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Short interpregnancy intervals are associated with adverse birth outcomes, such as preterm birth (1,2). In the National Health and Nutrition Examination Survey 2013-2014 cycle, the prevalence of a self-reported lifetime PID diagnosis was 4. PID cases in women aged 18-44 years nationwide. The incidence of triplet and higher-order births compared with singletons and the added toll of these pregnancies on maternal health (6).

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