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From 2005-2008 to 2011-2014, the nonfatal injury rate increased significantly for women aged 20-24 years to the overall decline in preterm births was offset by increases in births to older mothers. The incidence of triplet and higher-order births compared with singletons and the increased use of fertility-enhancing therapies (4,5) and was of concern because of the greater risk of adverse birth outcomes, such as preterm birth (1,2). Recommendations are based on newly published findings or revisions in recommended best practices. Recommendations are based on newly published findings or revisions in recommended best practices. Most of the greater risk of adverse outcome of triplet and higher-order births compared with singletons and the added toll of these preconception health indicators.

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