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☆ Paris Hilton says she wore a prosthetic baby bump while a surrogate carried her child
▼ + stars: | 2024-05-18 | by ( Eve Crosbie | ) www.businessinsider.com time to read: +4 min

Read previewParis Hilton has opened up about her experiences welcoming children via surrogacy and the steps she took to make impending motherhood "feel real." The couple announced the arrival of their son, Phoenix Barron Hilton Reum, in January 2023 and their daughter, London Marilyn Hilton Reum, 10 months later in November 2023. Advertisement"I know that sounds crazy, but I wanted it to feel real — even in just this small way," Hilton continued. Hilton wrote that she realized it was a "silly" idea to wear the fake bump by the end of the day, given that she would be holding her newborn soon enough. Hilton called it "a real-life miracle" that both of her "angel surrogates" became pregnant within the same year.

Persons: —, Hilton, Carter Reum, Phoenix Barron Hilton Reum, London Marilyn Hilton Reum, surrogates Organizations: Service, Business, American College of Obstetricians, Glamour, CNBC Locations: Paris, surrogates, London

☆ FDA greenlights self-collection of vaginal samples for cervical cancer screening
▼ + stars: | 2024-05-15 | by ( Jacqueline Howard | ) edition.cnn.com time to read: +6 min

Most cervical cancers are caused by human papillomavirus or HPV, and screening for HPV can help identify women who may be at risk of developing cervical cancer. The US Preventive Services Task Force recommends screening for cervical cancer with cervical cytology every three years for women ages 21 to 29. “Most cervical cancers are found in people who have never had a cervical cancer screening test or who have not had one recently. Screening for cervical cancer remains important because early cases often may not have signs or symptoms. Cervical cancer is treated in many ways, including surgery, chemotherapy and radiation therapy.

Persons: Dickson, BD –, Dr, Karen E, Knudsen, “, Jeff Andrews, ”, Roche, ” Dr, William Dahut, Sanjay Gupta, ” Trena Depel Organizations: CNN, US Food and Drug Administration, Roche, Company, BD, FDA, American Cancer Society, US Preventive Services Task Force, National Cancer Institute, US Centers for Disease Control, ”, CNN Health, Health, Teal Health Locations: United States

☆ Olivia Munn, 43, says she froze her eggs for the third time after getting diagnosed with breast cancer
▼ + stars: | 2024-05-13 | by ( Amanda Goh | ) www.businessinsider.com time to read: +4 min

Olivia Munn told Vogue she underwent egg freezing three times in her life. AdvertisementOlivia Munn, 43, says she has frozen her eggs on three separate occasions in her life, most recently in response to her breast cancer diagnosis. She shared that she underwent egg freezing at ages 33, 39, and 42. Clearly, the month we did at 39 was not a good month," Munn told Vogue. Due to the rise in hormone levels, there are side effects associated with egg freezing, including mood swings, headaches, and nausea.

Persons: Olivia Munn, —, Munn, John Mulaney, uteruses, Raegan McDonald, Mosley, Chrissy Teigen, John Legend, Paris Hilton, Rebel Wilson Organizations: Vogue, Service, Power, American College of Obstetricians

☆ Mammograms are now recommended starting at age 40. Should you get one?
▼ + stars: | 2024-05-08 | by ( Katia Hetter | ) edition.cnn.com time to read: +9 min

CNN —An influential group of medical experts, the US Preventive Services Task Force, recommended last week that most women receive a mammogram starting at age 40. People should now starting getting mammograms at age 40, according to new recommendations. According to a study in the journal Lancet Oncology, the mortality from breast cancer could be lowered by starting mammograms earlier, at age 40. A woman who has a sister, mother or other first-degree relative with breast cancer has double the average risk of breast cancer. Wen: Someone who has a family history of breast cancer may be recommended for genetic testing.

Persons: Leana Wen, Wen Organizations: CNN, US Preventive Services Task Force, George Washington University, Getty, American Cancer Society, Preventive, Force, White, Oncology, The American College of Obstetricians, American, of Radiology Locations: United States

☆ Aspirin Can Prevent a Deadly Pregnancy Complication. Why Aren’t Women Told?
▼ + stars: | 2024-05-01 | by ( Roni Caryn Rabin | More About Roni Caryn Rabin | ) www.nytimes.com time to read: +3 min

Both the American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine support the recommendation, saying low-dose aspirin is safe and not likely to cause complications. Despite all the data, too few pregnant women at risk are taking baby aspirin, and too few doctors recommend it. A 2022 study found that Black women are less likely to be told to take baby aspirin, even when they meet the criteria. In addition, only about one in five families surveyed said they were familiar with interventions like baby aspirin. Having had the condition once, Ms. Felix knew she might develop it again during her second pregnancy, so she decided to take baby aspirin.

