BabiesBreast- Feeding Breastfeeding by Justina February 1, 2024 February 1, 2024 A+A- Reset 55 Feeding your baby with breast milk, directly from your breast, is known as breastfeeding, also referred to as nursing or chestfeeding. The choice to breastfeed is a personal decision that is likely to elicit varying opinions from friends and family. Prominent medical authorities, such as the American Academy of Pediatrics (AAP) and the American College of Obstetricians and Gynecologists, strongly advocate exclusive breastfeeding (excluding formula, juice, or water) for the first 6 months of a baby’s life. Following the introduction of solid foods, it is recommended to continue breastfeeding throughout the initial year. The frequency of breastfeeding depends on your baby’s preference for either small, frequent meals or longer feedings, and this pattern evolves as your baby grows. Newborns often require feeding every 2-3 hours, transitioning to every 3-4 hours around 2 months, and by 6 months, most babies are typically fed every 4-5 hours. The decision to breastfeed is unique to you and your baby, offering a personal choice that reflects your circumstances. Benefits of breastfeeding for baby Breast milk offers infants an optimal source of nutrition, presenting a well-balanced combination of vitamins, protein, and fat essential for their growth. Unlike infant formula, breast milk is easily digestible. It contains antibodies that bolster the baby’s immune system, aiding in the defense against viruses and bacteria. Breastfeeding plays a role in reducing the likelihood of the baby developing asthma or allergies. Moreover, infants exclusively breastfed for the initial 6 months, without the introduction of any formula, experience fewer occurrences of ear infections, respiratory illnesses, and bouts of diarrhea. Additionally, they undergo fewer hospitalizations and visits to the doctor, showcasing the comprehensive health benefits associated with breastfeeding. Some studies have associated breastfeeding with elevated IQ scores during later childhood. Infants who are breastfed tend to achieve appropriate weight gain as they grow, reducing the likelihood of childhood overweight. The American Academy of Pediatrics (AAP) asserts that breastfeeding contributes to the prevention of sudden infant death syndrome (SIDS). In addition to these benefits, there is a suggested connection between breastfeeding and a decreased risk of diabetes, obesity, and certain cancers. However, it’s important to note that further research is required to substantiate these claims. The benefits of breastfeeding for parents Breastfeeding offers various advantages for you as a parent: The physical closeness, skin-to-skin contact, and eye connection during breastfeeding contribute to a strong bond between you and your baby, fostering a sense of security. In terms of physical benefits, breastfeeding aids in faster post-pregnancy weight loss by burning extra calories. The release of oxytocin during breastfeeding facilitates the return of your uterus to its pre-pregnancy size and may reduce postpartum uterine bleeding. Beyond the first year and up to two years, breastfeeding continues to provide benefits, particularly for the parent, including a lower risk of breast and ovarian cancer. There’s also a potential reduction in the risk of osteoporosis. Furthermore, breastfeeding saves you time and money, as there’s no need to purchase and measure formula, sterilize nipples, or warm bottles. It also provides a consistent opportunity for you to relax quietly with your newborn, fostering a deeper bond during these moments. Decoding Your Baby’s Hunger Language Your baby communicates hunger through various signs, and recognizing these cues is essential. Apart from crying, common indicators that your baby is ready to be fed include: Licking their lips or sticking out their tongue: Your baby may display lip-licking or tongue movements, signaling their anticipation of feeding. Rooting: Your baby may move their jaw, mouth, or head in a searching motion, indicating a readiness to latch onto your breast. Putting their hand in their mouth: Babies often bring their hand to their mouth as a self-soothing gesture, suggesting hunger. Opening their mouth: A clear sign of hunger is when your baby instinctively opens their mouth, preparing for feeding. Fussiness: Increased restlessness or fussiness can be an indication that your baby requires nourishment. Sucking on things: Babies may exhibit a sucking reflex, whether it’s sucking on their fingers, fists, or other objects, conveying hunger. Being attentive to these cues helps ensure timely and responsive feeding, meeting your baby’s nutritional needs. The Importance of Breastfeeding and Early Initiation Starting breastfeeding is a crucial step in ensuring your baby receives the best nutrition. Here’s a guide to help you initiate breastfeeding: Initiate Early: Ideally, begin nursing your baby within the first hour of birth. This early start promotes bonding and establishes breastfeeding patterns. Hold and Position: Hold your breast in your hand and ensure your baby’s