Monday, April 2, 2018

How To Get A Birth Certificate In Maryland

Call 410 764-3038 Visit. Second you will need to pay the state fee and the service fee.

Md Birth Certificate Page 1 Line 17qq Com

A parent or court-appointed guardian.

How to get a birth certificate in maryland. Certificate of Multiple Live Births Form - Must be completed by Health Department staff. Please click here to get more information on the location closest to you. Birth records are only available to the persons named on the record or an authorized representative.

Box 68760 Baltimore MD 21215-0036. Many local health departments also issue death certificates. Certified copies of Maryland Birth Certificates are provided at the Carroll County Health Department.

Please contact the Health Department at 301-600-3326 for help with filling out these forms. Certificate of Live Birth Form - Must be completed by Health Department staff. A copy of a birth record may only be issued to the person named on the Certificate.

Our experts will review your form to ensure it. To obtain a birth certificate complete and mail the application with your payment a self-addressed envelope and a photo copy of your Identification to the Division of Vital Records PO. If you are applying for someone else ie.

Expedited Shipping only for internet orders Domestic Adoption 1000 1200 NA. Third you will need to send the application package to the Maryland Health Department Finally you will be receiving your birth certificate by mail. 1175 1850 Birth Resulting in Stillbirth 1200 NA NA 1850 Commemorative Birth.

Birth records filed over 100 years ago are available through the Maryland State Archives in Annapolis telephone number 410-260-6400. Authorized representatives must submit a. Certificates for births that occurred prior to 1940 can be obtained from the Division of Vital Records 6764-B Reistertown Road Baltimore MD 21215.

We apologize for any inconvenience this may cause as we work to keep everyone safe. Birth Procedure for Obtaining Copies in Person. How to get a birth certificate in Maryland.

By Phone 410 764-3038 1. Applications for certificates will be accepted ONLINE or by mail. However not every baby is born in a hospital.

The document is then taken to the Office of the Secretary of State in Annapolis for certification. There are two options to order vital records in Maryland. Certificates may be ordered ONLINE or by Mail.

Harford County Health Department will issue certified birth certificates for individuals born in Maryland from 1940 to present and are on the State of Maryland Online System. The entire process can be done without leaving home. Order Official Maryland Birth Certificates Online From Maryland Vital Records.

By choice or due to an emergency many newborns are born outside a medical facility which could require special paperwork to be completed. Acceptable forms of payment are check or money order made payable to the Division of Vital Records. The fastest way to obtain a certified copy of a birth certificate in Maryland is by completing the form online.

Your child enter their birth information here. Requests for certified Maryland birth certificates may be made at the Hyattsville location on a walk-in basis only for births that occurred in Maryland after 1940. Check on your online order status here.

Request your official Maryland Birth Certificate by Mail from Home Birth information of the person on record Please enter the birth information of the individual who needs the birth certificate. You will be able to start your application process online and then you will receive your birth certificate or the other vital records by mail. Number of certificates requested Fee per copy x 1000 Amount enclosed Rev.

The first and the simplest way one is through Vital Records Online. Currently the Division of Vital Records lobby is closed. NA Foreign Adoption 1200 1200.

A certified copy is printed on special paper that cannot be easily duplicated. A birth certificate is the very first vital record that is created for a person. Once your Maryland birth certificate order is complete it is electronically sent by the next business day to the government agency for processing.

The Div ision of Vital Records DVR of the Maryland Department of Health MDH issues certified copies of birth death fetal death. Preston Street Baltimore MD 21201-2399 410 767-6500 or 1-877-463-3464. First you need to fill out an easy application.

If your document is certified by a clerk of the Circuit Court other than the current clerk of the Circuit Court please call our office at 410-974-5521 to confirm that we can authenticate the document. Fill out the birth certificate application online click button to view form. Who Can Request a Birth Certificate You may obtain a.

Check the status of your online order here. Appear in person at the Queen Annes County Department of Health. Usually the initial registration of a newborn is done in the hospital by the attending staff following birth.

Sunday, April 1, 2018

False Positive Hpv Test

This is because the rate of HPV infection is very high in younger women and their immune system is likely strong enough to clear it. The Aptima HPV Assay detects E6E7 viral mRNA from 14 high-risk types of human papillomavirus in cervical specimens in ThinPrep Pap Test vials containing PreservCyt Solution and collected with broomtype or cytobrushspatula devices.

