Araştırma Makalesi
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BREASTFEEDING ATTITUDES AND EXPERIENCES OF BREASTFEEDING WOMEN INFECTED WITH COVID-19: A MIXED METHODS STUDY

Yıl 2024, Cilt: 9 Sayı: 1, 15 - 31, 29.04.2024
https://doi.org/10.47115/jshs.1271684

Öz

Aim: The aim of this study was to learn more about the attitudes and experiences of breastfeeding women infected with COVID-19.
Method: A convergent parallel mixed methods design was used to conduct the study. The study included breastfeeding women who presented COVID-19 symptoms and tested positive for COVID-19, and who sought care at a community health center in a province located in the Black Sea region of Turkey. Quantitative and qualitative data for the study were collected online between July 2021 and February 2022. Data for the study were collected using the 'Socio-demographic Information Form', the 'Breastfeeding Attitude Scale' and the 'Semi-structured Interview Form'. Data were collected from 82 women for the quantitative part and seven women for the qualitative part. Before the research began, study approval was obtained from the TR Ministry of Health and ethical approval was granted by the Clinical Research Ethics Committee of Ondokuz Mayıs University (25 June 2021/ OMU KAEK2021/316).
Results: The number of children, age of the baby, breastfeeding initiation and nutritional status of the baby were found to influence breastfeeding attitudes. The overall mean score of the breastfeeding attitude rating scale was 91.7710.63. Five themes were identified as a result of the content analysis: "Women's feelings during the disease," "How the disease affects the babies," "Woman-baby contact," "COVID -19 and breastfeeding," and "Status of support for women".Conclusions and Suggestions: It was found that women's attitudes towards breastfeeding during the disease process are moderate, that they experience considerable anxiety during this time, and that the support they receive affects both their psychological state and their attitudes towards breastfeeding. During this process, continuous online or phone support may improve women's attitudes towards breastfeeding.