head is slightly tilted back with an open mouth. Guide your baby to your breast, and if they are properly latched, you’ll feel a gentle tug as they start nursing. Check Latch: Confirm that your baby has a proper latch. A correct latch minimizes discomfort and ensures effective milk transfer. Seek assistance from healthcare professionals if needed. For nonbinary individuals or those assigned male at birth (AMAB) wishing to breastfeed: Consult Healthcare Provider: If you are nonbinary or AMAB, consult your healthcare provider for guidance. Additional steps, such as hormone suppressors like spironolactone to lower testosterone levels, may be recommended to initiate lactation. Preparing for successful breastfeeding Before breastfeeding, consider the following: Establishing Routine: Recognize that it may take time to establish a consistent nursing routine with your baby. Patience is key. Latch Challenges: Some parents may encounter difficulties achieving a good latch initially. The quality of the latch can impact pain levels, milk supply, and the duration of breastfeeding. Persistence and Practice: Even if the latch isn’t perfect at first, perseverance and practice can lead to improvement. Seek support from lactation consultants or healthcare professionals if needed. Dietary considerations for breastfeeding mothers it’s important to be mindful of certain foods and substances to ensure the well-being of both you and your baby. Consider the following guidelines: Alcohol: If you consume alcohol, wait until the alcohol levels have cleared from your breast milk before nursing. Typically, this takes 2-3 hours per drink. Planning ahead and storing milk beforehand can be a practical solution if you plan to have a few drinks. Caffeine: Limit caffeinated beverages to no more than two cups per day while breastfeeding. Excessive caffeine intake can potentially disrupt your baby’s sleep schedule. Fish: Avoid high-mercury seafood such as swordfish and king mackerel, as the mercury content may be transferred to your baby through breast milk. When starting breastfeeding, anticipate the following: Colostrum Production: Initially, your breasts will produce colostrum, a thick, yellowish substance rich in essential nutrients crucial for your baby’s early immune system development. Milk Production: Around 3 days postpartum, your milk will start to come in. This process may take longer for first-time parents. Your breasts may become firmer, and occasional leaking might occur. If your breasts become overly full, discomfort may arise. Breast Changes: Early on, you may experience sore or cracked nipples, and your breasts might undergo changes as you and your baby establish a nursing routine. Comfortable Breastfeeding: While breastfeeding should not be painful once a good latch is achieved, reach out to your healthcare provider if you encounter difficulties or experience persistent pain. They can address issues or connect you with a lactation consultant, a specialist in breastfeeding education. Producing sufficient milk for breastfeeding is a natural process that begins with the creation of colostrum in the initial days after childbirth. Although colostrum is produced in modest amounts, it fulfills the essential nutritional requirements of your baby. This initial phase aids in the development of the newborn’s digestive tract and readies it for the digestion of subsequent breast milk. As your body transitions through the phases of breast milk, colostrum is gradually replaced by transitional milk, followed by mature milk around 10-15 days post-birth. Mature milk provides comprehensive nutrition for your growing baby. It’s common for infants to experience a slight weight loss in the initial 3-5 days after birth, unrelated to breastfeeding. Even if breastfeeding is pursued for a shorter duration than the recommended 6 months, any breastfeeding is beneficial, and you can introduce solid foods at 6 months while continuing to breastfeed if desired. To ensure your baby is receiving enough milk, consider the following indicators: Limited Weight Loss: Your baby should not lose more than 7% of their birth weight in the initial days after delivery. Contentment Between Feedings: Babies receiving sufficient breast milk typically appear content for approximately 1-3 hours between feedings. Adequate Diaper Changes: A well-nourished baby should have at least 6 diapers a day, with urine appearing very pale or clear by the time they are 7-10 days old. To enhance milk supply, consider the following strategies: Exclusive Breastfeeding: Aim to breastfeed exclusively (avoiding formula, juice, or water) for the first 6 months, as supplementing with formula may reduce milk production. Pumping Routine: Increase milk supply by incorporating additional pumping sessions into your routine. Try pumping for 10 minutes, taking a 10-minute break, and repeating for about an hour, in addition to your regular pumping schedule. This practice could lead to an increase in milk supply within 3-4 days. Hydration: Stay well-hydrated, especially when nursing. This is crucial, particularly if consuming caffeinated