A Cumulative Probability Of Getting A False Positive Result With Download Scientific Diagram

Its also important to note that HPV tests have high rates of false positives another reason why we choose to investigate further rather than rush into action.

False positive hpv test. Tests always produce a small number of false positive results. While the chances of this are. Sometimes after many years of negative HPV tests an infection that the immune system had previously controlled can become active again resulting in an HPV-positive test result.

A false positive may mean you will have further tests that ultimately confirm there was no risk of cancer at that time. That can happen because the test cross reacts with some other types. MD Anderson recommends women 30 and over get a Pap and HPV test every five years.

These test results are in effect false positive cervical cancer screening results built into our HPV test-based screening methods and strategies. The Cervista test was approved by the US. A mildly abnormal Pap smear can be safely ignored and repeated in a year if the HPV test is negative.

A false positive from the high risk HPV test is usually when a low risk type registers as a high risk type. Most HPV infections are benign and over-reacting clinically to HPV positivity can cause psychological and possible iatrogenic physical eg obstetrical harm. This saves a lot of.

False negative results A result may be reported as negative even though there is a HPV infection or abnormal cells in the cervix. Such reactivation of an old previously undetectable HPV infection can happen due to age-related changes in the immune system. There is no way to tell whether a newly positive HPV result is a sign of a new infection or represents a reactivation of an old infection.

Most HPV infections are benign and over-reacting clinically to HPV positivity can cause psychological and possible iatrogenic physical eg obstetricalharm. If your Pap test results came back positive it doesnt mean you have cervical cancer. A diagnosis of HIV is never made on the basis of a single test result.

These test results are in effect false positive cervical cancer screening results built into our HPV test-based screening methods and strategies. In cervical cancer screening HPV testing is best at reassuring women when they are negative but proper management of HPV positives is still evolving. When a person is not infected with HIV but receives a positive test result that result is considered a false positive.

In settings where very few people have HIV a higher proportion of reactive results will be false positives. The HPV test is also good for weeding out the false-positive Pap smears. We describe the built-in false.

Women aged age 21 to 29 should get a Pap test every three years but not an HPV test. Thats why false-positive results occur occasionally in Pap smears but theyre extremely rare in HPV tests. To ensure accurate diagnosis a sequence of confirmatory tests is used to verify all reactive results.

By false positive screening tests we do not mean that HPV is not present which has not been reported to be a problem for HPV nucleic acid detection methods. Some types are HPVs 53 66 and 67 which are actually indeterminate risk and 66 has just been added to the high risk screen for the cervista test. Generally HIV tests have high specificity meaning that there are few false-positive results and most uninfected.

Others sometimes get false-negatives when they have an infection. The Cervista HPV test manufactured by Hologic is a test that is used to identify the presence of human papillomavirus genetic material or DNA in cervical samples such as samples taken during Pap screening or colposcopy. The test is indicated to screen women 21 years with ASCUS cytology to determine the need for colposcopy and to screen women 30 years for high-risk.

By false positive screening tests we do not mean that HPV is not present which has not been reported to be a problem for HPV nucleic acid detection methods. You had a false positive that means youre fine and the results are wrong or. Your health-care provider HCP found a possibly significant change in the cells on or just inside of.

From time to time people get false-positives when they dont have HPV. In most cases women are clear of HPV within about eight- to 24-months. Food and Drug Administration in March of 2009 and was the first DNA test approved by the FDA for detection of HPV in women.

To ensure accurate results the American College of Obstetricians and Gynecologists says to avoid douching intercourse and any vaginal medications for two days before your screening. Be diligent about well-woman checks and regular pap smears. More likely it means.

We describe the built-in false positives in current tests and the real harm that can result when the meaning of such false positive HPV tests. January 2019 I tested positive for HPV and abnormal cells but after a colposcopy it showed no evidence of abnormal cell changes but to attend another smear in 12 months. False-positive tests are defined as positive screening tests which are not subsequently confirmed with high-grade CIN.

HPV tests arent perfect. Several authors have claimed that the frequency of false-positive HPV tests could be reduced if an additional test was used to decide on referral for colposcopy of HPV-positive women.

