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Sex After a Miscarriage
A miscarriage is a physically and emotionally traumatic event for a woman and her partner- healing both physically and emotionally can take a while. Getting back to routine life and trying to have sex with your partner after experiencing a miscarriage can be a challenging task. This article talks about how long to wait to have sex for the first time after a miscarriage,whether it is safe to have sex after a miscarriage, learning to deal with the emotional trauma, and also gives tips for getting pregnant post a miscarriage.
When Is It Safe to Have Sex After a Miscarriage?
The waiting period to resume sex after a miscarriage varies for each couple on the basis of the time required for physical and emotional healing. A couple can resume sex once they feel emotionally ready and after the woman’s body has completely recovered.
Typically, if miscarriage occurrs in the first trimester and there are no complications like pain, vaginal odour, bleeding or continuing symptoms of pregnancy, sex can be resumed after 2 to 3 weeks. However, if miscarriage occurrs in the second or third trimester, it is better to wait at least 6 weeks to resume sexual activity.
Learning to Deal With Your Emotions After a Miscarriage
Apart from dealing with physical changes after a miscarriage, a woman has to deal with strong emotions too. It is quite normal to feel sad, anxious, angry, guilty or irritable after a miscarriage. These conflicting emotions may make it difficult for you to be intimate with your partner again, and that is perfectly normal.
The 5 Stages of Grief After a M iscarriage
The aftermath of a miscarriage is emotionally trying for a couple. Although time and comfort heals wounds, understanding the stages of grief can help you and your partner cope with the emotional upheaval.
1. Denial
Denial is the first stage of mourning. Your mind may deny the tragedy, and that might make it difficult for you to come to terms with what has happened.
2. Anger/Guilt
Once the realisation of having lost your child hits you, anger may take the place of denial. You may replay the events of the fateful day in your head and blame yourself or others for it.
3. Bargain
In this stage, you may ask yourself, “why me?” and turn towards a higher power or God. Some women also tend to strike up a bargain (mannat) with God to return her child.
4. Depression
Strong, negative emotions may spiral into depression. You may start feeling like there’s nothing left to live for.
5. Acceptance
However, there are good things waiting to come. Most couples accept the situation and move on. They also understand that the sooner they stop grieving, the sooner they can try for another pregnancy.
Explain to your partner how you feel and ask for support.
Give yourself ample time to recover from the emotional pain caused by this devastating event. It is also prudent to be open about your feelings with your partner and family. Seek grief counselling or couples counselling if necessary. Discuss with your partner and decide if you are ready to try for a second pregnancy.
When Can You Try for Another Pregnancy?
Most doctors advise couples wanting to get pregnant again to wait till the first menstrual period following a miscarriage. This usually takes up to four weeks. A woman’s body requires this time to ensure that the hormone levels return to normal after a miscarriage. Also, once your regular menstrual cycle resumes, you can calculate your fertile period accurately. So ideally, you should wait at least a month post miscarriage to begin trying to conceive again.
How long you should wait before trying for a second pregnancy also depends on the time required for physical healing. Some women may experience vaginal bleeding for a few weeks after miscarriage. Whether or not it is painful, it is better to abstain from sex until the bleeding has completely stopped, so as to reduce the chances of infection.
Some women may have to undergo surgical removal of the pregnancy tissue which requires a longer healing period. Also, the cervix and uterus remain partly dilated post miscarriage, making them vulnerable to infections. Hence, doctors advise against sex and use of tampons until these organ heals completely. This healing process may take up to two weeks.
In case the cause of miscarriage is identified and found to be treatable or recurring, then the next pregnancy should be planned after addressing the cause.
Tips for Getting Pregnant Post a Miscarriage
Take Prenatal Vitamins: Start taking prenatal vitamins, especially folic acid, at least a month before you start trying to conceive Note that this medication should be prescribed by your doctor.
Wait Until You Have Completely Healed: Make sure you have recovered physically and are emotionally ready for pregnancy Talk to your doctor and do not hesitate to seek trauma counselling or bereavement support if you require help to overcome the emotional pain of miscarriage.
Healthy Diet and Regular Exercise: Eat lots of fruits and vegetables with your meals. A healthy diet will help to lower the risk of further miscarriages significantly. Exercise regularly to remain fit.