beverages. Consultation with Healthcare Provider: If pumping and other measures do not yield increased milk supply, consult your healthcare provider or a lactation consultant. They can assess if the breast pump fits correctly and provide guidance on adjustments. In the case of low milk supply, consider the following approaches after consulting with your doctor: Relaxation Techniques: Incorporate massage, meditation, skin-to-skin contact, and warm compresses into your routine to promote relaxation. Increased Water Intake: Increase water intake to meet the additional fluid needs associated with breastfeeding and the elevated caloric requirements. Contraceptive Considerations: Discuss contraceptive options with your doctor, as nonhormonal IUDs or barrier methods may be suitable for maintaining breast milk production. Frequent Feeding and Pumping: With newborns, aim for frequent feeding, ideally 8-12 times a day in the initial weeks. If a session is missed, pump to ensure continuous production. Support System: Seek support to reduce stress and address factors affecting milk production. This may involve enlisting help from family members, obtaining therapy for postpartum depression, or addressing other stressors. Remember, individual responses to these strategies may vary, and consulting with healthcare professionals ensures personalized guidance tailored to your specific circumstances. Exploring the Comfort and Convenience of Breastfeeding Positions Choosing the best breastfeeding position is a personal preference that depends on your comfort and your baby’s needs. Here are some common breastfeeding positions: Cradle Position: Hold your baby with the side of their head in the crook of your elbow, facing you. Ensure your baby’s belly is against your body for full support. Your free arm can support the head and neck or reach through your baby’s legs to support the lower back. This position is convenient for older infants but may be challenging for newborns due to limited support. Football Position: Suitable for recovering from a C-section, this position involves holding your baby along your forearm like a football, supporting the head and neck in your palm. It is also effective for twins and premature babies. Side-Lying Position: Ideal for night feedings in bed or when recovering from an episiotomy. Lie on your side with pillows for comfort, snuggle close to your baby, and use your free hand to lift your breast into your baby’s mouth. Ensure correct latch and support the head and neck. Cross-Cradle Hold: Sit straight in a chair with armrests, holding your baby in the crook of the arm opposite the breast. Support the head with your hand, bring your baby across your body, and use the other hand to cup your breast. Bring your baby’s mouth to your breast, cradling them close without leaning forward. Laid-Back Position: Suitable for oversupply or fast milk flow, this position involves leaning back on a couch or bed with good head and shoulder support. Hold your baby so that your entire fronts touch, allowing your baby to choose a comfortable position. Assist with latching if needed. Ultimately, the most effective position is the one that ensures both you and your baby are comfortable, relaxed, and able to nurse without strain. Experiment with different positions to find what works best for you and your baby. Beyond the Latch: Building a Holistic Breastfeeding Journey Achieving a good latch during breastfeeding involves several factors, such as positioning and timing. While some aspects, like nipple shape, are beyond your control, there are strategies to enhance the latch. Choose the Right Position: Select a breastfeeding position that suits both you and your baby. If one position proves challenging for latching, experiment with different options until you find one that feels comfortable. Ensure your baby faces you, reducing the need for them to twist their neck to feed. Initiate the Latch: Cup your breast with one hand and gently stroke your baby’s lower lip with your nipple. This action triggers your baby’s reflex to open their mouth wide. Support your baby’s neck with your hand and guide their mouth to encompass your nipple, aiming for the center above the tongue. Consider a Nipple Shield: If you have flat or inverted nipples, a nipple shield can provide a clearer shape for a proper latch. It may also offer relief if you’re experiencing discomfort from cracked nipples or other sources of pain. Timing Matters: Wait for your baby’s mouth to open wide before attempting to latch. A shallow latch may occur if the mouth doesn’t cover both the nipple and a significant portion of breast tissue. Gently place your nipple against your baby’s lips to encourage a wide opening. Adjust if Necessary: If the timing feels off, don’t hesitate to unlatch and try again. Use your finger to break the suction gently if needed. Correct timing contributes to a smooth and comfortable breastfeeding experience. Check for Tongue-Ties: Tongue-tie, a condition where the tongue’s attachment to the mouth is tight, can affect latch quality. If your baby experiences difficulty, consult a