Types Of Inflammatory Arthritis

Inflammatory arthritis also affects children. The most common forms are rheumatoid arthritis RA psoriatic arthritis PsA systemic lupus erythematosus SLE lupus gout and ankylosing spondylitis AS.

We Treat Arthritis Osteoarthritis Rheumatoid Arthritis

There are many different types of inflammatory arthritis including the following.

Types of inflammatory arthritis. Some patients may experience rheumatoid arthritis symptoms for the rest of their lives. The most common form of inflammatory arthritis tends to involve the small joints in the hands and feet and most often more than one joint is affected. One of the most common types of inflammatory arthritis is rheumatoid arthritis RA and the most common type of noninflammatory arthritis is known as osteoarthritis OA.

Rheumatoid arthritis psoriatic arthritis ankylosing spondylitis and gout are examples of inflammatory arthritis. For information about a specific type of arthritis click on one of the grey boxes below. Rheumatoid arthritis one of the most common types of arthritis this autoimmune disease is thought to be caused by the bodys immune system attacking the joints.

Rheumatoid Arthritis RA Childhood Arthritis. How is arthritis caused. When detected and treated in its early stages the effects of inflammatory arthritis can be greatly diminished or the condition may even disappear completely.

Specific symptoms vary depending on the type of arthritis but usually include joint pain and stiffness. However there are dozens of different arthritis types. Researchers believe that a combination of genetics and environmental factors can trigger autoimmunity.

Inflammatory and noninflammatory arthritis are the two most common forms of the condition. Inflammatory arthritis describes conditions characterized by pain swelling tenderness and warmth in the joints as well as morning stiffness that lasts for more than an hour. Rheumatoid arthritis RA ankylosing spondylitis and psoriatic arthritis.

Rheumatoid Arthritis RA. Arthritis refers to inflammation in one or more of the joints in the body. The most common forms of inflammatory arthritis are.

The effects of juvenile rheumatoid arthritis differ from those seen in adult patients because children and youth can experience growth issues as a result of the disease. What are the different types of inflammatory arthritis. Inflammation can also damage to internal organs eyes and other parts of the body.

Inflammatory arthritis is usually referred to as rheumatoid arthritis RA and noninflammatory arthritis is known as osteoarthritis OA. Polychondritis a chronic disorder of the cartilage characterized by recurrent episodes of inflammation believed to. Eye and lymph node inflammation are also a.

Different types of arthritis may affect the body symmetrically or asymmetrically. Most forms of inflammatory arthritis are thought to be autoimmune diseases. Palindromic rheumatism a rare type of inflammatory arthritis characterized by recurrent attacks of painful swelling of the joints and surrounding tissues.

The major types of inflammatory arthritis include.

Tricare For Disabled Veterans

An inpatient term refers to a person who stays in the hospital for one night or more for his medical examination and care. Emergency care within the veteran facilities.

Tricare Help Disabled Vet May Enroll In Tricare

DFAS will provide IRS Form 1095-C to all US.

Tricare for disabled veterans. Veterans Benefits For Dummies Tricare is a health insurance program available to veterans and it comes in four varieties. And their families Survivors Former spouses. To receive TRICARE coverage you must have a health condition that prevents you from performing military duties and must have a disability rating of 30 or more from the Department of Veterans Affairs.

Tricare the militarys health insurance plan actually covers everyone. A VA provider must write the prescription. TRICARE is a health program for.

Other Ways to Get a Health Club Discount or Save Money on Gyms Student Family Senior Citizen discounts Many gyms offer. Theyre available via military pharmacies network pharmacies and home delivery. The facilities provided by Tricare for such patients are.

Each VA health care facility can serve as primary care manager for TRICARE beneficiaries but more often TRICARE. Hospitalisation and all the expenses. Mental health check-up and guidance.

Again TDIU pays the same monthly compensation rate as a 100 VA disability rating which as of December 2020 was 314642. Each subsection sets forth the standard by which veterans may meet the requirements for TDIU. You may learn that you qualify for VA coverage.

Tricare Prime Tricare Extra Tricare Standard and Tricare for Life. This program is designed specifically to cover the spouse andor children of veterans rated permanently and totally disabled by a service-connected condition. CHAMPVA allows caregivers to access VA health care services and private doctors who contract through CHAMPVA.

