pregnant

Pregnancy Scared?

Worried you or a sexual partner might be pregnant? Evaluate your risk, find out what steps you may need to take next, check in with your feelings and by all means, breathe. We're here to walk you through it.

I think I might be pregnant, and might have to choose an abortion.

MadsHatter asks:

My boyfriend and I have had unprotected sex and my last period was 2 months ago (in 10 more days). I've had a two week delay on my period before, and I'm pretty volatile and feeling cramps every now and then but still....no blood. I'm scared to death I may be pregnant but I absolutely CAN NOT tell my mom. I'd be disowned, without a doubt. So....please help me!! I'm getting desperate enough as to seriously consider an abortion because my body can barely support myself, never mind a baby. I heard Vitamin C helps induce a self-inflicted abortion, too. I'm saving up for a test at Planned Parenthood, but I'm still nervous and scared as all heck. Words of advice??

Pregnant & Posting: 21 & 22 Weeks

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Submitted by Sarah on Tue, 2012-05-08 07:51

It's not even noon and I've cried at least 10 separate times today. Hooray.

I had another topic in mind for this blog entry, but I'm incredibly emotional today and just can't quite tackle the topic I wanted. One of the things I've discovered about pregnancy is that it amplifies everything. The good and the bad. When I feel good, it's like the most awesome thing that's ever happened. My other child smiles at me and it truly is like the sun shines down. Funny things seem funnier than usual. When I'm feeling ambitious, it really feels like I could conquer the world. I am super woman, I am super mom, I can do all things!

But it's really a double-edged sword, because with the good comes the bad. My temper is shorter. I've got much less patience for things that frustrate me. Last week, I cut off several inches of my hair just because it bothered me that day. Little things that my partner does that would be just a minor irritation and truly no big deal suddenly seem like the worst thing in the world. A sad song on the radio or something on TV can set off a wave of tears or paranoia. Those SPCA 'help the abused pets' ads are like kryptonite, they break me down every time. A recent episode of one of my favorite shows had a storyline where a child died in a house fire. I sobbed and felt intensely paranoid about my own house. A favorite children's author passed away today and I've already cried over that this morning. Over the past couple of days, I've been having a disagreement with someone very important to me and it's incredibly upsetting. I spent last night crying about it and have cried this morning until my head hurts. My brand new ear buds seem to have a bad connection and don't work correctly. It seems like the worst day possible.

These are, obviously, natural human emotions. It's normal to be upset by arguing with those close to you. It's natural to be upset about these things. On the other hand though, I also know that the intensity and duration of my reactions to these emotions are, in part, related to being pregnant. Under other circumstances, my normal coping mechanisms would be functioning better. I realize that it sounds cliche, but part of this is very much related to all of the hormones coursing around in my body right now and all of the changes related to this pregnancy. I'm not sleeping as well lately, my back and hips become sore after laying in one position for any period of time. I wake up constantly. The little one seems to enjoy becoming super active right about the time I want to lay down and rest. My partner & I are in the process of buying a house (incredibly, ridiculously stressful). I'm hungry but also concerned about eating too much because I have a feeling I may have gained too much weight lately (no idea if this is true or not, but for whatever reason I feel that way). The sciatic nerve pain has started, so I often have shooting pains down one side of my rear end when I walk or stand for too long. Pour all that into one person, shake it up and watch the fireworks.

It basically is like the creation of a perfect storm for hard to manage emotions. Thus I am where I am today. I'm not sure I can offer some magic solution for dealing with it. It helps me a bit to realize that (while the emotions are natural) I'm not entirely in charge of what's happening with my body & mind right now. I try to remind myself that it's okay to feel whatever a feel in any given moment, but that what matters is how I react to it and what I do about it. I can't beat myself up for the bad days. I can't let myself run so fast on the good days that I end up out of energy and miserable. It's all about moderation. Still, when you've cried 10+ times before noon, it's hard. It's just hard.


Pregnant & Posting: 20 weeks

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Submitted by Sarah on Wed, 2012-04-25 19:48

After quite a wait, we finally got a look at the little peanut that I've been carrying around for the past 20 weeks. (I was about 20 weeks, 5 days at the time of my ultrasound.)