Avoid Harmful Substances: Avoid alcohol, nicotine and drugs. Limit or preferably avoid caffeine intake. All these substances can increase the risk of miscarriages and cause other complications in pregnancy.
Relax and De-stress: According to research studies, stress increases the risk of miscarriages significantly. Try to relax and remain stress-free by doing yoga andbreathing exercises, reading a book, going for a walk or indulging in any other activity that makes you feel calm and happy.
Wait to Resume Sex As Per Your Doctor’s Instructions: Follow your doctor’s advice and wait before resuming sexual activity. If you are experiencing vaginal bleeding after the miscarriage, wait until it has completely stopped. Take carewhen you have sex for the first time after miscarriage bleeding. In case the bleeding resumes, stop having sex and consult your doctor.
Healthy Sex Life: Studies show that having sex at least thrice a week increases the chances of getting pregnant considerably. You can use an ovulation kit to determine your fertile period. Having sex at least 3 to 4 days before and on the day you are ovulating can improve your odds of becoming pregnant.
Preconceptional low dose aspirin should be started 3 months prior to trying again.
Going through the event of a miscarriage is an agonising experience for a couple. Healing physically is not enough to resume intimacy and start trying to get pregnant again; you have to give yourself time to overcome the emotional pain. Discuss your worries, fears and other feelings with your partner candidly. When you feel emotionally ready to take on the challenge of motherhood again, consult your doctor. Take prenatal vitamins and resume trying to conceive once your doctor gives you the go ahead.
Also Read:
Types of Miscarriage
How to Plan for Pregnancy After a Miscarriage Read more
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Eating Parsley in Pregnancy - Is it Harmful?
Parsley is a popular herb that adds flavour to any dish. Its aroma and strong flavour can make any dish appealing. If you have a habit of adding parsley to whatever you cook, then give up that habit if you are pregnant. When you are pregnant, you must pay attention to what you eat. Whatever you eat will affect your baby. So, be a little cautious before adding anything in your diet. Let's find out if you should eat parsley during pregnancy or not.
Is Parsley Safe during Pregnancy
Parsley is a biennial herb which was earlier found only in the Mediterranean region. However, this herb is now grown in all parts of the world and is used in many culinary preparations. Parsley leaves can instantly charge any dish with its aromatic flavour. Some people even drink it in the form of tea and if you are wondering if you can drink parsley tea while pregnant, then, yes, you can drink parsley tea in pregnancy. Its diuretic properties help in getting rid of the pregnancy-related swelling. Parsley is very safe for consumption during pregnancy; however, overconsumption should be avoided as it may lead to various health complications.
Health Benefits of Eating Parsley when Pregnant
Are you interested in knowing how parsley may prove to be beneficial during pregnancy? Here are some of the many benefits of parsley:
This wondrous herb is rich in folic acid, which is essential for the development of the nervous system of the baby. It also keeps congenital abnormalities at bay.
Parsley, being rich in vitamin B and vitamin C, helps one cope up with oxidative stress in pregnancy.
Lowered immunity during pregnancy can make you sick often. However, consuming parsley, which is rich in antioxidants, can keep your immune system intact during pregnancy. Also, the antioxidants present in parsley can help fight against free radicals.
It is a rich source of magnesium and potassium, the minerals which help reduce swelling. Potassium is also beneficial to maintain good heart health.
This herb also has anti-inflammatory properties, which reduce joint pain and swelling during pregnancy.
It helps combat digestion problems such as gas and bloating.
In case you suffer from anaemia during pregnancy or have an iron deficiency, adding parsley to your pregnancy diet can prove to be helpful.
Parsley has substantial amounts of calcium and vitamin K which is required by a pregnant woman to take care of her bone-health during pregnancy. It is also helpful in taking care of the osteoarticular system of the mother and the baby.
It is also good for the skin. It even helps reduce swelling and calms the skin.
Tips to Keep in Mind while Consuming Parsley in Early and Later Stages of Pregnancy
Here's what you need to keep in mind while consuming parsley in the early and later stages of pregnancy:
Early Months: It is important that you consume originally grown parsley for maximum benefits. If feasible, you grow it yourself and then consume. Here are some tips you should keep in mind while eating it in the early months of pregnancy:
Wash and clean parsley nicely and get rid of all the dirt and grime. Remove all the rotten and withered leaves as even smallest unprocessed leaves may cause food-poisoning or other complications.
