brookwood women's center labor and delivery

090byzpIKahLpR0+/V1b0zO0tDECiGqOUPwnpmZg0sPqMOGXvv8AS4Wo1mT6BPij7q5/BZ+ZMYk8 2018-01-25T08:17:29-06:00 11.630100 pFN/MX5jXtn5gu9FsLQLLaxBxcXUcvpySEBiqFSp+FTUk/CezV2yOPGDuWWTIRypL4POP5kPqa0X Your Privacy Choices: Opt Out of Sale/Targeted Ads. 0.000000 Before your last weeks of pregnancy, be sure to talk to your doctor or nurse-midwife about your birthing options and what you prefer. converted zRTJaw2zkkIesMjIVXelF6MKk0yk+5uDf5mMV/L7zCwkihpYTn1biP1oloh3ePhLyHtwOMeay5PF RT and Pediatric Hospitalist team available 24/7. Breastfeeding is a learned technique, so you will get better at it with practice. CMYK yQ!?osg&m1K?OF@UWo^T'0c7v`8V0NJ/Rl~[iF4^4)Wg{}$La|yEh#pq PROCESS desktop goose android. All artificial sweeteners are safe in pregnancy no limitations. (2013). A birthing chair may help you feel more comfortable. CMYK cGT+afk1jU4z/FH5hz+aPJqK7Pq2nKsf94xuIAF+Ip8R5bfEpHzGPgZP5p+SnUYx/FH5hqTzd5Kg Contractions become strong and regular and last about a minute. C=23 M=0 Y=26 K=0 You can write down all of your preferences as a birth plan. 1 0 obj <>/OCGs[9 0 R 10 0 R 11 0 R 12 0 R 13 0 R 14 0 R]>>/Pages 3 0 R/Type/Catalog>> endobj 2 0 obj <>stream Complementary and alternative therapies for pain management in labour. FZDPDcrVHaJeLwfB8cUaSU7cqYJ81jyeY5wz6K7FXYq7FXYq7FXYq7FWd/lD/wAd28/5hT/ycTNt You also can use a combination of these choices. 17.865300 XDNyCoy1Umqhf2dxbJgHrPlnU9AmiNjo2uvqzRKJGpd/XpgjBeLMxlkfiQVoT4++VlkG9ehkk1PR Massage of the shoulders and lower back during contractions may ease your pain. C=65 M=43 Y=26 K=78 Most fish are fine. qC3ls8shoAUaOG1tUVV3oak/wgWQVfNEF8brRxpstrDeG5k9L63SZW/0aUkL6fFlPEHfkv0/ZKFK If you need help getting started, ask a nurse or breastfeeding specialist (lactation consultant). They will also watch for any problems, such as heavy bleeding, especially if you have had it before. Oohp4bbzPIfpcrsnT5NVPfbHHmf0DzY0PzQ83HosP/Io/wBc5/8AlXN5fJ6j+RsHefn+x3/K0PN/ 10G9sn28vNdNHcma053pDgxkMsjuv7s1ZjxDCo361OVw08oH+7vex6vwGyepjP8AynD6aPo7+nf7 Just another site. It's a very, very, painful, debilitating condition. ifsi virtual learning. Preferred * Two or more (2+) years prior inpatient experience as an RN. It can take many hours or days for the cervix to open all the way so you can begin pushing. xmp.iid:445a1b58-d19d-4660-a28a-8773292f399e C=83 M=1 Y=0 K=0 Type 1 Classes are designed for first-time parents or those who would like a refresher prior to delivery. Avoid skydiving,horsebackriding, andSCUBA diving. Continuous support for women during childbirth. CMYK If you arrive at the hospital or birthing center in early labor that is progressing quickly, you can expect some or all of the following: Before your baby is born, plan ahead about: No one can predict when labor will start. Black Breastfeeding is something you and your baby have to learn together. He was like a deer in headlights. After 20 weeks,avoid exercisesthat place youflat on yourback. A C-section may be planned or unplanned. Forceps delivery and vacuum extraction. cCvGvuOhPEPx/ainpHlu21y3030tanFzeLIwWX1ElJiGyFmS3s15ECrUj696ZEsgi7v/AHosv+Mx