My appointment was in the afternoon. First, we sat in the waiting room for almost 45 minutes past the scheduled appointment time. One of the things you learn pretty quickly when you're heading to the obgyn on a regular basis is that you need to be prepared to wait. Whether you're with an OB or a midwife, always be ready to wait when you show up for appointments. They may be called away at any time to do a delivery or deal with complications. You may spend significant time in the waiting room, you may spend time waiting in the exam room. Certainly, some providers tend to be more on time than others, but you may need to wait with any provider. I usually try to schedule my appointments in the morning whenever I can. I'm more likely to have a shorter wait this way. Because I understand that waits are possible, I never get upset about it (though I certainly hear other people get upset). I don't schedule other things within the few hours around my appointments and I make sure to bring a book or something else to do.

After the delay, my partner and I were escorted back to see the ultrasound technician. I should preface this by saying that they generally suggest that you try to come with a full-ish bladder when you have an ultrasound. It's not required, but it can help push everything up and allow for clearer pictures. By the time we went back, I was so ready to get this deal done so that I could use the bathroom! The technician had me lay down on a special reclined chair and pull my pants down around my thighs. It was cool because they had a big screen TV mounted near the ceiling so that we could see the pictures clearly. (With my last pregnancy, we were only able to look at the computer screen on the cart with the ultrasound.) The technician lubricated the wand and started to work on my abdomen. Thankfully, they keep the special lubricant gel warm so there was no cold shock! She was able to get a clear picture right away.

We could see our new little peanut hanging out in there. The little one had been very active about an hour before, but apparently had settled down by the time we got back for the ultrasound. The technician started by trying to get a picture of the face, but a little hand kept getting in the way. After a few minutes of pushing around, she moved on and started to collect images of the various anatomy bits. Ultrasound technology today is truly amazing. She could zoom in directly on the areas needed and immediately capture and print the images for the OB to review later as well. The technician measured limb length and checked out the internal organs and other structures. Even though the little one was not wanting to smile for the camera (so to speak), it was happy to flash us. The technician said right away that this little one looked like it had the bits to be a girl. The picture was very clear and she was quite sure about that assessment. After determining this, the tech went back and tried to get a picture of the face again. She pushed and prodded and finally got a clear picture for us. (So we were given print outs of a full side shot, the "it's a girl" bit, and one picture of the face.)

After capturing and measuring all of the other things, the technician also got images of the placenta and umbilical cord. The major vessels were properly placed in the cord. She was also able to determine that my placenta is anterior this time. "Anterior" means that the placenta is attached to the front of my uterus. (If you have a "posterior" placenta, it means that it is attached in the back of the uterus.) The placenta being anterior probably explains why I did not feel movement as soon with this pregnancy as I did with my previous one. (I consistently felt movement 2-3 weeks earlier last time and I believe my placenta was posterior then. I was also 10 lbs lighter, which might have contributed also.) In looking at this, the technician also noted that my placenta was a bit low. She noted this for the OB to review.

After cleaning the lubricant gel off my abdomen, we were sent back into the waiting room. After another 15 minutes or so, they took me back to see my OB. As usual, they checked my weight and blood pressure. I also had to provide a urine sample. (Thank goodness! I was so ready to pee it wasn't even funny! After having someone push and prod around on my abdomen while I had a full-ish bladder, I was about to burst.) Everything looked good, so I was put into an exam room to wait for my doctor. After several minutes, he came in to talk to me about the results of the ultrasound. Happily, everything looked good. My little peanut's bits and parts were exactly the way they should be. There were no signs that indicated any extra worries. However, my OB did mention the low lying placenta issue that the technician noted. He said that it is not placenta previa. So while the placenta is low, it is not covering or so near the cervix that it is cause for significant concern. Throughout the course of the pregnancy, the placenta will probably migrate upward and become even less of a possible issue.