Kaynakça

  • ACOG updates on novel Coronavirus Disease 2019 (covid-19). ACOG. (2020). Retrieved February 17, 2023, from https://www.acog.org/news/news-articles/2020/03/acog-updates-on-novel-coronavirus-disease-2019
  • Aşcı, Ö., Demirgöz Bal, M., & Ergin, A. (2021). The breastfeeding experiences of covid ‐19‐ positive women: A qualitative study in Turkey. Japan Journal of Nursing Science, 19(1). https://doi.org/10.1111/jjns.12453
  • Arslan Özkan, H. (2015). Emzirme Tutumunu Değerlendirme Ölçeği. Kadın Sağlığı Hemşireliği Dergisi, 2(1), 53-58
  • Bartick, M. (2020, March 31). Covid-19: Separating infected mothers from newborns: Weighing the risks and benefits. COVID-19: Separating Infected Mothers from Newborns: Weighing the Risks and Benefits | HMS Postgraduate Education. Retrieved February 17, 2023, from https://postgraduateeducation.hms.harvard.edu/trends-medicine/covid-19-separating-infected-mothers-newborns-weighing-risks-benefits Brown, A. & Shenker, N. (2020). Experiences of breastfeeding during COVID‐19: Lessons for future practical and emotional support. Maternal & Child Nutrition, 17(1). https://doi.org/10.1111/mcn.13088
  • Centers for Disease Control and Prevention. (2021, March 25). Coronavirus disease (covid-19) and breastfeeding. Centers for Disease Control and Prevention. Retrieved February 17, 2023, from https://www.cdc.gov/breastfeeding/breastfeeding-special-circumstances/maternal-or-infant-illnesses/covid-19-and-breastfeeding.html
  • Ceulemans, M., Verbakel, J. Y., Van Calsteren, K., Eerdekens, A., Allegaert, K., & Foulon, V. (2020a). SARS-COV-2 infections and impact of the COVID-19 pandemic in pregnancy and breastfeeding: Results from an observational study in primary care in Belgium. International Journal of Environmental Research and Public Health, 17(18), 6766. https://doi.org/10.3390/ijerph17186766
  • Ceulemans, M., Hompes, T., & Foulon, V. (2020b). Mental health status of pregnant and breastfeeding women during the COVID‐19 pandemic: A call for action. International Journal of Gynecology & Obstetrics, 151(1), 146–147. https://doi.org/10.1002/ijgo.13295
  • Chen, H., Guo, J., Wang, C., Luo, F., Yu, X., Zhang, W., Li, J., Zhao, D., Xu, D., Gong, Q., Liao, J., Yang, H., Hou, W., & Zhang, Y. (2020). Clinical characteristics and intrauterine vertical transmission potential of covid-19 infection in nine pregnant women: A retrospective review of medical records. The Lancet, 395(10226), 809–815. https://doi.org/10.1016/s0140-6736(20)30360-3
  • RCOG. (2022). Retrieved February 17, 2023, from https://www.rcog.org.uk/guidance/coronavirus-covid-19-pregnancy-and-women-s-health/coronavirus-covid-19-infection-in-pregnancy/ Creswell, J. W. (2001). Research Design Qualitative & Quantitative Approaches. Sage Publications.
  • Creswell, J. W. (2015). A concise introduction to mixed methods research. SAGE.
  • Creswell, J. W., & L., P. C. V. (2018). Designing and conducting mixed methods research. SAGE.
  • Hull, N., Kam, R. L., & Gribble, K. D. (2020). Providing breastfeeding support during the COVID-19 pandemic: Concerns of mothers who contacted the Australian Breastfeeding Association. https://doi.org/10.1101/2020.07.18.20152256
  • Imdad, A., Yakoob, M. Y., & Bhutta, Z. A. (2011). Effect of breastfeeding promotion interventions on breastfeeding rates, with special focus on developing countries. BMC Public Health, 11(S3). https://doi.org/10.1186/1471-2458-11-s3-s24
  • Kumar, B., Kumar, S., Rathore, P., Shweta, Krishnapriya, V., Haokip, N., Thankachan, A., & Bhatnagar, S. (2020). Why I can't breastfeed my new-born baby? psychosocial dilemma of a COVID-positive post-LSCS mother. Indian Journal of Palliative Care, 26(5), 150. https://doi.org/10.4103/ijpc.ijpc_157_20 Kumari, A., Ranjan, P., Sharma, K. A., Sahu, A., Bharti, J., Zangmo, R., & Bhatla, N. (2020). Impact of covid‐19 on Psychosocial Functioning of peripartum women: A qualitative study comprising focus group discussions and in‐depth interviews. International Journal of Gynecology & Obstetrics, 152(3), 321–327. https://doi.org/10.1002/ijgo.13524 Martins-Filho, P. R., Santos, V. S., & Santos, H. P. (2020). To breastfeed or not to breastfeed? lack of evidence on the presence of SARS-COV-2 in breastmilk of pregnant women with covid-19. Revista Panamericana De Salud Pública, 44, 1. https://doi.org/10.26633/rpsp.2020.59
  • Oncel, M. Y., Akın, I. M., Kanburoglu, M. K., Tayman, C., Coskun, S., Narter, F., Er, I., Oncan, T. G., Memisoglu, A., Cetinkaya, M., Oguz, D., Erdeve, O., Koc, E., Derme, T., Şahin, D., Güzel, B., Tekin, A. B., Akın, Y., Kale, A., … Üstün, H. (2020). A multicenter study on epidemiological and clinical characteristics of 125 newborns born to women infected with covid-19 by Turkish Neonatal Society. European Journal of Pediatrics, 180(3), 733–742. https://doi.org/10.1007/s00431-020-03767-5 Rhodes, A., Kheireddine, S., & Smith, A. D. (2020). Experiences, attitudes, and needs of users of a pregnancy and parenting app (Baby Buddy) during the covid-19 pandemic: Mixed Methods Study. JMIR MHealth and UHealth, 8(12). https://doi.org/10.2196/23157
  • Snyder, K., & Worlton, G. (2021). Social support during COVID-19: Perspectives of Breastfeeding mothers. Breastfeeding Medicine, 16(1), 39–45. https://doi.org/10.1089/bfm.2020.0200
  • UNICEF UK baby friendly initiative. (2020). Retrieved February 17, 2023, from https://www.unicef.org.uk/babyfriendly/wp-content/uploads/sites/2/2020/04/Unicef-UK-Baby-Friendly-Initiative-statement-on-infant-feeding-on-neonatal-units-during-the-Covid-19-outbreak.pdf
  • UNICEF. (2022). Coronavirus disease (covid-19): What parents should know. UNICEF Eastern Caribbean. Retrieved February 17, 2023, from https://www.unicef.org/easterncaribbean/coronavirus-disease-covid-19-what-parents-should-know
  • WHO. (2004). Guiding principles for feeding infants and young children during emergencies. World Health Organization. Retrieved February 17, 2023, from https://www.who.int/publications-detail-redirect/9241546069
  • WHO. (2020a). Home care for patients with suspected or confirmed COVID-19 and management of their contacts. World Health Organization. Retrieved February 17, 2023, from https://www.who.int/publications/i/item/home-care-for-patients-with-suspected-novel-coronavirus-(ncov)-infection-presenting-with-mild-symptoms-and-management-of-contacts
  • WHO. (2020b). Clinical management of severe acute respiratory infection (‎SARI)‎ when covid-19 disease is suspected: Interim guidance, 13 March 2020. World Health Organization. Retrieved February 17, 2023, from https://apps.who.int/iris/handle/10665/331446
  • WHO. (2022). Implementation guidance: Protecting, promoting, and supporting breastfeeding in facilities providing maternity and newborn services: The revised baby-friendly hospital initiative 2018. World Health Organization. Retrieved February 17, 2023, from https://www.who.int/publications-detail-redirect/9789241513807
  • Yahya, N. F., Teng, N. I., Shafiee, N., & Juliana, N. (2021). Association between breastfeeding attitudes and postpartum depression among mothers with premature infants during COVID-19 pandemic. International Journal of Environmental Research and Public Health, 18(20), 10915. https://doi.org/10.3390/ijerph182010915 Yu, Y., Xu, J., Li, Y., Hu, Y., & Li, B. (2020). Breast milk-fed infant of covid-19 pneumonia mother: A case report. Research Square https://doi.org/10.21203/rs.3.rs-20792/v1