Do not go in for greenhouse parsley as it has fewer benefits.
Always buy fresh parsley with crisp-looking leaves and stem and fresh aroma.
Later Months: Whatever you may have been following during earlier stages of pregnancy is recommended in the later stages of pregnancy too. However, here are some suggestions that you should consider:
Parsley seeds are abortifacient and thus may result in fatal complications. So, check with a doctor before you eat it.
It should be consumed in moderation during pregnancy as an overdose may prove to be extremely dangerous.
Side Effects of Eating Parsley while Pregnant
There is no conclusive evidence available in regards to what is the permissible limit of consuming parsley during pregnancy. It is recommended that before you add this aromatic herb in your pregnancy diet, you should consult your healthcare practitioner. However, if you are thinking that if parsley can terminate a pregnancy, then the answer is yes; it may terminate a pregnancy because it works as an abortifacient if consumed in large amounts. Besides here are some of the side-effects of consuming parsley during pregnancy:
Parsley oil may lead to fatal complications; it may cause severe damage to the kidneys and cause a seizure in some cases.
It contains myristicin, which may travel through your bloodstream to the placenta and may reach your baby too. Myristicin can lead to increased heart rate in babies.
Presence of myristicin may lead to various other complications such as loss of balance and dizziness.
Many women enjoy tea with parsley seeds and extracts. However, regular consumption of this tea may lead to increase in myristicin and apiol. And, both these components may lead to disturbing effects on your health as well as your baby’s health.
If you consume substantial amounts of parsley oil during pregnancy it may lead to haemoglobin issues in your baby.
Apiol and myristicin can lead to uterine contractions and promote menstruation, and thus may lead to miscarriage or abortion during pregnancy. It may also increase your chances of going into preterm labour.
If you are prone to allergies, then pregnancy may make you more prone to allergies due to the weakened immune system. Some women may become allergic to parsley during pregnancy and may develop rashes or other allergy symptoms.
There are some potential risks of consuming parsley during pregnancy. However, there are many benefits that a woman can derive after pregnancy by adding parsley in her diet, such as:
It may help in the stimulation of breast milk and thus help the new moms in the lactating period.
It also improves the quality and quantity of the breast milk.
If a woman is trying to get pregnant, it may prove to be beneficial to include parsley in her diet.
If a woman is experiencing irregular cycles, consumption of this herb may prove to be fruitful.
Pregnancy is a delicate time when a woman has to be extra careful in whatever choices she makes and this holds true in the context of food that she may consume throughout her pregnancy journey. You should not consume this herb in large amounts or in the form of oil. However, if you wish to add parsley to your pregnancy diet, it is strictly recommended that you include this herb only after consulting your doctor.
Also Read: Fenugreek during Pregnancy Read more
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Hot Water Bath During Pregnancy
It is important to take extra care of your body during pregnancy. This means thinking carefully about things you possibly would have taken for granted before pregnancy. Simple things like drinking tea or coffee need careful consideration. The same can be said about having a bath. It is important to understand that water temperature while bathing can impact your pregnancy in good and bad ways. This also means that you must understand the difference between having a hot water bath while pregnant during the first trimester and having one during the third trimester, how the temperature can impact the development of the baby, if it is safe at all, and when it is safe to have a hot water bath.
Is a Hot Water Bath During Pregnancy Safe?
Under controlled circumstances and depending on the period of pregnancy, hot baths are safe. This is because depending on the period of your pregnancy, the baby’s development is different. A baby in the first trimester may not have fully developed organs. This, however, changes in the third trimester. Accordingly, the temperature of the bath should also change. It is highly recommended that you stick to ‘warm’ baths during your pregnancy, as that could be the safest guideline for a healthy pregnancy. In this circumstance, doctors define a warm bath as a bath where the water temperature is close to 100 degrees Fahrenheit/ 38 degrees Celsius. This ensures the excess heat doesn’t increase the heart rate, which in turn keeps the blood circulation and flow regulated. In this case, a hot bath can be considered a bath that is relatively close to your body temperature.
