightly higher in
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