Persons: haven’t, Harris, ”, Elizabeth Cherot, “, Allyson Felix, Felix, Cherot Organizations: U.S . Preventive Services Task Force, American College of Obstetricians, Society for, Dimes, Wednesday Locations: U.S

Justice Sonia Sotomayor asked Joshua Turner, the lawyer for the state of Idaho, about specific, real-life scenarios where pregnant people required emergency abortions. Later, she returned to the hospital, Sotomayor said, and received an abortion "because she was about to die." Pregnancy can be dangerous, particularly in the United States, which has the highest rate of maternal mortality in the developed world. About 10% to 20% of pregnancies end in miscarriage and many don’t require medical intervention, but some may require treatment using the same procedure used in an abortion. Miscarriages can put someone’s life at risk because of serious blood loss or infection if the miscarriage is not complete.

Persons: Sonia Sotomayor, Joshua Turner, Sotomayor Organizations: American College of Obstetricians, American Locations: Idaho, Florida, United States

The US Supreme Court will hear arguments soon on a case that could curtail access to mifepristone, one of two drugs used in medication abortion. How mifepristone works: Along with misoprostol, mifepristone is one of the drugs used for an abortion via medication, as opposed to surgery. Someone having a medication abortion takes mifepristone and then, after 24 to 48 hours, takes misoprostol. How often is mifepristone used? Read more about the abortion drug.

Persons: Mifepristone, misoprostol, Read Organizations: US Food and Drug, FDA, American College of Obstetricians, American Medical Association, Guttmacher Institute Locations: Texas

☆ Choosing to Skip Sex and Go Straight to I.V.F.
▼ + stars: | 2024-03-24 | by ( Alyson Krueger | ) www.nytimes.com time to read: +1 min

In February, in vitro fertilization, or I.V.F., was thrown into the spotlight when the Alabama Supreme Court ruled that frozen embryos in the state should be considered children. The decision led to a pause on I.V.F. procedures in parts of the state, and even a pause on shipping embryos out of state, to avoid potential criminal liability. At least 12 million babies have been born globally using I.V.F. Dr. Alan Copperman, the chief executive of RMA of New York, a fertility center, is one of many doctors seeing more couples, who are well aware of the challenges of conceiving and carrying a healthy baby to full term, skip sex and go straight to I.V.F.

Persons: Couples, Alan Copperman Organizations: Alabama, National Committee, Technologies, American College of Obstetricians Locations: United States, New York

☆ You'll soon be able to get birth control without a prescription. Here's what you need to know.
▼ + stars: | 2024-03-04 | by ( Allie Kelly | ) www.businessinsider.com time to read: +5 min

It is the first hormonal birth control available for retail and will expand access. Prescription-free birth control will expand accessThe introduction of Opill to family planning aisles will lower barriers to birth control. Since Opill is available without a prescription, people will no longer have to pay a doctor or pharmacist to access hormonal birth control. She urged policymakers to make sure non-prescription birth control is covered by insurance and assistance programs. AdvertisementProgestin-only birth control also carries a risk of ectopic pregnancy and can increase a person's risk for breast cancer, regardless of medical history.

Persons: —, Opill, Victoria Nichols, Nichols, Dr, Tania Serna Organizations: Amazon, Walgreens, CVS, Target, Walmart, Service, US Food and Drug Administration, Guttmacher, Guttmacher Institute, Affordable Care, Kaiser Family Foundation, The American College of Obstetricians, OB, University of California Locations: San Francisco

☆ Amy Schumer responds to criticism of her 'puffier than normal' face and explains that she's dealing with medical issues
▼ + stars: | 2024-02-16 | by ( Eve Crosbie | ) www.businessinsider.com time to read: +3 min

download the appSign up to get the inside scoop on today’s biggest stories in markets, tech, and business — delivered daily. Read previewAmy Schumer has responded to comments speculating on her appearance during recent interviews, explaining that her face is "puffier than normal" due to endometriosis. And you're right it is puffier than normal right now." "There are some medical and hormonal things going on in my world right now, but I'm okay," Schumer added. In September 2021, Schumer underwent surgery to remove her uterus and appendix as a treatment for endometriosis.

