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Stillar Psychological

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Perinatal Mood and Anxiety Support

"In our lives, we have seasons of giving and seasons of receiving...as a new mother/father, you are in the season of receiving." 


This page is designed to offer resources and support to new and new again parents, of all genders, ethnicities, socio-economic status, and religions. 

PMADS can affect anyone!

Perinatal Mood and Anxiety Disorders (PMADS) do not discriminate - they can impact anyone of any gender, and SES, any religion or ethnicity. 


Common perinatal disorders that parents experience are Perinatal Depression, Anxiety, OCD, Bipolar, PTSD. Perinatal Psychosis is rare but possible. 

Unfair and Unrealistic Expectations for Moms

Moms are expected to be magical creatures

Moms are ordinary people and this is okay! 

Moms are expected to do everything

Moms cannot do everything and that is okay! 

Moms are expected to be superheros or superhuman

Moms are humans. They cannot do it all and that is okay! 

Unfair and Unrealistic Expectations for Dads

Dads babysitting

Dads are not babysitters or secondary parents, they are invaluable  parents!  

Paternal leave isn't necessary or important

Research shows that when dad’s have the opportunity to parent and raise their child, there are positive outcomes. Paternal leave is important! 

Dads don't know what they're doing

Dads are highly capable and valuable parents who do know what they are doing when it comes to raiding and caring for their children! We need to stop endorsing the incapable Dad stereotype.

Perinatal Depression: The Facts

1 out of 5-7 women experience perinatal depression

This means that 14-20% of women experience perinatal depression. 

1 out of 10 men experience postpartum depression

This means that 10% of new fathers experience postpartum depression.

Baby Blues impacts 60-80% of new mothers universally

Baby blues are a normal experience, not a psychological or psychiatric disorder. Not a mild form of depression but still something very important to be aware of and seek support for, if needed. 


Occurs due to the hormone fluctuation at the time of the birth and acute sleep deprivation. 


Lasts between 2 days to 2 weeks. If lasting longer than 2 weeks, is not baby blues but potentially Perinatal Depression or another Perinatal Mood or Anxiety Disorder. Please seek help and support.  


Usually peaks between 3-5 days after delivery. 


Symptoms: tearfulness, lability, reactivity, exhaustion. Does not include suicidal thinking. 

Pregnancy or Depression?

Pregnancy: Mood is labile, teary, self-esteem is unchanged, no suicidal thoughts, energy may be low/tired, can sleep but may wake up due to bladder or heartburn, experience joy and anticipation as well as some worry, appetite increase.



Depression: mood is gloomy, irritable, agitated, rage, low self-esteem, guilt, difficulty falling asleep and/or staying asleep, may have suicidal thoughts, plans, or intentions, energy does not restore after rest, feel fatigued, anhedonia (inability to feel pleasure), dysregulation of appetite. 

How Depressive Symptoms May Present

Overwhelmed, "I feel like I cannot cope." 


Lack of feelings of connection towards baby.


Inability to take care of oneself or family. 


Feeling isolated or socially withdrawn. 


Agitation, irritability.


Unable to experience pleasure or joy. 


"This doesn't feel like me." "I just don't feel like myself."


 Increased somatic symptoms such as headaches, back pain, GI issues etc.

Perinatal Anxiety and OCD: The Facts

8-20% of mothers experience postpartum anxiety symptoms.

15.8% experience prenatal anxiety as well.

2.4-18% of fathers experience postnatal anxiety symptoms.

4.1-16% of fathers experience prenatal anxiety as well.

Generalized Anxiety Symptoms

Excessive worry, often about one's health or baby's health.


Difficulty controlling worry (persistent thoughts, rumination).


Agitation, irritability. 


Restlessness, feeling on edge, unable to relax or sit still.


Poor concentration. 


Easily fatigued, difficulties with sleep. 


Increased somatic symptoms such as headaches, back pain, GI issues.

Perinatal OCD Symptoms

Intrusive (unwanted), repetitive thoughts, urges, or impulses - usually about harm coming to baby but can be related to other concerns. 


Common types of thoughts: deliberate harm to baby, contamination (e.g. didn't clean bottle out properly, detergent from soap in clothing, accidental harm to baby (e.g. what if I drop the baby, or hurt the baby in some way), ordering/arranging things (e.g. bottles must be arranged just so), religious (e.g. baby is a demon), checking (e.g. checking if the baby is okay, breathing, more than what is healthy.)


