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amine this and other mechanistic pathways that may underlie these associations. Operative vaginal delivery rates continue to drop nationally with many citing neonatal safety concerns as a primary driver of this decrease. Previous evidence on short-term neonatal outcomes does not support this concern. This study aimed to better understand the impact of delivery mode on childhood educational outcomes. A statewide retrospective cohort was created in which third grade Rhode Island Department of Education data for 2014 to 2017 were linked to
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