Given that my pregnancy has otherwise been uncomplicated, I usually would not have another ultrasound. However, because of the low placenta, my OB will probably order one additional ultrasound toward the end of the pregnancy. My delivery will be a scheduled c-section. (I'll talk more about this in a later blog entry. To be clear, I am not having the c-section because of the low lying placenta. While complete previa is often cause for a surgical delivery, women with low placentas can still very much have vaginal deliveries. It is a decision that needs to be made after careful discussion of risks and benefits and the woman's situation.) My doctor wants to be sure he knows where the placenta is before making the incision during the surgery. By the time I'm ready to deliver, it will likely have moved up and not be an issue. For me personally, if he wants an extra look before preforming a major surgical procedure, I'm completely in favor of that.


Pregnant & Posting: 18 & 19 weeks

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Submitted by Sarah on Sat, 2012-04-14 19:57

It's been an exciting and also unexciting couple of weeks. Life is changing, as it often seems to do.

At my last doctor's appointment I had gained a couple of pounds. My care provider was okay with this because it puts me back on the way to my pre-pregnancy weight. My partner was able to come to my appointment with me this time. We got to hear the heartbeat again. I'll also have my "survey ultrasound" (level II ultrasound) in the next couple of weeks. Sometimes people refer to this as a "gender ultrasound," although checking out reproductive organs is not even the primary goal of the procedure. It's not a required procedure. The primary purpose is to look at specific aspects of the fetus and see if there are any indications of possible abnormalities. The technician will take measurements of the limbs, look at the placenta & umbilical cord, and take pictures of the brain and spinal cord.

They also may be able to see the reproductive structures. In some areas, ultrasound technicians in medical practices are not allowed to give out this information, even if they can see it. In my area, they are allowed to give that information and I will probably find out about it. People keep asking me whether I think I'm having a boy or a girl. To be honest, I have no idea, nor does it particularly matter to me. I'm not going to run right out and purchase every pink (or blue) item I can find. I've got clothing and gear from my other child and will reuse as much of that as is possible. My partner & I are not huge on set traditional gender roles anyway, so it just doesn't matter at the end of the day.

The main reason we'll go ahead and find out (assuming they can tell during the ultrasound) is that if I can know information, I tend to feel like I should. Curiosity is just not a good look for me. I think I'm equally curious about where my placenta is attached this time. (The location of the placenta attachment to the uterus can sometimes influence how soon a woman feels movement. I'm feeling movement a bit later this time than I did with my previous pregnancy, so I'm curious about whether the attachment is in a different area this time.)

In other news, there are of course, some downsides to pregnancy right now. I'm now too big for all of my pre-pregnancy clothes. Maternity wear is ridiculously expensive (for clothing you'll only wear for a few months). I'm trying to buy as little as possible, but it sucks to have to do it. Going to work naked is not an option, so I really have no choice. It's also just weird to feel so big all of a sudden again. My body is changing much more quickly and visibly now. I have headaches a bit more often now and the anxiety sneaks back in sometimes. I worry about whether or not we'll get a new house in time (we need more space), how this will impact my work, what happens in the case of a job loss, etc. I try to take a breath and know that we've done the best we can to prepare for this, but it's harder some days than others.


Pregnant & Posting: 16 & 17 Weeks

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Submitted by Sarah on Wed, 2012-04-04 14:06

3 words...round ligament pain. Oh my.

This is probably my biggest complaint over the past couple of weeks. And my goodness, it is uncomfortable! Round ligament pain happen as the uterus expands in pregnancy. There are ligaments (special muscles) that hold the uterus in place in the abdomen. During pregnancy, the uterus expands and the fetus grows and consequently these ligaments have to stretch to accommodate the larger size of the uterus. Just like when you stretch any other muscle in ways it is not used to, pain can result. Even though I've experienced it before (with my previous pregnancy), it's still a shock when it happens. Sometimes it occurs when I get up from a sitting position or when I roll over at night. It can happen at other times as well, but those are fairly common. The pain is a shock that takes my breath away until it eases, just like any kind of muscle cramp would.