Avoid use ofNitrous Oxide(Laughing Gas). laBQZAG3Hxb5VPHKI3r5hux5YyO3F8QR94ejWHliwsr830dxfyznkAs9/eTQgMKU9CSVodh0PCvv S5JtL8veXr8pRRe30d1buxDkoWjZYK+m3PZfAd2qLSWAeseW9O1i0tmTU4dLVgFW3i09JIljjVaB PEkUhJaGSBlZJlkQqyTN1XLcWTgJ2u/7WnNi4wKNUf0EdfekegeW9R8rpNC99dapYSFWjMvBvRIB proof:pdf See more ideas about brookwood, real stories, medical center. For a complete list of class options, please call 405-395-5230 or register online. Hodnett ED, et al. V6dSt4zMIZJ5LiW8ZJIUajSNRWPNXJG/tSlMyIRlEcQ5OPklGR4TzZ7+Xv6MvtVvYLyAOsMRDR3c Are mild to moderate (you can talk while they are happening) and last about 30 to 45 seconds. C=11 M=0 Y=18 K=0 And then I just focused on my baby, my son, Jack the best part of all of this. For comfort, different positioningfor intercourse in pregnancy may be necessary. NQnjsxHX6cnEkMZAFKfLGpX3l65GmWmijU7aPhbrqVtNEZzbQUjDzRgyMzmhYVYVrvvyyeSXEAGE "We were all crying in the delivery room because it was such a special moment and just three days later, I delivered our little girl," said the new mom, who welcomed their daughter at a hospital back home in Tennessee. "Seeing my child for the first time was such an emotional experience," he added. NI0K4P7P6P6WUeWfKfk7yyxk0ewlgnaP0pLhoriSV1qD8bupZj8A3PgMp8M3d/a3me1foZJDdRTM Skip to main content and our Accessibility Statement may be found in the footer of our website. BBH Process 11u6jvdTiUrPcwx+ijfESgCAtTilFO+9K5jlvCaYEsbvrj8vdB1X6zcnSdN1icik0htre5czcgPi Millions of Women Are Injured During Childbirth. 0AkZYo+bywcmEfpqxYkk+24hqzkIHCfx8w26WOME8Q/H+lKYnyhHqOpPe6ghjnl9J/VFvCvpmNom +r19EOY0XlwLMexJJ5E8mrlS1xrYASPX3uHHQAEXImI5DatuXRP/ADB5YuNT1CK7iuhEI4vSMLqX 0.000000 If you can't urinate, a tube (, Repair the area between your vagina and anus (, Remove the small tube in your back if you had, An Rh immunoglobulin shot (such as RhoGAM). Even if you plan to not use pain medicine (natural childbirth), it can be comforting to know that you can get pain relief if you want it. how to get a towing contract with geico university of west london ranking world university of west london ranking world Baby basics class. Childbirth Classes Brookwood Women's Health skip to content (205) 397-8850 Search Pay Your Bill Home About Us Our Office Obstetrics Gynecology Patient Education Appointments Patient Education Our Health Library information does not replace the advice of a doctor. swQNczfUp+ECBWZzwOwDxzqT842+WZUCQQQ4s4ggg8njHkGw8zXV7FqcWkmya3YVDtbQBkU8vSMq Color Group 1 During the second stage: Your medical staff will be ready to handle anything unexpected. My water broke and the baby's head started crowning. PROCESS This became a cause for me, almost. chstN8rLMK+r8xfaWYCaLLMWSJZWjb/RpeImJdKLy6f5VOnXEKgvyim1aXQZ21Rbhbv15eQuYmhf This verdict is a wake-up call for hospitals that don't take women seriously. In a country that has a host of issues surrounding maternal and fetal care (as well as a rising maternal mortality rate), Malatesta's victory has the potential to make a significant mark on not only the way we talk about birth, but on how providers market it and follow through on their promises. Pregnancy: Should I Have an Epidural During Childbirth? Hours. It was a power struggle. Uterine contractions will feel different. jpge00srd3/RpBvFGfcj7Tew+nI6vtOMPTDeX2B2Gh7Jlk9U/TH7S8nvr+8v7p7q8laa4kNXkY1P You can choose whichever position feels most comfortable. Breastfeeding: Should I Breastfeed My Baby? PS/upXY+sZbn4BuU5sKeoabk0yyoEMPWCLZ95T1XzD5gik/xFcWWpaPM0lq0enmK4U+rBI3F2tnl In most cases, a woman can be awake during the birth and be with her newborn soon afterward. Magenta CMYK Year. zBCDI6LELa+Mfwt6XJik5X4o1HxO3+XQEmtzW918s3k7QR2Vzp9zAYYVke9vG5LJI7HkikTTTVB6 C=100 M=35 Y=3 K=21 Active. I just couldn't sit that long in a chair. This is a time when your doctor or nurse-midwife will be deciding what is best for you and your baby. Freaking! F/L+12vaEfSCyDWdUttK0u41C5kiiigWvOd/Sj5E8UDyUbiGYgVpnXgOqLAvLv51afq+rw6dJaW9 The nurse treated me like a disobedient child! Others may only allow you to suck on ice chips or hard candy. Our providers may not see and/or treat all topics found herein. Adobe Illustrator CC 2017 (Macintosh) 7U4fFMABK/cfs/AZj5um1O21a1t0uY9P0xqPNqct2nq/Cj1j9CaMqRy4fEHr/G/BInpbj54gdaSS Lawrence A, et al. De7zmz1bzxa6ssej2f1D6zbvGXv0KvIS6swhKMQCqI1SaUJBFdxmYIWCe5pMqNd6WW2k6nBrsuiX In August 2016, Malatesta finally got her day in court, where she was awarded $16 million and the affirmation that her birth experience was not only unacceptable, but a direct result of misrepresentation by Brookwood. Even if you have had a baby before, the next time will be different. Wingdings Exercise ishealthy. C=1 M=43 Y=16 K=0 Tour the Birthing Center. PROCESS Most babies are born in a vaginal delivery. / She has practiced in women's health since 2021. Intercourse does not cause preterm labor or miscarriage; spotting or light bleeding can occur because of intercourse. We welcomed our 3rd born on February 28, so I knew that I'd slow down just a little bit after delivery. land o' lakes high school homecoming 2021. maison d'amelie paris clothing. Some women labor in water or take a shower. SWC2ka1tpRxkRCQXA7Mw/Vmz08TiBAJ9XNzsejgCCRZCTZNy3Yq7FVS2uJra4juIW4TRMHjagNGU FcTXC2Uxiis2KXDNwNBGwSWjf7E/LGPNB5PE9Cv2uPqw1C6806SzXCJLb8XMSrFKXqWhJ4o4rzIQ jxcJJB5vTvIt1+Yc90v+I7dorM2rMZGNrxM/qj0/T9B3kp6W55gb46gYgPQd78/0sdPLMT6xQ+H6 zdXIxiSNz15X9zI7rzpbaRdslvY2ED3zvdhtXuLnTLj15X5OFguYJnYL1/dvwr8K+OUZMZvn8iP0 Jbjy7GdQaUeVhMpmklaZr77RkkKswjJK/EgDlTt2zNlpvVfhXv8Azv0OvjqjwV4tbAfR3Dv9+1oW tNU/L7U3FtNbz2qLEzOjD1TVZCWZfiHQlq/qyr8wdwQ3flxzBSrXfJraddLNdei5uo7hpViMnxgR Expecting parents and siblings can tour the Birthing Center by appointment. Now that he knows the truth, J.T. This is a common reaction in the hours after delivery. Type 1 Another woman may have no advance signs before she goes into active labor. View this and more full-time & part-time jobs in Bradenton, FL on Snagajob. Associate Editor, Human Interest - PEOPLE. w6XD6q2jrJdQKFviViqH5g1H7S8OQ+WXYBZPPkeTTmO3TmObCdLutIk8vay2k6b5XtIjGhuW0zUT C=11 M=17 Y=0 K=0 1 converted Many women ask for pain medicine, such as an epidural injection, which partially or fully numbs the lower body. Katie felt confident she would go into labor slightly ahead of schedule and she was right. CMYK . ZwqjkAXC1U08K+GZ+DHkERxH0mI383XznAz2Hq4vsRdnYeQdVu/0fHqksuo2/pyzWKzcpYSxX02k C=0 M=70 Y=100 K=0 PZj4iead520yaSa31hYLdTDJKiCNmDxxCsxIo+yqRXBHFI7xWWaI2l+K5sm0uDSRbJdaZBDFBdRp After 34 weeks, it is best to be within two hours of the hospital. Univers PROCESS You may have signs that early labor is not far off. ?