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Levator contraction strength and genital hiatus as risk fac..:

Vakili, Babak ; Zheng, Yong T. ; Loesch, Holly...
American Journal of Obstetrics and Gynecology.  192 (2005)  5 - p. 1592-1598 , 2005
Link: https://doi.org/10.1016/j.ajog.2004.11.022