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7 to 23.7) and urban women (10.5 to 20.. Two significant inflection points were identified in 2010 and 2016, with highest annual percentage changes between 2016 and 2018 in rural and urban areas. Although absolute rates were lower in younger compared with older women in both rural and urban areas, all age groups experienced similar increases. The rate ratios of pre-pregnancy hypertension in rural compared with urban women ranged from 1.18 (95%CI 1.04 to 1.35) for ages 15 to 19 years to 1.51 (95%CI 1.39 to 1.64) for ages 40 to 44 years in2018. Maternal bur
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