I also had a slight illness scare during Week 17 that called attention to how scary it can sometimes be during pregnancy. Right at the start of Week 17, we found out that a case of Fifths Disease had been confirmed in our other child's room at daycare. Fifth's is an annoying, but generally benign childhood disease. It usually involves a rash and flu-like symptoms. By the time they're out of childhood, most people have had this disease and developed immunity to it. Further, it's usually no big deal when a child (or adult) ends up with it. However, that's not necessarily the case when you're pregnant. For pregnant women who are not immune, it is possible to contract the disease and have it impact the pregnancy. In women who contract it before 20 weeks, about 5% will end up losing the pregnancy. Because a child who was in contact with my child had this disease, it's possible that I was exposed to it as well. Because Fifths was not being diagnosed as such (and there were not tests for it yet) when I was a child, I actually had no idea whether I'd had it in the past (and thus would likely have immunity) or not.

I called my OB's office as soon as we found out, explained the situation, and asked for their advice. While it is likely that I am immune, they wanted me to have a simple blood test anyway to determine whether I'd been exposed or was already immune. It can take more than 10 days to get the results of the test, so I'm actually still waiting on the results. However, since nobody in my house has come down with it, I'm hoping we're all immune and this will not be an issue for us.

This really made me think though about how scary it can be when you're ill and pregnant at the same time. Illness is not fun at the best of times, but during pregnancy everything seems much worse. Certain illnesses that are "no big deal" most of the time can be dangerous to a pregnant woman or a fetus. Not to mention the fact that if you do become ill, there are many medications you cannot take. Medications during pregnancy are discouraged, period, unless there is a clearly established need for them. There are some things that studies have shown to be safe, but there is also a hefty list of those with more significant risks. Even a regular cold can see so much worse when pregnant if you're avoiding cold medicines.


Pregnant & Posting 14 & 15 weeks

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Submitted by Sarah on Thu, 2012-03-15 09:29

It's been a busy couple of weeks (both in terms of life in general and in my pregnancy).

At the beginning of week 14, I had my most recent appointment with my OB/GYN. This time I'd only lost 1 lb in the month. While weight loss in early pregnancy is not completely unusual, in most cases care providers would rather see you maintain weight or gain around 5 lbs by the end of the first trimester. Since my weight loss is still relatively low (around 5-6 lbs total), my doctor is not too worried.

Because I hadn't had one in a year, I was due for a pap smear. During my first pregnancy, I had a pap before I became pregnant. However, had I needed an exam they would have done it during my first or second appointment. The office policy has changed since then and now if a patient needs a pap, they wait until you are more than 12 weeks to do the exam. I've never been particularly bothered by gyn exams, so as usual, I had no problem with this exam. My doctor conducted a regular physical (listening to my heart, etc.), did a breast exam, and then took the sample of my cervical cells and did the bimanual exam. He said that with pregnant patients they are extra careful when obtaining the cervical cells and only swab around the edge. They don't want to upset the mucus plug or irritate the cervix too much. (The mucus plug is pretty much what it sounds like. It is a little bit of mucus that creates a seal over the cervix during pregnancy. One of the things it does is to keep out bacteria.)

During the exam, my OB noted that my cervix looked healthy and was tightly closed. During the routine external part of the exam, he could feel the top of my uterus slightly above my pubic bone (right where it should be at this point in pregnancy). This is called checking fundal height. It gives the doctor an idea of how the fetus is growing. Overall, my OB said that everything looked healthy and right on schedule.

As further evidence that pregnancies vary, the first trimester of this pregnancy has been completely different than with my first pregnancy. With my other child, I had a low level of nausea throughout the first few months, but it was nowhere near the nausea I had this time around. In that pregnancy, I think I gained 1 lb total during the first trimester, rather than losing 5+lbs. Also different this time was my level of tiredness. The first time around, I was exhausted every single day, requiring a couple of hours worth of napping each day and still needing to go to bed very early. This time, I was tired but can make it through the day without a nap sometimes.