}$@t(w?,q](^f1-"5Gv.M-K*[kIX~}xO=P`/mBp0Qjk1XgjUB^((qZ~'zMEM vP/$q For instance, labor may stall, or the baby may need help to get through the birth canal. This pushing stage can be as short as a few minutes or as long as several hours. kj6/3yMzcOa8XUcj1pU0yRh1Y8fRB2/5jvPrj2xs/RuI45EBkhkFs3FGnBEgJXkwjKr/AJVB3GS8 Check your bladder to make sure it isn't full. PROCESS Type any search term in the textbox or use the arrow keys chose an item from a list of suggested search terms, The key to knowing when you're in labor is that the contractions start to get longer, stronger, and closer together. Comfort measures you want to try. 1.126100 001.000 In our conversation, he confirmed what I had read. (2010). s7saAAbkknMcByGDTWvky/u5ooPMNkH+svdyW0FxGG9TmWb1FSUchyb4gwp44nT6gEm5UduXTyQN There are many ways to reduce the stresses of labor and delivery. 3.000000 Women's Medical Center, Brookwood Baptist Health "Everyone in the room was crying," Katie recalled of the moment baby James was born at Brookwood Women's Center. from application/postscript to application/vnd.adobe.illustrator You may want to write them down as a birth plan. SyTyv5603Wbv9HWkDxNDyUJIJVf041H7yjRqONTx3atfEb5cY7W1cW9MqyDJL9amtUt0jub+OwWd She was a Labor and Delivery nurse for four years prior to becoming a WHNP. Some birthing centers use a birthing stool or chair during the pushing stage. GowRywMJjY/j+xitv5sj0fQb/SNcJk1HTT9WhT9qdGFYXFf8nqe23c5b2tnx4KzDlPcDz6ho7C0+ A cesarean section is the delivery of a baby through a cut (incision) in the mother's belly and uterus. You are more likely to have a fast labor if you have given birth before. converted eTE9O/KHyPbazHqKxvL9XKtDautsIFMQAQ/u4kkYjiDVnJY/arvlh7VlIGP2/guLHsvHGXFXw2/V No limits until the third trimester (around 28 weeks). Stage two. "The biggest thing is that the new center will match the level of overall care the patients have been getting," Hosier said. ljQLyBHEb0OU5jDfhkD8Df3dzkYDM1xRI+Ir7DbG9R/MvzLBrEln5g0y0it472WOwmaWO2qICQVP C=0 M=7 Y=32 K=1 (Please reserve routine calls and refills for office hours). Around 2:30 in the morning, I felt a gush and thought my water had broken (it ended up being bloody show), and even though my contractions were still far apart, we went to the hospital. 1995-2023 Healthwise, Incorporated. At first, your contractions may not be regular, and they may happen only now and then. I was completely nonfunctional for six months. dNbQzc4S0pIlb7NV7LnW5MUIi77q357b+6i8VizTmaIrne3Lfb32N0ss/LGlCGZdT/K2CevAIbbT WMc4+FwKL/KPiryrkzzyIolx4aeETYiAXo8eqedyD6ui2qn4aBNYu26/brW3Tp+z1r3plN/ig3V+ Have had regular contractions for an hour. hw1GKS3QuCQvOGJeDKG222UgftNS4lrAe0eUfJlp5csoIdPN/awpAIxpxmlltoiW9R+CFgnLmzVc Charge Nurse Women's Center Labor and Delivery Full-Time Nights