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Childbirth, at least in the developed world, has become very safe over the past several decades, mainly because of advances in the understanding of the effects of maternal disease on the progress of pregnancy and on maternal and fetal outcomes. This understanding has led to earlier diagnosis, through risk-based screening approaches, and appropriate interventions. At the same time, there has been an explosion of knowledge and technology concerning the care of the newborn, particularly the infant born prematurely; as a result, survival rates among the smallest premature infants have reached levels unimaginable even a short time ago.
However, the ability
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