Persons: —, Amy Schumer, I've, Schumer, Jimmy Fallon, Gene David, Chris Fischer Organizations: Service, Business, World Health Organization, WHO, American College of Obstetricians, endometriosis

☆ ‘Fleeing under the cover of darkness’: How Idaho’s abortion ban is changing pregnancy in the state
▼ + stars: | 2024-02-10 | by ( Meg Tirrell | John Bonifield | ) edition.cnn.com time to read: +12 min

Caldwell, Idaho CNN —Jen and John Adkins never expected to have to send a package like this. Idaho’s abortion laws meant they had to seek care across state lines after receiving devastating news about a much-wanted pregnancy. “As soon as that ultrasound technician put that wand on my stomach and I saw the baby on the screen, I knew something was wrong,” Jen told CNN. “I was sent home to grieve and mourn and call around to see if we could get an appointment out of state,” Jen said. The move, he said, was for personal reasons: “Boise is a wonderful place in general,” he told CNN via email.

Persons: Idaho CNN — Jen, John Adkins, Jen, John, Julie Lyons, who’s, “, ” Lyons, Jennifer, Jennifer Adkins, they’d, ” Jen, ‘, ’, Turner, ”, ’ ” Jen, Jennifer Adkins ‘, Roe, Wade, wasn’t, that’s, ” John, Jen Adkins, Barton Bishoff, ’ It’s, Lyons, Raul Labrador, Dr, Thomas Lee, Lee, …, he’d “, Sanjay Gupta Organizations: Idaho CNN, FedEx, CNN, Research, US, Walgreens, Bureau of Labor Statistics, Center for Reproductive Rights, Defense, CNN Health Locations: Caldwell, Idaho, Caldwell , Idaho, Boise, Portland , Oregon, Hailey, Sun Valley, Portland, St, Luke’s, Oregon

☆ Journal publisher retracts studies used by Texas judge who ruled to suspend use of abortion pill
▼ + stars: | 2024-02-07 | by ( Jen Christensen | ) edition.cnn.com time to read: +6 min

CNN —The academic publisher Sage Publications has retracted studies used by a Texas judge in a ruling that would suspend federal approval of the abortion pill mifepristone. The 2021 study concluded that ER visits were more likely after a medication abortion rather than a surgical abortion. Kacsmaryk cited this study to suggest that the number of adverse events from medication abortion drugs is probably under-reported. The US Supreme Court will hear arguments in March about mifepristone, one of two drugs commonly used in the US for a medication abortion. Medication abortion is the most common form of abortion in the US, and multiple peer-reviewed studies have shown that it is highly safe and effective.

Persons: Sage, ”, Matthew Kacsmaryk, “, Kacsmaryk, ” Sage, Dr, Sanjay Gupta, Jim Studnicki, Studnicki Organizations: CNN, Sage Publications, Health Services Research, Chemical, US, Charlotte Lozier Institute, Elliot Institute, American Association of Pro, CNN Health Locations: Texas, “, Florida, mifepristone, Charlotte

☆ After trying for years, I got pregnant twice for less than $300 with an at-home, artificial insemination kit
▼ + stars: | 2024-01-30 | by ( Kelly Burch | ) www.businessinsider.com time to read: +6 min

She conceived the first time she used a home insemination kit. Although we weren't yet actively trying to conceive, we thought I'd get pregnant quickly when we removed the precautions. AdvertisementA home insemination kit worked on the first tryThen, I found something interesting in my research — Mosie Baby, a home insemination kit. The Mosie kit cost about $99 when I first used it, so it's a fraction of the cost of an IUI. Even though we'd been having sex for years, using the kit made us a bit shy.