Benefits of a Hot Water Bath While Pregnant
There are numerous benefits to having a bath where the temperature of the water is close to the body temperature instead of the room temperature. Some of these are:
Warm baths can soothe muscles. This can help relax tense muscles due to the weight redistribution caused by the pregnancy.
Warm baths with oils can help nurture the skin and relax the body. This can aid in relieving cramps.
Warm baths before bed with relaxing essential oils like lavender can help induce sleep and combat pregnancy based insomnia.
Having a warm bath before bed can help improve the quality of sleep.
Bathing in warm water is known to help ease premature contractions.
Soaking in warm water with rock salt can help relax muscles and slightly relieve pain.
Warm water can help in reducing swelling around the ankles, also known as oedema.
Soaking in warm water is known to help increase amniotic fluid if your body is low on the same.
Ideal Temperature of Water for a Hot Bath
As mentioned above, the ideal water temperature for pregnant women is close to body temperature. This is recommended because water that is either too hot or too cold can increase the heart rate. This, in turn, can interrupt the blood flow in your body, which can cause harm to the baby. It is recommended that you have a bath either with water at room temperature, which is 23 degrees Celsius, or water at body temperature, which is 38 degrees Celsius.
How Much Time Should You Spend on a Bath?
Depending on the stage of your pregnancy, it is recommended that you stay in a bath between 10 to 15 minutes at the most. This ensures that the bath benefits you, while not allowing your body to overheat. Staying longer than 15 minutes in a bath, regardless of the temperature, can lead to numerous problems. When pregnant, your immune system is still weak; thus, staying in the bath for too long could lead to a fever. Illness aside, staying in a bath for too long can also instigate fatigue and exhaust you.
Why Should You Stay Hydrated?
While warm or hot water is known to soothe your body, it also is known to be an extreme source of dehydration. Dehydration, in general, is extremely dangerous. However, the risk is doubled while pregnant, as this could lead to numerous illnesses and impede your body’s ability to fight infections and viruses. Ensure that you talk to a doctor about the optimal level of hydration required for your body. Make sure that you stay hydrated throughout the day. Take a gap between the time you drink water and go for a bath. It is recommended that you give yourself at least half an hour after drinking water and before going into the bath.
Why Saunas and Baths in the Jacuzzi and Hot Tubs Are Not Recommended During Pregnancy
It is highly recommended that you not have a bath in a jacuzzi or have a hot tubs bath while pregnant because:
The jets in the jacuzzi along with the high temperatures of the water can harm your child by altering blood circulation.
A steam bath or sauna is similar. In fact, the risks of a sauna bath in pregnancy are quite dangerous because the heat is far above body temperature, and a sauna requires your body to be exposed to that heat for extended periods of time.
These baths can increase your heart rate quite rapidly and lead to dangerous situations for your baby.
Having these types of baths can lead to exhaustion.
If the heat in a sauna is too high, it could lead to dizziness and extreme dehydration.
Jacuzzis or hot tubs could strain your baby due to the pressure of the jet and the impact it has.
Saunas, jacuzzis and hot tubs can increase your baby’s heart rate to dangerous levels.
Doctors believe that the temperature of a sauna or jacuzzi could cause your baby’s body temperature to increase to dangerous or fatal levels.
The extreme increase in body temperature could lead to a shock to your baby’s or your system, which could lead to premature labour or miscarriages.
What if a Sauna Bath is Unavoidable?
If a sauna is unavoidable, take extreme caution before attempting to have a sauna bath. Here are a few tips to keep in mind when having this type of bath.
Consult your doctor for clearance and go for a consultation a while after the bath.
Ensure you don’t stay in a sauna for more than 5-6 minutes at most.
Stay hydrated.
Watch your body. Keep an eye out for any signs of dizziness or lightheadedness. If you experience these, exit the sauna immediately.
Monitor the water and room temperature regularly.
Monitor your temperature 15 min after the sauna.
Hot baths or warm baths can be a source of relaxation. It is recommended that you monitor your body and consult doctors before having a hot water bath. If you feel uncomfortable during or after your bath, consult a doctor immediately.