"What if" thinking. 


Intense shame and guilt. 


Horrified by these thoughts. Thoughts or impulses are experienced as distressing, unwanted, unacceptable, or inconsistent with one's self-concept.


Engaging in behaviours to avoid harm or minimize triggers. 


Hypervigilance. 

OCD or Psychosis?

OCD: parent recognizes thoughts or urges are unhealthy, experiences extreme anxiety about thoughts or urges, overly concerned about being or becoming "crazy" or "snapping."


Psychosis: parent does not recognize thoughts/actions are unhealthy, may have less anxiety about thoughts or behaviours, may have delusional beliefs about the baby (e.g. baby is a demon, baby is a baby doll), does not have insight about the distortion of thoughts (meaning they may think their thoughts or urges are reasonable). 

Perinatal PTSD: The Facts

4-18.5% of parents experience postpartum PTSD.

Average prevalence of prenatal PTSD is 3.3% of parents.

Birth Trauma

An event occurring during the labor and/or birth process that can involve actual or threatened serious injury or death to the mother or her infant. 


An event occurring during the labor and/or birth process wherein then woman is stripped of her dignity. 


Witnessing the traumatic event (e.g. witnessing parent's traumatic birth process).


Examples: Emergency C-section, postpartum hemorrhage, prematurity or stillbirth, unexpected NICU admission, forceps or vacuum extraction, severe pre-ecplampsia, 3rd or 4th degree laceration, Hypermesis Gravidarum, traumatic vaginal birth, fetal anomaly diagnosis in pregnancy, witnessing partner's birth experience, shoulder dystocia, long labor process, failed pain medications or poor response to anesthesia. 

Potential Consequences

Avoidance of postpartum care. 


Impaired parental-infant bonding.


Sexual dysfunction or distress related to sexual acts.


Avoidance of future pregnancies. 


Difficulties with breastfeeding. 


Yearly anniversary of traumatic birth.

Maternal Mortality and Race Disparities

41.7 deaths per 100,000 live births for black women. 


28.3 deaths per 100,000 live births for American Indian or Alaska Native.


13.4  deaths per 100,000 live births for white women. 


Statistics are based on the Center of Disease Control (CDC) for 2014-2017.

Perinatal Psychosis: The Facts

Perinatal Psychosis is rare

Only 1-2 in 1,000 women will develop Perinatal Psychosis.

Know The Risk Factors

First baby, discontinuation of mood stabilizer, obstetric complications, perinatal or neonatal loss, previous bipolar episodes, psychosis or postpartum psychosis, family history of bipolar disorder or postpartum psychosis, sleep deprivation.


Bipolar Disorder is a significant risk factor for Perinatal Psychosis, which occurs in 20% to 30% of women with Bipolar Disorder. If you are pregnant and have Bipolar Disorder it can be very helpful to have a mental health professional support you through your pregnancy and postpartum care. 

Recognize The Symptoms

Poor concentration or disorientation.


Agitated, hyperactivity, emotionally distant, aloof, lack of self-care.


Mood is elated, labile, dysphoric or depressed.


Speech can be rambling, tangential, or nonsensical. 

Recovery IS possible!

With adequate treatment, nearly all individuals experiencing postpartum psychosis achieve full remission and then majority achieve good functional recovery. 

Please Seek Help

If you believe you or someone you know may be experiencing Perinatal Psychosis please seek professional help right away. 

Support Groups

Queer Parents Online Support Group

Online Support Forums for Perinatal PTSD and Birth Trauma

Queer Parents Online Support Group

FREE and open to all members of the queer community who are expecting, adopting, and/or parenting babies up to 2 years. This group is intended for  gestational, non-gestational and adoptive parents.

Postpartum Psychosis Support Forum

Online Support Forums for Perinatal PTSD and Birth Trauma

Queer Parents Online Support Group

Connect with others affected by Postpartum Psychosis via this online peer support forum.

Online Support Forums for Perinatal PTSD and Birth Trauma

Online Support Forums for Perinatal PTSD and Birth Trauma

Online Support Forums for Perinatal PTSD and Birth Trauma

An organization designed for the sole purpose of providing and creating support for women who have experienced childbirth as traumatic. Offers online forums for mothers and caregivers/families.

