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© 2021 International Parkinson and Movement Disorder Society. Participants of a disease-modification trial in PD had likely unrealistic expectations of benefit (ie, improvement in symptoms over years), which may affect clinical trial interpretation and calls for improved education in future disease-modification trials in PD. © 2021 International Parkinson and Movement Disorder Society. Clinical management of the second stage of labor and effectiveness of preventive measures for severe perineal tears are controversial. The aim of this stu