I've really felt much better during the past two weeks, thank goodness. I feel more pregnant, though I'm sort of waffling on whether I look pregnant or just heavy. My body is definitely changing. I actually feel hungry now, which is a welcome change. I've discovered my first craving with this pregnancy, hot & sour soup. This is really unusual for me because I don't typically love hot & sour soup. I'll eat it if it comes with my meal at a restaurant, but I don't seek it out. For the past week, I've felt like I could eat it every single day. When I had some at my favorite Thai restaurant the other day, I nearly licked the bowl clean. During my first pregnancy I learned how important it was to temper my pregnancy cravings. Don't get me wrong, I'm a believer in indulging when necessary. I don't cut myself off from things that I want, because all that does is make the desire for it worse. But at the same time, I don't want to over-indulge because that has some bad results as well. Once, I was craving wheat crackers and I sat down and *somehow* managed to eat an entire box of them. This was not a wise choice on my part. While my stomach felt okay about it, other parts of my digestive tract did not. Let's just say that the result was pretty much what you would expect after consuming a huge amount of fiber. It was not pleasant. So I've learned my lesson about letting those cravings get out of control. I'll stick with a bowl of hot & sour soup ever so often, not a gallon at a time (even though I really feel like I'd like to eat it by the gallon).


Pregnant & Posting: 12 & 13 Weeks

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Submitted by Sarah on Fri, 2012-03-02 14:42

I'm sorry my blog is a bit behind here! Life was busy last week and somehow I just never managed to sit down for more than 2 minutes to be able to talk about what was going on with my pregnancy.

On the positive side, during the last week to week & a half, I've been feeling better. This is likely related to coming to the end of the first trimester. My afternoon/evening nausea is starting to abate, thank goodness. I was getting very tired of being almost unable to eat after lunchtime. I've also noticed that, especially within the last week, my anxiety has decreased as well. This is a distinct relief.

While I know it seems superficial, my biggest complaint right now is about clothing. My pants still fit (barely) around my slightly thickening waist. I don't look pregnant, rather just as if I've put on a few pounds around the middle. (My weight is actually still down overall though, so I must have been losing in one area and gaining in my abdomen.) If I button my regular jeans it is uncomfortable to sit down. When I can, I wear the maternity clothes that I saved from my last pregnancy. I'm not big enough to wear the pants with the full belly panel, but they make some very comfy bottoms with low slung, elastic waist bands. Unfortunately, I only have a few pair of those pants and (to my great frustration) my favorite local place to buy pants doesn't have my size nor does the website for that particular retailer.

On the up side, the "hairband trick" still works with my regular pants in a pinch. In case you've not heard of this, it is where you wrap a hair elastic around the button of your pants, thread it through the button hole, and wrap it back around the button again. It'll secure your pants so that they don't go anywhere while gaining you an extra inch or two in the waist. It doesn't look cool and necessitates a long shirt to cover the waistband, but it works to keep pants from falling off.


Pregnant & Posting: 11 weeks

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Submitted by Sarah on Fri, 2012-02-17 15:40

I feel like I'm behind this week. I usually start my pregnancy posts earlier, but this was a crazy week and I'm just now getting here.

Physically, I'm feeling much the same as I was last week. Although the fetus is around an inch and a half long now, I don't think my look has changed much yet. I have switched over to maternity pants because it is simply more comfortable. The nausea and tiredness are still there, as is the anxiety. But hopefully some of that should wane in the next few weeks.

This week, I've been thinking more about the social implications of pregnancy and I'd like to talk a bit more about that.

During my last pregnancy, I told family and a limited number of trusted friends and colleagues relatively early on. However, I kept things quite at work until it became so physically obvious that it was impossible to hide anymore. For women in the academy, pregnancy is not necessarily viewed as a wise choice. They worry that by having children, a woman won't be taken seriously professionally. That no one will want you after you've taken the "mommy track." For the most part, these things are not said to one's face. However, the underlying message about the dangers of family for women in the academy is often there. No one was mean to me about my pregnancy, and I did receive a great deal of support from many of the people in my workplace. There were certainly people who were joyful and supportive. But the undercurrent of caution was present from some corners and colleagues elsewhere as well.

(Please note, I'm not saying that this is the message everywhere. Like anything else, some places and some individuals will be more supportive than others. I'm primarily talking about my perception of the issue facing women in the academy.)

Apparently the internet ate the rest of my blog post! I'm sorry this looked unfinished. I'll try to recreate the rest so that this will make sense.

This time around, I decided I needed to tell my current supervisor sooner. I'm working in a different place now and my supervisor is different. I felt like it was important to be honest with him while he was making the schedule for the next semester since my delivery will be during the college year. So rather than hiding what was happening for 20+ weeks, I found myself telling at 11 weeks in spite of having some anxiety about it. Happily, the news has been received at my current workplace very positively. Everyone I've talked to is pleased for me and supportive. This is a distinct relief and it's a new experience really being able to be "out" about it and how I'm feeling.