Covid-19 İle Enfekte Emziren Kadınların Emzirme Tutumları Ve Deneyimleri: Karma Yöntemler Araştırması

Yıl 2024, Cilt: 9 Sayı: 1, 15 - 31, 29.04.2024
https://doi.org/10.47115/jshs.1271684

Öz

Amaç: Bu araştırma; COVİD-19 ile enfekte emziren kadınların emzirme tutumları ve deneyimlerinin özünü ortaya koymak amacıyla yapılmıştır.
Yöntem: Araştırmada yakınsayan paralel karma yöntem tasarımı kullanılmıştır. Çalışmaya karadeniz bölgesinde bir ilde bulunan bir toplum sağlığı merkezine COVİD-19 semptomları ile başvuran ve COVİD-19 testi pozitif olan emziren kadınlar katılmıştır. Araştırmanın nicel ve nitel verileri Temmuz 2021- Şubat 2022 tarihleri arasında çevrimiçi olarak toplanmıştır. Araştırmanın verileri “Sosyodemografik Bilgi Formu”, “Emzirme Tutumunu Değerlendirme Ölçeği” ve “Yarı Yapılandırılmış Görüşme Formu” kullanılarak toplanmıştır. Nicel bölüm için 82, nitel bölüm için 7 kadından veriler toplanmıştır. Araştırmaya başlamadan önce TC Sağlık Bakanlığı'ndan çalışma onayı ve Ondokuz Mayıs Üniversitesi Klinik Araştırmalar Etik Kurulu'ndan etik onay alınmıştır (25 Haziran 2021/ OMU KAEK2021/316).
Bulgular: Çocuk sayısı, bebeklerin ayları, emzirmeye yönelik eğitim alma durumları ve bebeğin beslenme durumunun emzirme tutumunu etkilediği bulunmuştur. Emzirme tutumu değerlendirme ölçeği toplam puan ortalamasının 91,7710,63 olduğu belirlenmiştir. İçerik analizi sonucunda ise “Hastalık boyunca kadınların duyguları”, “Hastalık bebekleri nasıl etkiliyor”, “Kadın- bebek teması”, “COVİD-19 ve emzirme” ve “Kadınların destek alma durumları” olmak üzere beş tema belirlenmiştir.
Sonuçlar ve Öneriler: Kadınların hastalık sürecinde emzirme tutumlarının orta düzeyde olduğu, bu süreçte; yoğun olarak korktukları ve almış oldukları desteğin onların hem ruhsal durumları hem de emzirme tutumları üzerinde etkisi olduğunu ortaya koymuştur. Bu süreçte kadınlara sürekli çevrimiçi veya telefonla destek verilmesi emzirmeye yönelik tutumları iyileştirebilir.