healthcare professional. A procedure called tongue-tie revision may be necessary to address the issue. Verify the Latch: Confirm a correct latch by ensuring both lips are pursed outward around your nipple. Your baby should have the entire nipple and most of the areola in their mouth. While you may feel a slight tingling, nursing should not be painful. If the latch is not optimal, gently break the suction with your pinky, remove the nipple, and try again. A good latch helps prevent sore nipples Situations requiring expressed breast milk instead of direct breastfeeding Premature Birth: When your baby is too premature to breastfeed. Neonatal Intensive Care Unit (NICU) Stay: If your baby is in the NICU, and you are unable to stay with them. Illness: When your baby is unwell. Teething: During teething when nursing may be challenging for your baby. Latching Difficulties: If your baby struggles with latching. Conditions like Tongue Tie or Cleft Palate: In the presence of conditions like tongue tie or cleft palate. Extended Separation: When you are away from your baby for an extended period, such as returning to work. Substance Consumption: After consuming substances like alcohol, recreational drugs, or medications unsafe for your baby. Failing to empty your breasts for an extended period can lead to engorgement, causing discomfort and potential issues like clogged ducts or mastitis. Hand expressing or using a breast pump can help alleviate these concerns by ensuring regular milk emptying. What is the hand expression of breast milk Hand expression of breast milk involves massaging the breasts to release milk. Parents opt for this method for various reasons: Alternative to Nursing: Hand expression serves as a method to express milk when the baby cannot nurse, allowing parents to collect milk for later use. Engorgement Prevention: It can help prevent engorgement, a painful condition that may lead to leaking or clogged ducts. Minimal Equipment: Requires less equipment compared to pumping, which often involves multiple components like the machine, tubes, flanges, and bottles. Hand expression is more convenient for on-the-go situations. Versatility in Locations: Hand expression can be done in more places than pumping, as most pumps require electricity. In situations without power or when you forget your pump, hand expression remains a viable option. Stimulates Milk Letdown Reflex: The skin-to-skin contact during hand expression encourages the milk letdown reflex, which initiates the flow of milk. This reflex may be easier to trigger with hand expression than with a pump. Potentially Higher Milk Yield: Some individuals find they can express more milk with hand expression compared to a pump. Cost-Effective: It is a cost-free method. While insurance may cover breast pumps in many cases, hand expression can be a money-saving alternative, especially if a pump is not available or unusable. To prepare for hand-expressing milk, follow these steps: Hygiene First: Wash your hands thoroughly to prevent any contamination of the milk. Choose a Clean Container: Find a clean container for collecting the milk. If expressing colostrum, a teaspoon may be sufficient due to its dense nutritional content. Create a Comfortable Space: Relax and get comfortable before starting. Tension can make milk production more challenging. Get in the Right Mindset: To encourage letdown, having your baby nearby can be helpful. If that’s not possible, consider looking at photos of your baby or keeping a piece of clothing nearby that carries their scent. Gentle Breast Massage: Gently massage your breasts to stimulate letdown. This can enhance the flow of milk. Proper Hand Position: Hold your breast with your hand in a C-shape, placing your thumb underneath and your fingers along the top. Keep your fingers and thumb near, but not on, the areola. Support your breast and apply pressure to the milk ducts by pushing towards your chest. Compress your breast rhythmically between your fingers and thumb to guide the milk toward the nipple. Repeat until the milk flow stops. Rotate your hand and repeat the motion until milk flow stops again. Complete Breast Drainage: Continue this process around your breast until all areas are drained and feel soft. Hand expression may take 20 to 30 minutes per session. By following these steps, you can effectively hand express milk while maintaining cleanliness and maximizing comfort. Balancing the benefits and drawbacks of pumping breast milk Pumping can be a helpful option in certain situations, despite its potential drawbacks: Convenience and Mobility: Hand expression may be favored when pumps are impractical due to their complexity and the need for electricity. If you can’t easily carry pump parts or lack consistent access to power, hand expression is a more convenient choice. Quiet and Comfort: Some individuals find pumps noisy and uncomfortable, making hand expression a more comfortable and quieter alternative. Hands-Free Options: Pumps offer hands-free models, allowing you to multitask while expressing milk. This can be especially beneficial if you need to work, attend