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These potential confounders were selected based on the literature (i.e., based on their known/hypothetic correlations with both the exposures [i.e., maternal smoking] and outcomes [i.e., congenital anomalies]) as well as the information that was available on the birth certificate

Additionally, research shows that African American women experience more intense and more frequent hot flashes for a longer duration. Estrogen receptors are located in the vagina, vulva, bladder and urethra, helping to maintain blood flow, tissue turgor and microbial balance

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