Kaynakça

  • ACOG updates on novel Coronavirus Disease 2019 (covid-19). ACOG. (2020). Retrieved February 17, 2023, from https://www.acog.org/news/news-articles/2020/03/acog-updates-on-novel-coronavirus-disease-2019
  • Aşcı, Ö., Demirgöz Bal, M., & Ergin, A. (2021). The breastfeeding experiences of covid ‐19‐ positive women: A qualitative study in Turkey. Japan Journal of Nursing Science, 19(1). https://doi.org/10.1111/jjns.12453
  • Arslan Özkan, H. (2015). Emzirme Tutumunu Değerlendirme Ölçeği. Kadın Sağlığı Hemşireliği Dergisi, 2(1), 53-58
  • Bartick, M. (2020, March 31). Covid-19: Separating infected mothers from newborns: Weighing the risks and benefits. COVID-19: Separating Infected Mothers from Newborns: Weighing the Risks and Benefits | HMS Postgraduate Education. Retrieved February 17, 2023, from https://postgraduateeducation.hms.harvard.edu/trends-medicine/covid-19-separating-infected-mothers-newborns-weighing-risks-benefits Brown, A. & Shenker, N. (2020). Experiences of breastfeeding during COVID‐19: Lessons for future practical and emotional support. Maternal & Child Nutrition, 17(1). https://doi.org/10.1111/mcn.13088
  • Centers for Disease Control and Prevention. (2021, March 25). Coronavirus disease (covid-19) and breastfeeding. Centers for Disease Control and Prevention. Retrieved February 17, 2023, from https://www.cdc.gov/breastfeeding/breastfeeding-special-circumstances/maternal-or-infant-illnesses/covid-19-and-breastfeeding.html
  • Ceulemans, M., Verbakel, J. Y., Van Calsteren, K., Eerdekens, A., Allegaert, K., & Foulon, V. (2020a). SARS-COV-2 infections and impact of the COVID-19 pandemic in pregnancy and breastfeeding: Results from an observational study in primary care in Belgium. International Journal of Environmental Research and Public Health, 17(18), 6766. https://doi.org/10.3390/ijerph17186766
  • Ceulemans, M., Hompes, T., & Foulon, V. (2020b). Mental health status of pregnant and breastfeeding women during the COVID‐19 pandemic: A call for action. International Journal of Gynecology & Obstetrics, 151(1), 146–147. https://doi.org/10.1002/ijgo.13295
  • Chen, H., Guo, J., Wang, C., Luo, F., Yu, X., Zhang, W., Li, J., Zhao, D., Xu, D., Gong, Q., Liao, J., Yang, H., Hou, W., & Zhang, Y. (2020). Clinical characteristics and intrauterine vertical transmission potential of covid-19 infection in nine pregnant women: A retrospective review of medical records. The Lancet, 395(10226), 809–815. https://doi.org/10.1016/s0140-6736(20)30360-3
  • RCOG. (2022). Retrieved February 17, 2023, from https://www.rcog.org.uk/guidance/coronavirus-covid-19-pregnancy-and-women-s-health/coronavirus-covid-19-infection-in-pregnancy/ Creswell, J. W. (2001). Research Design Qualitative & Quantitative Approaches. Sage Publications.
  • Creswell, J. W. (2015). A concise introduction to mixed methods research. SAGE.
  • Creswell, J. W., & L., P. C. V. (2018). Designing and conducting mixed methods research. SAGE.
  • Hull, N., Kam, R. L., & Gribble, K. D. (2020). Providing breastfeeding support during the COVID-19 pandemic: Concerns of mothers who contacted the Australian Breastfeeding Association. https://doi.org/10.1101/2020.07.18.20152256
  • Imdad, A., Yakoob, M. Y., & Bhutta, Z. A. (2011). Effect of breastfeeding promotion interventions on breastfeeding rates, with special focus on developing countries. BMC Public Health, 11(S3). https://doi.org/10.1186/1471-2458-11-s3-s24