to other children, or simply engage in activities like reading or using your phone. Milk Storage: Pumping enables you to store expressed milk. This stored milk provides independence, allowing other caregivers to feed your baby and offering you flexibility if you need to be away for a period. Tips to help you prepare for breastfeeding: Prioritize Prenatal Care: Attend regular prenatal care appointments to reduce the risk of preterm birth, promoting a healthy start for breastfeeding. Discuss Breastfeeding Plans with Your Doctor: Inform your doctor about your intention to breastfeed and inquire about the breastfeeding support available at the delivery facility. Attend Breastfeeding Classes: Take a breastfeeding class to gain valuable knowledge and preparation for the breastfeeding journey. Consult with a Lactation Consultant: Connect with a lactation consultant through your doctor. They can provide essential guidance on breastfeeding basics and offer assistance if you encounter challenges. Address Health Conditions and Medications: Discuss any health conditions or medications with your doctor that might affect breastfeeding, ensuring a safe and informed approach. Express Your Breastfeeding Intentions: Clearly communicate to your doctor and hospital healthcare providers that you want to initiate breastfeeding as soon as possible after delivery. Seek Support from Peers: Talk to friends who have experience with breastfeeding or consider joining a breastfeeding support group. Shared experiences can provide valuable insights and encouragement. Prepare Breastfeeding Supplies: Stock up on necessary supplies, such as nursing bras and other breastfeeding-related items, to make the process more comfortable and convenient. The ABCs of breastfeeding A – Awareness: Watch for your baby’s hunger cues and breastfeed whenever your baby shows signs of hunger. This approach, known as “on-demand” feeding, helps ensure that your baby gets nourished when needed. Look for cues such as hand movements towards the mouth, sucking noises, or movements towards your breast. Avoid waiting until your baby cries, as it indicates they are already quite hungry. B – Be Patient: Allow your baby to breastfeed for as long as they want during each session. Avoid rushing through feedings. Typically, infants breastfeed for 10-20 minutes on each breast. Being patient allows for a more relaxed and effective breastfeeding experience. C – Comfort: Prioritize comfort during breastfeeding. Relaxation can enhance the “let down” of your milk and promote a smoother flow. Arrange pillows as needed to support your arms, head, and neck. Consider using a footrest to support your feet and legs, creating a comfortable and ergonomic setup before initiating breastfeeding. Navigating breastfeeding risks and informed decision-making HIV-Positive Status: If the mother is HIV-positive, breastfeeding can transmit the virus to the infant through breast milk. In such cases, alternative feeding methods are recommended to prevent transmission. Active, Untreated Tuberculosis: Breastfeeding may not be safe if the mother has active, untreated tuberculosis. In such situations, it is important to seek medical treatment before considering breastfeeding. Chemotherapy Treatment: Mothers undergoing chemotherapy for cancer may be advised not to breastfeed due to potential risks associated with the medications used during treatment. Consultation with healthcare providers is essential to explore alternatives. Illegal Drug Use: Breastfeeding is not recommended if the mother is using illegal drugs, such as cocaine or marijuana, as these substances can be transmitted to the infant through breast milk. Galactosemia in the Baby: If the infant has a rare condition called galactosemia, where they cannot tolerate the natural sugar galactose present in breast milk, breastfeeding may not be suitable. In such cases, specialized formulas may be recommended. Certain Prescription Medications: Some prescription medications, such as those used for migraine headaches, Parkinson’s disease, or arthritis, may pose risks if transferred to the infant through breast milk. Mothers taking such medications should consult with their healthcare providers to assess the safety of breastfeeding. Balancing medication needs with breastfeeding goals: 1. Prescription Drugs: Before starting breastfeeding, it’s essential to consult with your doctor, especially if you’re taking prescription drugs. Your healthcare provider can provide personalized advice based on your specific medications, helping you make informed decisions about breastfeeding. 2. Illness (Cold or Flu): Having a cold or flu should not deter you from breastfeeding. Breast milk doesn’t transmit the illness to your baby, and it may even provide antibodies to help your baby fight off the infection. It’s generally safe to continue breastfeeding while sick. 3. American Academy of Pediatrics (AAP) Recommendations: The AAP suggests exclusive breastfeeding starting at 4 months of age. For infants who are partially breastfed and receive more than half of their daily feedings as human milk, supplementation with oral iron is recommended until iron-rich foods, such as iron-fortified cereals, are introduced into the diet. The AAP also recommends checking iron levels in all children at age 1. 