Also Read: Hot Flashes During Pregnancy Read more
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Rashmi has added a new answer
Guardian of 0 children
11 hours ago
Q. Can I check baby heartbeat in 9th week of pregancy?
Rashmi
Mom of a 9 yr 8 m old girl
11 hours ago
A. See that can only be monitored with a proper ultrasound or a machine which can check the heartbeat of the child otherwise there is no third way to figure it out further if you need to know more you can get a sonography done with your gynaecologist to have better clarity
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Attention Deficit Hyperactivity Disorder (ADHD) in Toddlers
If your toddler is behaving out of control, wacky, or plain mysterious, like throwing pans from the balcony or showing sudden temper tantrums, he may be having ADHD. ADHD is diagnosed as a clinical condition by therapists, and you can get acquainted with it by reading this article and consulting a therapist. Here's everything you need to know about toddlers with ADHD.
What is ADHD?
ADHD is defined as 'Attention Deficit Hyperactivity Disorder', and it is a mental condition when your child behaves out of the ordinary. At the heart of ADHD is a lack of focus, concentration and a short attention span. Forgetting what he has just learnt and the tendency to daydream in the middle of something important also falls under hyperactivity, which prevents your child from being calm, focused and obedient.
ADHD is not to be confused with momentary bouts of frustration, anger or inactivity. If your child stays calm when sitting for meals and going to bed, then that may rule out ADHD, but to be very sure, additional testing by a certified therapist is recommended.
Symptoms
The following are the signs of ADHD in 2-year-olds and above-
1. Inattention
Toddlers with ADHD have difficulty organizing toys, completing tasks, and paying attention or focusing in the classroom. They exhibit short attention spans and shuffle around different activities without sticking to any one activity. Inattention often translates to forgetfulness and is a tell-tale sign of ADHD in kids since they often forget details and cannot seem to remember what they were doing previously.
2. Hyperactivity
Does your child keep moving his legs, biting his fingernails, or fiddling with his arms whenever you ask him to sit quietly? Maybe your child goes from doodling on the walls to making a mess of household items in a second or two. Whatever the case, hyperactivity translates to restlessness and fidgetiness, being in a state of constant motion without pausing or taking breaks. Shifting across different corners of the room and trying to do multiple things at the same time are also obvious signs. If your child has boundless energy compared to other toddlers his/her age and can't seem to stop moving around for even a minute where every single activity is concerned - that could mean ADHD.
3. Impulsiveness
Impulsiveness in toddlers is basically showcased as a lack of self-control or discipline. Children who exhibit behaviour akin to being unable to control their own emotions, not matching what they say and do, being short-tempered, and throwing sudden temper tantrums when they don't get their way. They also go through mood swings and become extremely emotional. Older toddlers may even invade others' personal space, interfere with ongoing conversations and carry out actions without stopping to think about their consequences and also speaking without permission.
4. Positive Symptoms
Although ADHD can be troublesome, sometimes it can come with benefits. The positive symptoms of ADHD are-
High intellectual and creative abilities.
Being able to focus on play or work for long periods of time without any breaks, which is the flip side of the symptom of being distracted. Children with ADHD can exhibit hyperfocus, which means that they can concentrate on something for hours together, if it holds their interest.
Open to trying out new ideas and not sticking to recurring methods.
Extremely artistic and demonstrating creative problem-solving abilities along with a vivid imagination.
5. Other Symptoms
There are other symptoms of ADHD which are distinctive from the rest. They are the following -
Being extremely aggressive when interacting with friends during playtimes.
Being very friendly with strangers without a sign of caution.
Lack of an understanding of safety that is demonstrated by extreme fearlessness.
Unable to hop on one foot at 4 years old and above.
Diagnosis
Diagnosing ADHD in toddlers is a bit different than other obvious psychological/mental disorders. Your doctor will conduct a thorough evaluation by asking for reports and findings from daycare providers, neighbours, preschool teachers, and other adults who often see your child on a day-to-day basis, coupled with his/her own observations during an evaluation. Since ADHD signs and symptoms are similar to regular behaviours exhibited by toddlers of developmental ages, an additional ADHD test for toddlers may be needed to rule out whether your child indeed has ADHD or not. The key takeaway is that ADHD is a persisting condition, and kids get tired of hyperactivity eventually, but ADHD-prone kids do not, and that's something to keep in mind.