  • Kumar, B., Kumar, S., Rathore, P., Shweta, Krishnapriya, V., Haokip, N., Thankachan, A., & Bhatnagar, S. (2020). Why I can't breastfeed my new-born baby? psychosocial dilemma of a COVID-positive post-LSCS mother. Indian Journal of Palliative Care, 26(5), 150. https://doi.org/10.4103/ijpc.ijpc_157_20 Kumari, A., Ranjan, P., Sharma, K. A., Sahu, A., Bharti, J., Zangmo, R., & Bhatla, N. (2020). Impact of covid‐19 on Psychosocial Functioning of peripartum women: A qualitative study comprising focus group discussions and in‐depth interviews. International Journal of Gynecology & Obstetrics, 152(3), 321–327. https://doi.org/10.1002/ijgo.13524 Martins-Filho, P. R., Santos, V. S., & Santos, H. P. (2020). To breastfeed or not to breastfeed? lack of evidence on the presence of SARS-COV-2 in breastmilk of pregnant women with covid-19. Revista Panamericana De Salud Pública, 44, 1. https://doi.org/10.26633/rpsp.2020.59
  • Oncel, M. Y., Akın, I. M., Kanburoglu, M. K., Tayman, C., Coskun, S., Narter, F., Er, I., Oncan, T. G., Memisoglu, A., Cetinkaya, M., Oguz, D., Erdeve, O., Koc, E., Derme, T., Şahin, D., Güzel, B., Tekin, A. B., Akın, Y., Kale, A., … Üstün, H. (2020). A multicenter study on epidemiological and clinical characteristics of 125 newborns born to women infected with covid-19 by Turkish Neonatal Society. European Journal of Pediatrics, 180(3), 733–742. https://doi.org/10.1007/s00431-020-03767-5 Rhodes, A., Kheireddine, S., & Smith, A. D. (2020). Experiences, attitudes, and needs of users of a pregnancy and parenting app (Baby Buddy) during the covid-19 pandemic: Mixed Methods Study. JMIR MHealth and UHealth, 8(12). https://doi.org/10.2196/23157
  • Snyder, K., & Worlton, G. (2021). Social support during COVID-19: Perspectives of Breastfeeding mothers. Breastfeeding Medicine, 16(1), 39–45. https://doi.org/10.1089/bfm.2020.0200
  • UNICEF UK baby friendly initiative. (2020). Retrieved February 17, 2023, from https://www.unicef.org.uk/babyfriendly/wp-content/uploads/sites/2/2020/04/Unicef-UK-Baby-Friendly-Initiative-statement-on-infant-feeding-on-neonatal-units-during-the-Covid-19-outbreak.pdf
  • UNICEF. (2022). Coronavirus disease (covid-19): What parents should know. UNICEF Eastern Caribbean. Retrieved February 17, 2023, from https://www.unicef.org/easterncaribbean/coronavirus-disease-covid-19-what-parents-should-know
  • WHO. (2004). Guiding principles for feeding infants and young children during emergencies. World Health Organization. Retrieved February 17, 2023, from https://www.who.int/publications-detail-redirect/9241546069
  • WHO. (2020a). Home care for patients with suspected or confirmed COVID-19 and management of their contacts. World Health Organization. Retrieved February 17, 2023, from https://www.who.int/publications/i/item/home-care-for-patients-with-suspected-novel-coronavirus-(ncov)-infection-presenting-with-mild-symptoms-and-management-of-contacts
  • WHO. (2020b). Clinical management of severe acute respiratory infection (‎SARI)‎ when covid-19 disease is suspected: Interim guidance, 13 March 2020. World Health Organization. Retrieved February 17, 2023, from https://apps.who.int/iris/handle/10665/331446
  • WHO. (2022). Implementation guidance: Protecting, promoting, and supporting breastfeeding in facilities providing maternity and newborn services: The revised baby-friendly hospital initiative 2018. World Health Organization. Retrieved February 17, 2023, from https://www.who.int/publications-detail-redirect/9789241513807
  • Yahya, N. F., Teng, N. I., Shafiee, N., & Juliana, N. (2021). Association between breastfeeding attitudes and postpartum depression among mothers with premature infants during COVID-19 pandemic. International Journal of Environmental Research and Public Health, 18(20), 10915. https://doi.org/10.3390/ijerph182010915 Yu, Y., Xu, J., Li, Y., Hu, Y., & Li, B. (2020). Breast milk-fed infant of covid-19 pneumonia mother: A case report. Research Square https://doi.org/10.21203/rs.3.rs-20792/v1
Toplam 23 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Ebelik, Ebelik (Diğer)
Bölüm Orjinal Makaleler
Yazarlar