4. Iron and Vitamin D Supplementation: Discuss with your pediatrician the supplementation of both iron and vitamin D for you and your baby. Your doctor can provide guidance on the recommended amounts, when to start supplementation, and the frequency of intake. Overcoming Breastfeeding Challenges: Techniques and Resources Sore Nipples: Ensure proper latch-on technique. Break suction with one finger after each feeding. Ice or frozen peas can temporarily ease discomfort. Keep nipples dry and let them air dry between feedings. Dry, Cracked Nipples: Avoid soaps, perfumed creams, or alcohol-based lotions. Gently apply pure lanolin after feedings. Change bra pads frequently, opting for cotton pads. Concerns about Milk Production: A wet diaper count (6-8 diapers a day) can indicate sufficient milk. Breast size doesn’t determine milk production. Maintain good nutrition, rest, and hydration. Pumping and Storing Milk: Practice pumping early if returning to work. Store breast milk in the refrigerator for up to 2 days and freeze for up to 6 months. Thaw milk in the refrigerator or warm water; avoid microwaving. Inverted Nipples: Consult a lactation consultant for guidance on successful breastfeeding. Breast Engorgement: Use alternate heat and cold (ice packs, warm showers) for relief. Hand expression or a breast pump can help release milk. Blocked Ducts: Warm compresses and gentle massage can relieve blocked ducts. Frequent nursing can aid in resolving the issue. Breast Infection (Mastitis): Call the doctor if experiencing flu-like symptoms with a sore breast area. Antibiotics may be needed, and breastfeeding can usually continue. Stress: Stay relaxed and calm before and during nursing to facilitate the let-down reflex. Create a calm environment for both you and your baby. Premature Babies: In some cases, parents can release breast milk and feed it through a bottle or feeding tube. Warning Signs: Call the doctor if breasts show signs of redness, swelling, hardness, or unusual soreness. Seek medical attention for unusual nipple discharge or bleeding. If concerned about baby’s weight gain or milk intake, consult the doctor. Remember, seeking guidance from healthcare professionals, lactation consultants, and support groups can provide valuable assistance in overcoming breastfeeding challenges. Every breastfeeding journey is unique, and with the right support, many challenges can be addressed successfully Breaking down the barriers to breastfeeding support Getting help with breastfeeding is essential, and there are various sources you can turn to for guidance: Healthcare Professionals: Nurses, doctors, and lactation consultants can provide expert advice and assistance. Don’t hesitate to reach out to them with any questions or concerns. Family and Friends: Seek support from friends and family who have experience with breastfeeding. They may offer practical tips and emotional support. Support Groups: Joining breastfeeding support groups, whether in person or online, can connect you with other parents facing similar challenges. This provides a platform for sharing experiences and receiving advice. La Leche League: La Leche League is an international organization that offers breastfeeding support and information. Local chapters often conduct meetings and provide a supportive community. Online Resources: Utilize reputable online resources, such as official breastfeeding websites and forums. These platforms often offer information, tips, and the opportunity to connect with experienced parents. Your Doctor: Don’t hesitate to contact your doctor with any breastfeeding-related questions or concerns. They can provide medical advice and guidance tailored to your specific situation. Deciding When to Stop Breastfeeding: The decision to stop breastfeeding is personal and varies for each parent and child. The American Academy of Pediatrics (AAP) recommends exclusive breastfeeding for the first 6 months and continuing breastfeeding while introducing solid foods for at least the next year. Parents may choose to stop breastfeeding for various reasons, such as returning to work, pregnancy, or personal preference. Weaning can be a gradual process, and your baby may naturally transition to other forms of nutrition around their first birthday. It’s essential to communicate with your healthcare provider if you have questions about when and how to stop breastfeeding. They can offer guidance and support during this process. Remember that each breastfeeding journey is unique, and seeking help and advice is a proactive step in ensuring a positive experience for both you and your baby. Babiesbreastfeeding 0 FacebookTwitterPinterestLinkedinEmail Justina previous post Baby-Feeding next post Bottle feeding Related Articles Pacifiers for babies April 2, 2024 Baby’s First 6 Months: A Guide to the... February 1, 2024 Baby Skin Care : Guide to Keeping Your... 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