Persons: Mandi, —, Andrew, I'd, they've, we'd, Everly, Mosie, Olivia, I've, We've Organizations: Mandi Pitzer, Service, American College of Obstetricians, Google Locations: Mandi Pitzer

(AP) — A Missouri abortion-rights campaign announced Thursday that it's throwing support behind an amendment that would enshrine access to the procedure in the state constitution while allowing restrictions in later stages of pregnancy. Supporters include the ACLU of Missouri, local Planned Parenthood affiliates and Abortion Action Missouri. Political Cartoons View All 253 ImagesAnd Missourians for Constitutional Freedom has funding difficulties, ending 2023 with no money in the bank. Missourians for Constitutional Freedom's announcement comes as abortion activists nationwide are divided over whether to support constitutional amendments that allow any regulation of abortion after viability. Current Missouri law includes an exception for medical emergencies, but not in cases of rape and incest.

Persons: Freedom, “, ”, Iman Alsaden, State Jay Ashcroft, Roe, Wade Organizations: JEFFERSON CITY, —, Missouri, Constitutional, Republican, State, Freedom, American College of Obstetricians Locations: Mo, Missouri

☆ A bride and groom spent their wedding night in hospital after the venue floor collapsed, sending them plummeting 13 feet
▼ + stars: | 2024-01-15 | by ( Joshua Zitser | ) www.businessinsider.com time to read: +3 min

Newlyweds spent their first night in hospital after the floor of their wedding venue collapsed. AdvertisementA bride and groom spent their wedding day in the hospital after a section of a historic venue in Tuscany collapsed on Saturday night. AdvertisementAccording to the local health authority, they were discharged a few hours later. According to a news release by Tuscany's local health authority, 39 people needed medical treatment. AdvertisementThe owners of the venue told local publication Report Pistoia that they don't understand how the collapse happened, describing it as a "tragic and unpredictable event."

Persons: —, Paolo Mugnaini, Valeria Ybarra, Corriere, Mugnaini, obstetricians, Il Messaggero Organizations: Service, della Locations: Tuscany, American, Pistoia, Italy

☆ A Simple Way to Save Premature Babies
▼ + stars: | 2023-11-17 | by ( Roni Caryn Rabin | ) www.nytimes.com time to read: +4 min

Preterm babies are those born before 37 weeks of gestation. In preterm infants, delayed clamping leads to improved circulation, less need for blood transfusions and a lower incidence of serious complications, such as necrotizing enterocolitis, or inflammation of the digestive tract. Worldwide, some 13 million premature babies are born every year, and almost a million of them die within a month of birth. A low-cost, low-tech intervention like delayed cord clamping has the potential to save many lives. Many preterm babies in the United States are born by cesarean section and require resuscitation.

Persons: Anna Lene Seidler, “, Seidler, Anup Katheria, Katheria Organizations: American College of Obstetricians, University of Sydney, National Center for Health Statistics, Sharp Mary Birch Hospital for Women Locations: Australia, Britain, India, Iran, United States, San Diego

☆ Using marijuana during pregnancy may heighten risk for baby
▼ + stars: | 2023-11-16 | by ( Sandee Lamotte | ) edition.cnn.com time to read: +5 min

The vast majority of marijuana use was during the first three months of pregnancy, the study found, and it was predominantly recreational rather than medical. A 2020 study found that women who used weed during pregnancy were 1.5 times more likely to have a child with autism. However, mothers using marijuana during pregnancy were 2.6 times more likely to give birth to a baby with a low birth weight, which can contribute to difficulties in eating, gaining weight and fighting infection. Indeed, the study also found that infants born to moms using marijuana were 2.5 times more likely to need to be admitted for intensive care. A warning for pregnant peopleAny woman using marijuana who discovers she is pregnant should immediately discuss the issue with her doctors, experts say.

Persons: CNN —, ”, Maryam Sorkhou, “, ” Beth Bailey Organizations: CNN, CNN — Infants, University of Toronto, National Institute on Drug, US Centers for Disease Control, Central Michigan University’s College of Medicine, American College of Obstetricians Locations: United States, Canada, Mount Pleasant

☆ Sweet spot for HRT may reduce dementia risk by nearly a third, study says
▼ + stars: | 2023-11-02 | by ( Sandee Lamotte | ) edition.cnn.com time to read: +8 min

Just how harmful or helpful hormone replacement therapy may be also depends on the type of hormones that are prescribed, especially at older ages. Estrogen-only hormone therapy can be prescribed if the uterus has been removed via hysterectomy. Scientists are developing a new generation of hormone replacement called selective estrogen receptor modulator, or SERM. Scientists are working on new forms of hormone replacement therapy that go directly to the brain, thus making them safer for menopausal women. In addition, some women are not candidates for hormone replacement therapy, perhaps due to family history, heart conditions or clotting disorders.