Serap Öztürk Altınayak 0000-0002-3882-0966

Elif Velioğlu 0000-0001-7312-2787

Serap Ejder Apay 0000-0003-0978-1993

Erken Görünüm Tarihi 26 Nisan 2024
Yayımlanma Tarihi 29 Nisan 2024
Gönderilme Tarihi 27 Mart 2023
Yayımlandığı Sayı Yıl 2024 Cilt: 9 Sayı: 1

Kaynak Göster

APA Öztürk Altınayak, S., Velioğlu, E., & Ejder Apay, S. (2024). BREASTFEEDING ATTITUDES AND EXPERIENCES OF BREASTFEEDING WOMEN INFECTED WITH COVID-19: A MIXED METHODS STUDY. Samsun Sağlık Bilimleri Dergisi, 9(1), 15-31. https://doi.org/10.47115/jshs.1271684
AMA Öztürk Altınayak S, Velioğlu E, Ejder Apay S. BREASTFEEDING ATTITUDES AND EXPERIENCES OF BREASTFEEDING WOMEN INFECTED WITH COVID-19: A MIXED METHODS STUDY. JSHS. Nisan 2024;9(1):15-31. doi:10.47115/jshs.1271684
Chicago Öztürk Altınayak, Serap, Elif Velioğlu, ve Serap Ejder Apay. “BREASTFEEDING ATTITUDES AND EXPERIENCES OF BREASTFEEDING WOMEN INFECTED WITH COVID-19: A MIXED METHODS STUDY”. Samsun Sağlık Bilimleri Dergisi 9, sy. 1 (Nisan 2024): 15-31. https://doi.org/10.47115/jshs.1271684.
EndNote Öztürk Altınayak S, Velioğlu E, Ejder Apay S (01 Nisan 2024) BREASTFEEDING ATTITUDES AND EXPERIENCES OF BREASTFEEDING WOMEN INFECTED WITH COVID-19: A MIXED METHODS STUDY. Samsun Sağlık Bilimleri Dergisi 9 1 15–31.
IEEE S. Öztürk Altınayak, E. Velioğlu, ve S. Ejder Apay, “BREASTFEEDING ATTITUDES AND EXPERIENCES OF BREASTFEEDING WOMEN INFECTED WITH COVID-19: A MIXED METHODS STUDY”, JSHS, c. 9, sy. 1, ss. 15–31, 2024, doi: 10.47115/jshs.1271684.
ISNAD Öztürk Altınayak, Serap vd. “BREASTFEEDING ATTITUDES AND EXPERIENCES OF BREASTFEEDING WOMEN INFECTED WITH COVID-19: A MIXED METHODS STUDY”. Samsun Sağlık Bilimleri Dergisi 9/1 (Nisan 2024), 15-31. https://doi.org/10.47115/jshs.1271684.
JAMA Öztürk Altınayak S, Velioğlu E, Ejder Apay S. BREASTFEEDING ATTITUDES AND EXPERIENCES OF BREASTFEEDING WOMEN INFECTED WITH COVID-19: A MIXED METHODS STUDY. JSHS. 2024;9:15–31.
MLA Öztürk Altınayak, Serap vd. “BREASTFEEDING ATTITUDES AND EXPERIENCES OF BREASTFEEDING WOMEN INFECTED WITH COVID-19: A MIXED METHODS STUDY”. Samsun Sağlık Bilimleri Dergisi, c. 9, sy. 1, 2024, ss. 15-31, doi:10.47115/jshs.1271684.
Vancouver Öztürk Altınayak S, Velioğlu E, Ejder Apay S. BREASTFEEDING ATTITUDES AND EXPERIENCES OF BREASTFEEDING WOMEN INFECTED WITH COVID-19: A MIXED METHODS STUDY. JSHS. 2024;9(1):15-31.

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