Perinatal Information and Support

Perinatal Information and Support

Online Support Forums for Perinatal PTSD and Birth Trauma

Podcasts, classes, and support for your perinatal experience.

Bipolar Disorder Resources

Perinatal Information and Support

Bipolar Disorder Resources

Education, information, resources and support for Perinatal Bipolar Disorder. 

Father Support Groups

Perinatal Information and Support

Bipolar Disorder Resources

A guide to support groups for Dads. 

Online Peer Support for Military Moms

Online Peer Support for Military Moms

Online Peer Support for Military Moms

Online facilitated peer support group for Military Moms is here to help you connect with other parents, talk about your experience, and learn about helpful tools and resources. Military spouses, active duty personnel and veteran moms are welcome to attend. Trained facilitators are military spouses and understand the unique stress of the military family life. 

Online Support for NICU Parents

Online Peer Support for Military Moms

Online Peer Support for Military Moms

This online NICU group is intended for parents of babies who are currently or formerly in the NICU. Connecting with others who have experienced the uniquely stressful environment of a NICU will provide parents with understanding, as well as helpful tools and resources. Whether your baby is currently in the NICU or you have finally returned home, our NICU parents support group is here for you.

Pregnancy and Infant Loss for Moms

Online Peer Support for Military Moms

Pregnancy and Infant Loss for Parents

Online Pregnancy and Infant Loss Support group provides connection for mothers grieving the loss of their baby. Led by PSI trained facilitators, this group helps bereaved mothers find support as well as provides useful information and resources to help them navigate the pain of their loss. Losing a baby can be a lonely experience and this group helps provide an avenue for healing and hope. 

Pregnancy and Infant Loss for Parents

Perinatal (Pregnancy and Postpartum) Mood Support Group

Pregnancy and Infant Loss for Parents

Online Pregnancy and Infant Loss Support group provides connection for parents grieving the loss of their baby. Led by PSI trained facilitators, this group helps bereaved mothers find support as well as provides useful information and resources to help them navigate the pain of their loss. Losing a baby can be a lonely experience and this group helps provide an avenue for healing and hope. 

Perinatal (Pregnancy and Postpartum) Mood Support Group

Perinatal (Pregnancy and Postpartum) Mood Support Group

Perinatal (Pregnancy and Postpartum) Mood Support Group

Online support group for moms experiencing mood or emotional challenges during the perinatal period (pregnancy and 1 year post birth). This group is here to help you connect with other parents, talk about your experience, and learn about helpful tools and resources. Whether you are going through stress, adjustment to parenting, Baby Blues, pregnancy or postpartum depression/anxiety, this group is here for you

Black Mamas Matter Support Group

Perinatal (Pregnancy and Postpartum) Mood Support Group

Perinatal (Pregnancy and Postpartum) Mood Support Group

This group is for Black mothers who are seeking peer support during the perinatal period up to 2 years postpartum. Our online groups are here to help you connect with other moms, talk about your experience, and learn about helpful tools and resources. Whether you are going through stress, adjustment to parenting, baby blues, or pregnancy or postpartum depression/anxiety, this group is here for you.

Book Reccomendations

LGBTQ+

PTSD and Birth Trauma

PTSD and Birth Trauma

The Ultimate Guide to Pregnancy for Lesbians: How to Stay Sane and Care for Yourself from Pre-conception through Birth, by Rachel Pepper 


Journey to Same-Sex Parenthood: Firsthand Advice, Tips and Stories from Lesbian and Gay Couples, by Eric Rosswood 


Confessions of the Other Mother:  Non-Biological Lesbian Moms Tell All, edited by Harlyn Aizley 

And Baby Makes More: Known Donors, Queer Parents, and Our Unexpected Families, by Susan Goldberg and Chloe Brushwood Rose 


Subversive Motherhood: Orgasmic birth, genderqueer parenting, papas, trans parenting, Gynepunk, etc. by Maria Llopis 

PTSD and Birth Trauma

PTSD and Birth Trauma

PTSD and Birth Trauma

When Survivors Give Birth: Understanding and Healing the Effects of Early Sexual Abuse on Childbearing Women by Penny Simkin and Phyllis Klaus 


