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Many label instructions did not include any indication/reason for use (20.8%). Virtually none of the POs (99%) included instructions for how to reduce/wean off POs, contact information for questions about the POs, and/or instructions around how to dispose of the POs. Efforts are needed to ensure that pediatric PO instructions contain essential elements to improve comprehension of when and how to use POs for pediatric patients.Most measures of past parenting patterns have a restricted range of about two to three negative parenting co