For more important information on veterans and the Affordable Care Act visit the Department of Veterans Affairs website. VA can provide care for Active Duty Service Members military retirees family members under their TRICARE benefit - on a space available basis. Active Duty Veterans Dependents Police Fire and EMT Doctors Nurses medical staff are eligible for a one-time discount code.

Veteran and Spouse 204419 if spouse requires aid and attendance add 14486 Veteran Spouse and Parent 217082 Veteran Spouse and Parents 229744. VA outlines TDIU regulations under 38 CFR 416 which encompasses subsections a and b. In many ways the program is.

Tricare the militarys health insurance plan actually covers everyone active-duty members retirees and their families. Uniformed Service members and their families National GuardReserve members Includes members of the. TRICARE for Life and the VA TRICARE for Life retirees and eligible beneficiaries may seek treatment at a VA facility for conditions unrelated to service however the cost-share associated with these visits is a substantial 80 percent of the TRICARE maximum.

Service members who separate due to a service-connected disease or disability may be eligible for VA benefits and certain TRICARE benefits. Theyre generally only available under VAs national formulary. Tricare inpatient services for disabled veterans.

There are some scenarios in which disabled dependent children of military health care beneficiaries may continue to qualify for Tricare coverage as adults beyond the normal age limits. If youre a veteran without VA health care visit the VA health care website. Spouses and dependent children of veterans who are rated as permanently and totally disabled by the VA because of a service-connected condition are eligible for CHAMPVA.

Depending on the type of qualifying dependent s veterans rated as 90 percent disabled began receiving the following monthly compensation amounts. Tricare is a health insurance program available to veterans and it comes in four varieties. The TRICARE pharmacy program covers prescriptions.

Tricare Prime Tricare Extra Tricare Standard and Tricare for Life. TRICARE part of Department of Defense insurance coverage plans is the military centric health care benefits program available for use by active military men and women their immediate families and military veterans and their dependents which includes mostly spouses and children and in some cases parents and parents in law as well. Some survivors also are eligible for CHAMPVA.

Saturday, March 31, 2018

Does Nicotine Make You High

It doesnt make me high but it gets me going and helps me keep going. Nicotine is the substance in tobacco that makes it highly addictive to people who smoke.

Does Vaping Get You Higher Than Smoking Explored

Nicotine is toxic at high levels much like any other substance including pharmaceuticals but when injected there is no way for the nicotine being safely expelled see point 2.

Does nicotine make you high. Yes Soma is a muscle relaxant that can cause you to get drowsy. Those brain changes cause you to become addicted to nicotine and that addiction can make stopping smoking very difficult. Although not all of these side effects may occur if they do occur they may need medical attention.

Nicotine is a stimulant. However nicotine can harm the body on its own. If you have too much in the beginning you will probably spin and feel sick.

After coming down from the high there will be several optional effects of nicotine buzz on the smokers organism. Nicotine is brought to the brain which can easily give new users a nicotine buzz or nicotine high. Your body makes melatonin.

It raises you heart rate and blood pressure It makes more glucose in your body. Prolonged Effects of the Nicotine High and their Chemical explanations In addition there are feelings which are the result of nicotine high. If you have high blood sugar diabetes you will need to watch your blood sugar closely.

Nicotine also makes the pancreas produce less insulin causing a slight increase in blood sugar or glucose. Pounding in the ears. This is only known to be done by people attempting to kill themselves.

When you stop smoking other. Nicotine enters the bloodstream quickly and affects brain chemicals causing a boost in energy levels and a reduction in stress. Indirectly nicotine causes the release.

Most everyone just passed out. Along with its needed effects nicotine may cause some unwanted effects. It is my cigarette with out the hacking my lungs up all the time.

If you consider being very sleepy a high. Can Melatonin Get You High. Avoid driving and doing other tasks or actions that call for you to be alert until you see how this medicine nicotine lozenges affects you.

The substance originated from the tobacco leaves so whether an individual smokes smells or nibbles it. Drinking high quantities of nicotine. When you smoke your brain changes in response to the very high levels of nicotine delivered by cigarettes.

But very soon your body aclimates to it and you will feel a buzz. Nicotine can provide a throat hit or a slight burn in your lungs and throat. This however can be a lot heavier on your vaping device.

Smoking vaping or ingesting marijuana can make you high. Many people are not used to inhaling large amounts of vapor with nicotine. This transmission to the brain is what causes addiction.