Traumatic Childbirth by Cheryl Tatano Beck 


The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma by Bessel van der Kolk 


The Body Remembers: The Psychophysiology of Trauma and Trauma Treatment by Babette Rothschild 

Bipolar

PTSD and Birth Trauma

Infertility

A Spectrum Approach to Mood Disorders by James Phelps 


Why am I Still Depressed? By Jim Phelps 


Bipolar, Not So Much by Chris Aiken and James Phelps 

Infertility

High Risk Pregnancy

Infertility

The Infertility Workbook by Barbara Blitzer 


Conquering Infertility by Domar & Kelly

 

Coping with Infertility, Miscarriage and Pregnancy Loss by Amy Wenzel 

Perinatal Loss

High Risk Pregnancy

High Risk Pregnancy

Healing Your Grieving Heart After Miscarriage: 100 Practical Ideas for Parents and Families by Alan Wolfelt 


Unspeakable Losses: Healing from Miscarriage, Abortion, and Other Pregnancy Loss by Kim Kluger 


Empty Cradle, Broken Heart, Revised Edition: Surviving the Death of Your Baby by Deborah Davis 


Empty Arms: Hope and Support for Those Who Have Suffered a Miscarriage, Stillbirth, or Tubal Pregnancy by Pam Vredevelt 


A Silent Sorrow: Pregnancy Loss – Guidance and Support for You and Your Family by Ingrid Kohn and Perry-Lynn Moffitt 


Couple Communication After a Baby Dies: Differing Perspectives by Sherokee Ilse and Tim Nelson 

High Risk Pregnancy

High Risk Pregnancy

High Risk Pregnancy

High-Risk Pregnancy – Why Me? Understanding and Managing a Potential Preterm Pregnancy. A Medical and Emotional Guide by Kelly Whitehead and Dr. Vincenzo Berghella 


100 Questions and Answers About Your High Risk Pregnancy by Elizabeth Platt and Betty Campbell 


Pregnancy Brain: A Mind-Body Approach to Stress Management During a High-Risk Pregnancy by Parjat Deshpande 


Anxiety and OCD

Perinatal Depression and Mood Issues

Perinatal Depression and Mood Issues

Good Moms Have Scary Thoughts: A Healing Guide to the Secret Fears of New Mothers by Karen Kleiman


Postpartum depression and anxiety: A self-help guide for mothers by Pacific Post Partum Support Society

Perinatal Depression and Mood Issues

Perinatal Depression and Mood Issues

Perinatal Depression and Mood Issues

The Postpartum Depression Workbook: Strategies to Overcome Negative Thoughts, Calm Stress, and Improve Your Mood by Abigail Burd


The Pregnancy and Postpartum Anxiety Workbook: Practical Skills to Help You Overcome Anxiety, Worry, Panic Attacks, Obsessions, and Compulsions by Kevin Gyoerkoe PsyD and  Pamela Wiegartz


This Isn't What I Expected: Overcoming Postpartum Depression by Karen Kleiman and Valerie Raskin

Pregnancy Myths

All pregnancies are planned

Getting pregnant is easy/hard

All pregnancies are planned

NOT TRUE! 

50% of pregnancies are unplanned

All pregnancies are wanted

Getting pregnant is easy/hard

All pregnancies are planned

NOT TRUE!

Many parents do not bond right away with their infant. This does not mean there is something wrong with you, sometimes it takes a while to establish a bond with your infant.

Getting pregnant is easy/hard

Getting pregnant is easy/hard

All women love being pregnant

NOT TRUE!

Everyone's conception journey is different. There is no one way to experience getting pregnant.

All women love being pregnant

Pregnancy = live and healthy baby

All women love being pregnant

NOT TRUE! 

Many women find pregnancy an unpleasant experience. This does not mean you are a bad mom or there is something wrong with you! 

Pregnancy is a magical time

Pregnancy = live and healthy baby

Pregnancy = live and healthy baby

NOT TRUE FOR EVERYONE! 

Many women experience discomfort and/or pain throughout pregnancy. If you do not enjoy pregnancy this does not mean you are a bad mom or there is something wrong with you! 

