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After subsequent vaginal delivery LAM avulsion became more extensive in 44% and hiatal area increased. The first vaginal delivery is at greatest risk for LAM avulsion to occur, with impact on PFD four years later. A second vaginal delivery could result in deterioration of LAM avulsion, but no new avulsions were found. This article is protected by copyright. All rights reserved. The first vaginal delivery is at greatest risk for LAM avulsion to occur, with impact on PFD four years later. A second vaginal delivery could result in deteriora
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