When theyre full additional nicotine just wont do much for you besides make you feel sick. Check with your doctor immediately if any of the following side effects occur while taking nicotine. And when you use nicotine habitually those receptors are almost always full meaning that youll lose the ability to feel a nic buzz Basically the nicotine is no longer a.

The main reason why vapers cough is due to the nicotine level. While this sounds like a positive in favor of smoking the effects of nicotine are short-lived. THC produces what many consider a high or an altered state characterized by euphoria pleasure or heightened sensory perception.

Here are some of the more subtle ways the nicotine buzz affects your body after you come down from the high. Heart rate and blood pressure increase. So a nicotine high at first is a little euphoric.

THCa does not make you high but THC does. On top of this the lowest amount of nicotine found in the blood of people who died from nicotine was about 20 times higher than existing guidelines. Mayer revises the LD50 of nicotine to an estimated 500 to 1000 mg or 05 to 1 g on the basis of these results.

I vape all day and I love it. Tobacco causes 8 million deaths every year from cardiovascular diseases lung disorders cancers diabetes and hypertension1 Smoking tobacco is also a known risk factor for severe disease and death from many respiratory infections2-4 In the COVID-19 pandemic questions have been asked about clinical outcomes for smokers and whether they are equally susceptible to infection and if nicotine. Can You Smoke Tea And Get High.

It doesnt last for long but you do get slightly high. A marijuana high is associated with feelings of relaxation and contentment though negative reactions are also possible.

Thursday, March 29, 2018

How Long Does The Flu Vaccine Take To Work

This vaccine is for people age 18 and older. When the flu vaccine starts working Once you receive your flu shot it takes 2 weeks for your body to develop antibodies that provide protection.

How Long Does It Take For The Flu Shot To Be Effective Health Com

It takes at least six months to produce large quantities of influenza vaccine.

How long does the flu vaccine take to work. For vaccine to be delivered in time for vaccination to begin in the fall manufacturers may begin to grow one or more of the vaccine viruses in January based on their best guess as to what viruses are most likely to be included in the vaccine. It takes about two weeks after vaccination for antibodies to develop in the body and provide protection against influenza virus infection. Flu and COVID-19 Does a flu vaccine increase your risk of getting COVID-19.

You cant get the flu from the flu shot. The flu vaccine can also reduce the severity of the flu if a person contracts a strain that the vaccine did not contain. It requires one injection.

The most common ones include pain swelling and redness around the site of the injectionmuch like any shot. It typically takes two weeks after you are fully vaccinated for the body to build protection immunity against the virus that causes COVID-19. You cant get the flu from the flu shot but there are side effects How long the flu should last and when you should see a doctor The flu vaccine is not 100 effective but you should still get it.

Its discovered that flu viruses change from year to year and the vaccine will need to be adjusted annually to be effective. This is similar to a flu vaccine. Find a COVID-19 vaccine.

It takes 2 weeks after vaccination for the vaccine to be fully effective. Thats about how long it takes your immune system to mount an antibody response to the vaccine. Trying to anticipate replicate and mass produce a flu viruses protein coat over about a four-month period seems to be one of the most difficult and thankless jobs in the United States.

While vaccine effectiveness VE can vary recent studies show that flu vaccination reduces the risk of flu illness by between 40 and 60 among the overall population during seasons when most circulating flu viruses are well-matched to the flu vaccine. In clinical trials this vaccine was 66 effective in preventing the COVID-19 virus with symptoms as of 14 days after vaccination. It takes about two weeks after getting the vaccine for your body to build up enough antibodies.

In fact the vaccine needs some time to work its magic. People who have been fully vaccinated can start to do some things that they had stopped doing because of the pandemic. Sometimes after getting a vaccine the.

And if youve received any other vaccine like the flu shot or shingles vaccine you need to wait at least 14 days before getting your COVID-19 vaccine And for more vaccine guidance The CDC. You could get flu vaccine side effects in the form of an immune responseIve had one of those. Does flu vaccine work right away.

As a general rule the flu shot is most effective in the first three months but people still have protection after six months Vanessa Raabe MD pediatric infectious disease specialist at NYU. The first flu vaccine is licensed for civilian use in the US-1947. In general current flu vaccines tend to work better against influenza B and influenza A.

But occasionally it does bring some mild temporary side effects. Vaccines will become widely available in the coming months. Perhaps the most common vaccine side effect when you get vaccinated you get a sore arm for maybe a day Dr.