Persons: hasn’t, “, ”, Lisa Mosconi, Mosconi, Richard Isaacson, ” Isaacson, gynecologists, midlife, ” Mosconi Organizations: CNN, Weill Cornell Medicine, “ Locations: New York City, midlife, Florida

Circuit Court of Appeals sent the case back to a lower court to consider the doctors’ request for a court order blocking the law. A court blocked enforcement of the 1864 law shortly after the U.S. Supreme Court issued the Roe v. Wade decision in 1973. But after the Supreme Court overturned the decision, then-Republican Attorney General Mark Brnovich succeeded in getting a state judge in Tucson to lift that court order. This past summer, abortion rights advocates began a push to ask Arizona voters to create a constitutional right to abortion. The proposed constitutional amendment would guarantee abortion rights until a fetus could survive outside the womb, typically around 24 weeks of pregnancy.

Persons: Douglas Rayes, gynecologists, Wade, Rayes, don’t, Warren Petersen, Ben Toma, Kris Mayes, Mayes, Petersen, Toma, hadn’t, Erin Hawley, ” It's, can’t, Roe, Mark Brnovich Organizations: PHOENIX, —, U.S, Circuit, Appeals, District, Supreme, Arizona, Republicans, Democrat, Center for Life, Defending, Arizona Supreme, Republican Locations: Arizona, U.S, Rayes, Tucson

Last year's U.S. Supreme Court decision rescinding a five-decade-old right to abortion has reshaped American abortion policy, shifting power to states. Sales of abortion pills in 2022 were up 60%, according to Nikolay Bespalov, development director of the RNC Pharma analytical company. A recent Health Ministry decree restricted circulation of abortion pills, used to terminate pregnancies in the first trimester. Regional authorities have tried to get private clinics to stop offering abortions, with varying success. In Tatarstan, about a third of all private clinics no longer provide them, officials said.

Persons: heartened Dasha, Vladimir Putin, Yakovleva, ”, Michele Rivkin, rescinding, Putin, Mikhail Murashko, Nikolay Bespalov, Yekaterina Hivrich, Irina Fainman, Fainman, Pyotr Tolstoy, Irina Volynets, Lina Zharin, ” Natalya Moskvitina, Moskvitina, Olga Mindolina, Mindolina, Anastasia, “, Lyubov Organizations: Associated Press, Nationwide, Health Ministry, University of North, Supreme, Russian Orthodox Church, Health, AP, Authorities, Lahta Clinic, Conservative, Women Locations: TALLINN, Estonia, Kaliningrad, Russia, U.S, University of North Carolina, Last, Soviet Union, ” State, Ukraine, St . Petersburg, Karelia, Tatarstan, mulling, Chelyabinsk, Mordovia, Voronezh

☆ Elon Musk's dad, 77, says he'd have more kids — but only if he could find a woman under 35
▼ + stars: | 2023-09-30 | by ( Grace Kay | ) www.businessinsider.com time to read: +5 min

Errol Musk said he'd be open to having more children if he could find a woman under the age of 35. Much like his son Elon Musk — who has 10 known living children — Errol Musk told Insider he believes people need to have more children and said he'd consider having more kids. "Men are all the same," Errol Musk told Insider. So if a woman came along who was able to have children, she'd have to be under 35 because a woman's cutoff for having children is 35, believe it or not." AdvertisementAdvertisementLast year, Errol Musk told Insider he thinks Elon Musk should have more children.

Persons: Errol Musk, Elon Musk's, he'd, —, isn't, Elon Musk, we're, Maye Musk, Heide Bezuidenhout, Jana Bezuidenhout, Jana, Walter Isaacson, Tesla, Errol, Elon, Isaacson Organizations: Service, Elon, American College of Obstetricians, US Centers for Disease Control Locations: Jana

☆ PMS now could mean more than twice the risk of early menopause later, study shows
▼ + stars: | 2023-09-20 | by ( Madeline Holcombe | ) edition.cnn.com time to read: +5 min

Menopause is considered early when it occurs before age 45, which will happen in 5% to 10% of women, Yang said. Early menopause is concerning because of the shortened reproductive years, but also because of links to other health concerns, she added. A 2010 study found that women who experience early menopause are at an increased risk for overall mortality, including cardiovascular diseases, osteoporosis and neurological diseases. How are PMS and early menopause connected? Women also need to know that there are ways to manage early menopause and the bothersome hot flashes, she said.