Pregnancy = live and healthy baby

Pregnancy = live and healthy baby

Pregnancy = live and healthy baby

NOT TRUE FOR EVERYONE! 

Not all pregnancies results in a living and/or healthy baby. It is important to recognize these possibilities and to be aware that different women and parents will have different pregnancy experiences. 

Labor and Delivery Myths

Strong women don't need medication

The only "good" birth is a "natural" non-medicated one

The only "good" birth is a "natural" non-medicated one

THIS IS NOT TRUE! 

Each woman has the right to choose a labor and delivery plan that fits for her. If you choose pain medication it does NOT mean you are weak or trying to take the easy way out. 

The only "good" birth is a "natural" non-medicated one

The only "good" birth is a "natural" non-medicated one

The only "good" birth is a "natural" non-medicated one

NOT TRUE! 

It is important to respect every parent's choice to a labor and delivery process that feels like the best fit for them. We are all different and unique, and there is no one "right" or "good" way to go through the labor and delivery process. 

You've failed if you've had a C-section

The only "good" birth is a "natural" non-medicated one

You've failed if you've had a C-section

NOT TRUE! 

Whether your C-section was elective or planned, you have every right to chose a delivery method that works for you. Choosing or having a C-section does not mean you have failed or taken the easy way out. 

Parenthood Myths

Being a mother is instinctual

You will experience euphoric joy when you hold your baby for the first time

You will bond instantly with your baby!

NOT TRUE FOR EVERYONE! 

Some mothers may describe motherhood as innately instinctual and natural for them, but not all mother's experience motherhood in this way. If motherhood is not instinctual or natural for you that does NOT mean there is somethinig wrong with you! 

You will bond instantly with your baby!

You will experience euphoric joy when you hold your baby for the first time

You will bond instantly with your baby!

NOT TRUE! Many parents do not bond right away with their infant. This does not mean there is something wrong with you, sometimes it takes a while to establish a bond with your infant.

You will experience euphoric joy when you hold your baby for the first time

You will experience euphoric joy when you hold your baby for the first time

You will experience euphoric joy when you hold your baby for the first time

NOT TRUE! It is completely normal and common for moms and new parents to not experience joy and to actually experience many other negative feelings or nothing, when holding their baby for the first time.

Breastfeeding will come easy and naturally

Good mothers don't take breaks or need help

You will experience euphoric joy when you hold your baby for the first time

NOT TRUE! 

It is completely normal and common for moms to struggle with breastfeeding. If you are having difficulties with breastfeeding it can become a very painful and stressful experience. You deserve support! There are professionals who can help you, please seek them out because you deserve it! 

Good mothers don't take breaks or need help

Good mothers don't take breaks or need help

Good mothers don't take breaks or need help

NOT TRUE! 

It is so important to remember that you are a mother AND an individual. All parents deserve to take breaks and deserve to have and ask for  help. 

Dads are suppose to be "the rock"

Good mothers don't take breaks or need help

Good mothers don't take breaks or need help

NOT TRUE! 

Emotions are a human condition; Fathers/Men are not exempt from having feelings or struggling. Fathers experience perinatal mental health challenges too. 


10% of new fathers experience postpartum depression. 


2.4-18% of fathers experience postnatal anxiety symptoms.


Dads are secondary to Moms

Dads are secondary to Moms

Dads are secondary to Moms

NOT TRUE! 

North American gender stereotypes paint Dads a bumbling buffoons who don't know what they are doing when it comes to child care, or are seen as secondary parents to mothers. Dads are highly capable and can be excellent caregivers if/when given the opportunity to do so.

Supportive and Affirming Social Media and Online Resources

bodypositive_mom

the.mom.room excitement

the.mom.room excitement

Anti-diet Dietician who aims to inspire moms to feel body confident and find food freedom.

the.mom.room excitement

the.mom.room excitement

the.mom.room excitement

Mother affirming IG account and Podcast

mother.ly

the.mom.room excitement

Breastfeeding Resources for Black Mothers

 IG account that offers a safe space to discuss parenthood topics without negative or judgemental comments. 