Thats why its best to get vaccinated before influenza viruses start to spread in your community. You may still get the flu in this time if you come into contact with the virus so get it done early in time for winter. The vaccine also was 85 effective at preventing severe disease with the COVID-19 virus at least 28 days after vaccination.

Regardless of which vaccine you get you wont reach full protection until two weeks after your second or final dose. Vaccines help develop immunity by imitating an infection. How long does it take to manufacture seasonal influenza vaccine.

All vaccines work this way. It takes about two weeks following vaccination for protective antibodies to form. This type of infection however almost never causes illness but it does cause the immune system to produce T-lymphocytes and antibodies.

Wednesday, March 28, 2018

Hospital Night Shift Hours

Some nursing and medical staff feel that patients receive a higher quality of care at night because of the tight communication among staff and the team structure. Majority of hours means a number of whole hours greater than one-half including meal breaks eg 5 hours of a scheduled 8 hour shift.

Shift Work Night Shifts Linked To Early Death Time

Typically evening shift is 3-11 and night shift 11-7 or 2-10 and 10-6 or it can be 4-12 and 12-8.

Hospital night shift hours. Stock OR case carts with instruments and supplies. During this time several departments move to minimal staffing while other departments such as outpatient surgery often close altogether. 2010 Report Based on 2009 Data.

If youre sleepy after your shift try these steps to arrive at home safely. This position is Night Shift. Check and assemble instruments and supplies for sterilization.

Starts your first shift at the hospital. Shift workers have a high risk of falling to sleep behind the wheel because theyve been awake for 12 -16 hours or more at a time when the body want to rest. Im 54 minutes away from the end of another night shift.

The night shift differential is paid for the entire shift when the majority of hours fall within the specified periods. 1 That figure is up 40 from SHMs 2005-2006 survey. Night workers are defined as those who work more than three hours during the period of 11pm to 6am on a regular basis3 Long hours culture Much of the debate on long working hours in the NHS has centred on junior.

There are 2 shift times only an hour difference that are most commonly used. Pick-up sort clean disinfect sterilize store andor distribute patient care supplies and equipment. But 3-11 and 11-7 is what is most common.

And midnight and ends sometime between 600 am. Shift lengths varied from 32 hours to over 90 hours with no guaranteed breaks 3. The hours may differ between employers but the third shift usually begins sometime between 1000 pm.

The hospital is just starting to wake up from its slumber stretching arms and blinking eyes. Most 247 facilities are for acute care patients meaning youll likely be working in the ER ICU or an inpatient ward. Provide reusable and disposable medical devices for health care providers.

They make scheduling a bit simpler since you are only dealing with 2 shift times. A typical night shift begins between 630 and 7 pm. Fewer administrators managers and doctors are present and visiting hours generally come to an end.

Torree McGowan MD Physician June 1 2018. Now under the European Working Time Regulation EWTR British doctors-in-training work an average over 26 weeks of 48 hours per week. See 3 examples of 10-hour shift rotations here.

Morning afternoon and night shift periods and may provide continuous cover 24 hours a day seven days a week. 12 hour shifts are used by approximately 40 of our clients. Life on the night shift at the hospital.

As the night nurses give you a report and check out you settle in for the morning rush. One of the biggest perks of working the third shiftalso called the graveyard shift the night shift or the midnight shiftis the higher pay rate that comes with it. Process stock and order reusable and disposable medical devices.

With shifts that last 12 hours nurses are more organized in the plan of care for the whole day instead of rushing to finish the work because its almost the end of the shift and any unfinished. Shift-based staffing has become the norm as more than 70 of hospitalist groups use a shift-based staffing model according to the State of Hospital Medicine. Apply to Warehouse Worker Receptionist Front Desk Agent and more.

Conversely the number of HM groups employing call-based and hybrid some shift some call. Night shifts are curious creatures. What does this mean for a night shift nurse.

Apply to Environmental Technician Patient Transporter Admissions Specialist and more. Preliminary data indicate that number of cardiac arrests has been greatly reduced since the initiation of the Hospital at Night program.

Can Iud Cause Back Pain

Immediate Side Effects After Having a Mirena Inserted. Up to 52 percent of women may experience uterine cramps and vaginal bleeding may occ...