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th larger sample sizes and long-term follow-up are warranted. Surrounding needling in combination with NBUVB phototherapy may be a promising treatment for chronic stable nonsegmental vitiligo. Future studies with larger sample sizes and long-term follow-up are warranted. During labor, conscious maternal expulsive efforts are crucial, especially in the second stage. Contemporarily, medical professional's bedside observations indicate an inadequacy in the maternal contribution to the process of delivery that has led to increased rates of c
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