I decided to share this part of the experience this week because I've been thinking about the those social implications. For any pregnant woman, the decision to reveal one's pregnancy is a very personal one. In the U.S., there are employment laws (for example) which protect against being fired for being pregnant. But at the same time, I know women who work areas where pregnancy is not viewed positively at all. While they may not need to fear being explicitly fired for a pregnancy, they may face other professional consequences (like reductions of hours, disapproval of managers or coworkers, being passed over for promotion, etc.). It is hard enough to be pregnant. It is hard to be a mother (whether you work outside the home or inside it). In an ideal world, no woman should need to be worried about the social implications of announcing a pregnancy in the workplace. Yet the evidence is there that many women still experience social consequences in their workplaces.


Pregnant & Posting: 10 weeks

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Submitted by Sarah on Fri, 2012-02-10 12:28

My uterus is around the size of a grapefruit this week. I'll admit, I find this rather amusing. When you look at sexual anatomy diagrams (which are generally shown non-pregnant anyway), the uterus usually looks pretty large. In reality, it's about 3 inches and looks a bit like a pear. By 10 weeks, my uterus is now more the size of a grapefruit. In the grand scheme of things, this is still pretty small. This week, my embryo became a fetus. It is now just over an inch in length.

I also had my most recent checkup with my OB this week. Early in pregnancy, women are generally seen every 4 weeks (if you have a high risk pregnancy, it may be more often). My blood pressure and urinalysis looked good. One of the things they gave me is a special card that has my pregnancy information on it. It includes my EDD (estimated due date), blood type, Rh factor, and other information from my OB blood panel. I'm supposed to carry the card with me. If I were to be hospitalized, it would give other health care providers to have the basic information they needed to treat me & who to contact for my records.

I also was able to hear the heartbeat this week. They can usually first detect the heartbeat on a special handheld monitor sometime between 10-12 weeks. The medical assistant had to search, but it was there. My little peanut was bouncing along at 170 bpm (beats per minute), which is in the range it should be at that point.

They were a little bit worried because I had lost 4 lbs since my last appointment (4 weeks prior). This is almost certainly related to all of the nausea I've been experiencing. It is generally preferable not to lose weight during pregnancy. Because I've only lost a small amount so far, my OB/GYN is not too worried yet. He said that I need to try to make sure I'm eating properly, as much as I am able. I've been treating the nausea using various natural methods (ginger teas, sour candies, B6 supplements (taken according to my care provider's instructions & dosages)). I also have some prescription anti-nausea medication that I can take when it gets really bad. Usually they want you to try to avoid medications when pregnant (especially during the first trimester), but there are times where the rewards outweigh the risks of carefully chosen medications that have been shown to be safe. I try to avoid needing the medication, but if the nausea is so strong that I can't focus or keep down food, it becomes necessary.

Overall though, I'd say I feel pretty good. I am still tired and nauseated much of the time. I'm also still anxious. We discussed ways to manage my anxiety and my OB ordered blood work to check my thyroid. If it is still an issue at my next appointment, we'll look into it further. I've been using my management techniques with some success this week but it has been a hard week. A friend-of-a-friend who is also a young mom passed away unexpectedly this week. Another online friend had her baby this week and after delivery they discovered the baby has some health problems and will likely be having surgery in the next few days.

Last weekend, I dug out my maternity pants from my last pregnancy and laundered a few pair. In spite of losing 4 lbs, some of my regular pants are becoming increasingly uncomfortable around the waist. I have a couple pair of regular jeans that are alright, but it would be nice to have more options. So I got out 2 pair of corduroy pants and a pair of jeans that I had saved. They have elastic waistbands and sit low. (If you're familiar with maternity wear, I'm not wearing the kind with the full belly panel yet. I'm nowhere near that.) They are much more comfortable that squeezing into my other pants. You still would not know I was pregnant just by looking.

If you have questions, please feel free to post them as comments to the blog. I'll answer as I am able/comfortable doing so.



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