Breastfeeding Resources for Black Mothers

Breastfeeding Resources for Non-Binary Gender Nonconforming and Trans Chestfeeding Individuals

Breastfeeding Resources for Black Mothers

Facebook Groups: 

  • Black Moms Breastfeediinig Support Group
  • Black Pumpiinig Mamas 
  • Milk Like Mine
  • Normalize Breastfeeding
  • Black Women Do Breastfeed
  • Black Moms Breastfeed
  • Black Breastfeeding Mamas Circle

Breastfeeding Resources for Non-Binary Gender Nonconforming and Trans Chestfeeding Individuals

Breastfeeding Resources for Non-Binary Gender Nonconforming and Trans Chestfeeding Individuals

Breastfeeding Resources for Non-Binary Gender Nonconforming and Trans Chestfeeding Individuals

La Leche League: Transgender & Non-Binary Parents


Facebook Groups: 

  • Birthing and Breast or Chestfeeding Trans People and Allies
  • Queer Liquid Gold 

Katie Crenshaw

Breastfeeding Resources for Non-Binary Gender Nonconforming and Trans Chestfeeding Individuals

Breastfeeding Resources for Non-Binary Gender Nonconforming and Trans Chestfeeding Individuals

Maternal Mental Health Advocate 


Author of BodyCanBooks that encourage healthy body image development. 


@bodycanbooks


@herbodycan

Perinatal Loss Support

Adoption and Birth Mother Resources

Perinatal Loss Support

Instagram Support

#Iwassupposetohaveababy


#pregnancyafterlosssupport


Perinatal Loss Films


Don't Talk About the Baby (Pregnancy Loss) 


One More Shot (Infertility)


Websites


The MISS Foundation - www.missfoundation.org


Modern Loss - www.modernloss.com


Good Grief Education and Support - www.good-grief.org


Resolve.org


Stillbirth.org


Infertility Resources

Adoption and Birth Mother Resources

Perinatal Loss Support

The Art of Infertility - www.artofinfertility.org


Still Standing - Child loss and infertility - www.stillstaandingmag.com


TheBrokenBrownEgg.org


Yeah Tikva - Jewish Infertility Support - www.yeshtikva.org



Adoption and Birth Mother Resources

Adoption and Birth Mother Resources

Adoption and Birth Mother Resources

Three Strands - www.threesstrandsinc.org


Brave Love - www.bravelove.org


Birther Mother Baskets - https://birthmotherbaskets.org


The North American Council for Adoptable Children - www.nacac.org


National Foster Care and Adoption Directory Search - https://childwelfare.gov/nfcad




LGBTQ+ Resources

Resources for Medications in Pregnancy and Breastfeeding

Adoption and Birth Mother Resources

The Pride Study


LGBTQ+ Health


Family Equality


Human Fertilisation and Embryology Authority

Perinatal OCD

Resources for Medications in Pregnancy and Breastfeeding

Resources for Medications in Pregnancy and Breastfeeding

The International OCD Foundation

Resources for Medications in Pregnancy and Breastfeeding

Resources for Medications in Pregnancy and Breastfeeding

Resources for Medications in Pregnancy and Breastfeeding

MothertoBaby 866-626-6847


Infantrisk.com 806-352-2519


Massachusetts General Hospital for Women's Mental Health


Reprotox


LactMed


E-Lactancia


Toxicology Data Network


Medication / Herbal Advice 

1-800-332-1414

You are NOT alone and you CAN get better!

Perinatal Mood and Anxiety Disorders are NOT life sentences.


With treatment and support you CAN get better.


PMADS are NOT your fault and you are NOT alone.


Please reach out for the help you deserve.

Helplines

Perinatal Support Helpline

Call: 800-944-4PPD

Text: 503-894-9453

Mental Health Help Line

 1-877-303-2642


24 hour, 7 day a week confidential service that provides support, information and referrals to Albertans experiencing mental health concerns.

Suicide Prevention Line

1-800-784-2433


Highly trained volunteers and professional staff available to help you 24/7 if you need someone to talk to. Your call is confidential.


Online Chat

Chat is available from 3pm – 10:00pm weekdays and from noon-10:00pm on weekends.

Hope for Wellness Helpline

1-855-242-3310

Online Chat 

Offers immediate mental health counselling and crisis intervention to all Indigenous peoples across Canada.

Available 24 hours a day, 7 days a week.

Copyright © 2018 Stillar Psychological - All Rights Reserved.

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