Persons: ”, Yihui Yang, Yang, Stephanie Faubion, Faubion, —, Donghao Lu, ” Faubion, Elizabeth Bertone, Johnson, “ Organizations: CNN, Karolinska Institutet, Mayo Clinic Center, Women’s Health, PMDs, Karolinska, University of Massachusetts Amherst, American College of Obstetricians, Women’s, US Department of Health, Human Services Locations: Sweden

They claim the Florida Constitution's privacy clause for more than 40 years has explicitly protected a right to abortion in the state. Florida officials contend the Supreme Court has in the past erroneously concluded the privacy clause covers abortion rights when it was actually intended more as a guard for “informational privacy, like the disclosure of private facts." The six-week ban DeSantis signed into law earlier this year would take effect 30 days after a Supreme Court decision to affirm the current ban. The privacy clause was put into the Florida Constitution by a voter referendum in 1980 and later affirmed as including abortion rights by the state Supreme Court. An appeals court overturned the injunction, bringing the case before the state Supreme Court.

Persons: Ron DeSantis, DeSantis, —, Dobbs, Roe, Wade, ”, Jennifer Canady, Charles Canady Organizations: Republican Gov, GOP, Planned, American Civil Liberties Union, Voters, Supreme, Republican, American College of Obstetricians, American Medical Association Locations: Florida, Tallahassee, “, U.S, Leon

☆ As Abortion Laws Drive Obstetricians From Red States, Maternity Care Suffers
▼ + stars: | 2023-09-06 | by ( Sheryl Gay Stolberg | More About Sheryl Gay Stolberg | ) www.nytimes.com time to read: +2 min

Across the country, in red states like Texas, Oklahoma and Tennessee, obstetricians — including highly skilled doctors who specialize in handling complex and risky pregnancies — are leaving their practices. The departures may result in new maternity care deserts, or areas that lack any maternity care, and they are placing strains on physicians like Dr. Gustafson who are left behind. Restrictive abortion laws, experts say, are making that problem much worse. “This isn’t an issue about abortion,” said Dr. Stella Dantas, the president-elect of the American College of Obstetricians and Gynecologists. A temporary order issued by a federal judge also permits abortion in some circumstances when a woman’s health is at risk.

Persons: obstetricians, Gustafson, ”, Stella Dantas, Roe, Wade Organizations: American College of Obstetricians, Doctors Locations: Texas , Oklahoma, Tennessee, Idaho

Circuit Court of Appeals stopped short of ruling that the drug must be pulled off the market altogether, as a lower court had done. A spokesperson for the U.S. Department of Justice said that the Biden administration will appeal the ruling to the U.S. Supreme Court. President Joe Biden, a Democrat, supports abortion rights and last year ordered the federal health agency to expand access to mifepristone. [1/2]Used boxes of Mifepristone, the first pill in a medical abortion, line a trash can at Alamo Women's Clinic in Carbondale, Illinois, U.S., April 20, 2023. The U.S. Supreme Court last year overturned its landmark Roe v. Wade ruling that had legalized abortion nationwide.

Persons: Biden, Joe Biden, Matthew Kacsmaryk, Kacsmaryk, Erin Hawley, Susan B, Anthony Pro, Alexis McGill Johnson, Evan Masingill, Evelyn Hockstein, James Ho, mifepristone, telemedicine, Jennifer Walker Elrod, Wade, Brendan Pierson, Patrick Wingrove, Nate Raymond, Sharon Bernstein, Trevor Hunnicutt, Cynthia Osterman Organizations: Circuit, U.S . Department of Justice, U.S, Supreme, Alliance, Hippocratic Medicine, FDA, Alliance Defending, Planned Parenthood Federation of America, U.S . Food, Alamo Women's, REUTERS, Guttmacher Institute, American College of Obstetricians, American Medical Association, Reuters, Thomson Locations: U.S, New Orleans, Amarillo , Texas, Alamo, Carbondale , Illinois, New York, Boston, Sacramento , California, Washington

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