Treatment for ADHD in Toddlers and Pre-Schoolers
There are various treatment methods for ADHD in toddlers and pre-schoolers. They are-
Behavioural Therapy - This is a common treatment method that involves praising kids for good behaviour and when they accomplish tasks. Bad behaviours and unruly instances are ignored, and therapists highlight the positive aspects of children and talk about them. Time-outs are used, and structure and routine are incorporated. Rewards are given when kids accomplish tasks or make progress in changing old behavioural patterns.
ADHD Medications - If your child is 4 years or older, then you may consider giving him/her ADHD medications like methylphenidate. Consider medications only if your child hasn't been showing changes despite attending behavioural therapy sessions. Medication is usually recommended for ages 6, and above, however, younger children are more sensitive to these, and it may help. Expected side effects include weight loss, loss of appetite, growth delays and anxiety. Once they stop taking these meds, the side effects go away, however, keep in mind that some ADHD drugs are not FDA-approved.
Parents must act like detectives if they want to spot ADHD and treat it effectively. Early treatment is recommended since ADHD in toddlers and speech delay accompanied along with it when gone unnoticed, can cause huge problems later in life which manifests in the form of poor academic performance and lack of social behaviours. Start by developing a positive relationship with your child and be gentle and kind with your little one if you suspect he has ADHD. The key point here is to encourage positive behaviour and reinforce them through rewards and encouragement while ignoring negative behaviours and allowing them to fade away with time. Make sure to consult a therapist if you suspect that your child has ADHD and always remember - your kid must be continually monitored long-term since ADHD is a little complex to spot and treat quickly.
Also Read: Child Psychology Read more
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Dr Ghouse has added a new answer
Father of a 6 yr 4 m old child
14 hours ago
Q. my son is now 7 yrs and and last 3 three days ,he is complaining that he had bad and negative thoughts and this is too hilarious that.
we r too worried ,pls suggest 🙏
Dr Ghouse
Paediatrician
14 hours ago
A. it is quite natural small babies will be having different moods different types of behaviour please continue to interact the baby engage activities like drawing painting even clay sculpture o k
Rashmi has added a new answer
Guardian of 0 children
12 hours ago
Q. Hi this is pooja I am 6 weeks 3 days pregnant n m 31 yrs old my doctor prescribed me this interjection called choriotec 5000 once a week for a month .. I have already took two times but now my lil scared so can u pls tell me anyone here is it safe to take more ??? It’s not harmful nah ??? Pls ans dr
Read moreRashmi
Mom of a 9 yr 8 m old girl
12 hours ago
A. Your doctor must have given it to you for a particular reason so I’m just going to advise you to follow what she says yet if you have a doubt or you’re scared about anything then why don’t you just prospect with your Dr as to what what purpose are you taking this and what is meant to be done in case you do not take the injection or you do not want to take
Dr Ghouse has added a new answer
9 hours ago
Q. Mam last perioda mujhe 10 april ko aye the aur aj mene pregnancy test kiya hai to 1 line light ayi h to mujhe kya krna chahiye
Dr Ghouse
Paediatrician
9 hours ago
A. beta HCG test kare ok. if there is no relief it is better you see your doctor for proper examination particularly physical examination if there is need for doing investigations to find out the problem and treatment ok
Dr Ghouse has added a new answer
Expecting Mom due in 7 months
8 hours ago
Q. can I eat egg daily?
now I am in 1st trimester
Dr Ghouse
Paediatrician
7 hours ago
A. yes you can eat egg daily even in first trimester. if there is no relief it is better you see your doctor for proper examination particularly physical examination if there is need for doing investigations to find out the problem and treatment ok
Dr Vandan H Kumar has added a new answer
Guardian of 0 children
6 hours ago
Q. #asktheexperts
Which are the safe sites to hire japas in New Delhi (EDD July)
Dr Vandan H Kumar
Paediatrician
6 hours ago
A. you can always ask questions related to the health of child and mother in this section and it can bez either related to diet or food or vaccination or any type of medicine goingz on and given by your doctor.
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