job in Bradenton, FL. 0.000000 E-Commerce Site for Mobius GPO Members brookwood women's center labor and delivery. Brookwood Baptist Medical Center is partnering with OB Hospitalist Group (OBHG) to offer an OB Emergency Department and OB hospitalist program, where expectant mothers are ensured to be evaluated and treated by a physician regardless of time, location, complication or circumstance. CMYK 0.000000 VWk1rTYlcAqWuYFBBVXFKt3VlPyIxGDIf4T8ig6nEOco/MIqHXfLtxcraQahZy3TmiQJNE0hNGOy TrueType Strong massage of the back muscles (counterpressure) during contractions may help relieve the pain of. 28.476400 67 Bold Condensed If this is happening quickly, your doctor may advise you not to push every time, which may give the, Kneeling, getting down on your hands and knees, or leaning onto a birthing ball may help to take pressure off your back. Compared with early labor, the contractions during active labor are more intense and more frequent (every 2 to 3 minutes) and longer-lasting (50 to 70 seconds). To tour our unit, please call (615) 698-3220. They had an ad on TV where a doctor was talking about "natural childbirth," and how they were embracing the concept. hHfX1/c3CyAKpLcGQqhHDiCNydz9onL5Y8UuoHyaxKY/BR15Fd+YU1IvbSWsy3TxW0Vs4jef0Rx4 WS1BmKI9/nQoPGQ0ogbBPWvKzZ/BYd+T+m/mTrdtNdQ+ddRtpo2WPUbqd7XWLSiFmMVs73NyObJJ "If I was not at work and if not for the excellent teamwork in women's labor and delivery, this would not have been a birth story or announcement we would be making . 7.000000 To bring the truth out on behalf of so many other women. Smith CA, et al. Apply for a Universal Health Services, Inc. +DlJWWl5iZmpucnZ6fkqOkpaanqKmqq6ytrq+v/aAAwDAQACEQMRAD8A9U4q7FXYq7FXYq7FXYq7 0.000000 55 Roman False CMYK saved 4RkTzlSPQ7fztvvs6fNMDhlHb3Ad/wDSP4pdRhgTxRl9pPd/Rj+LTfzXaXl3YiTTrW1utSgkje3+ The process that leads to the birth of your baby is called labor and delivery. 2018-01-25T08:16:13-06:00 They are used as part of another procedure or for an emergency delivery. 32.550500 16.000000 georyFiteJr06ZHNgljri6pwaiOS+HoyG4tba5QJcRJMgYMFkUMAy7g0NdxlIJHJuIB5qc1vp116 0.000000 12.365900 bVPthAtBNKNh5giuLBbu6srvTWPL1La6iq6cWK/E0DTxb0rs5+/JcBRxhFLqdqwqomI8RBMeu/8A A mother in first-time labor will take up to 3 hours in transition, and a mother who has vaginally delivered before will usually take no more than an hour. Fresh Mangos. 0l1j+TPlqzfTWS/1SUaYWMaTXXqLIXjeNvUDKeokP2OOHjLEwB2TTV9V0nynb/WLi4kvL5oVhtYJ Have a sudden release of fluid from your vagina. Call your physician if heavy vaginal bleeding occurs after intercourse. from application/postscript to application/vnd.adobe.illustrator Share Your Story Your personal patient story means a lot to those you love, those who care for you and for the team at Women's Medical Center at Brookwood. . /FtIHHbBM7rEbILPK3qGfaBqH13TkZjWaL93L41HQ/SM7/snV+PhBP1R2P483RarFwT8ixvzb+ZN w2DlYmO9f2P6ZWQO9tBPclv5jSrF5C8wSNJDCFsJyZLpPVgHwH+8j4S8lPccTgjzU8njPlnStX13 Support persons should remain the same for the duration of the stay. xNDv1zU2ALNu760pafrdhoSSwwxXurUlkS6uYlhd1mqGKSEmGpCuKUB2HXK4RkSJEcPp5fEoEoiw Phone (205) 877-5100 Fax (205) 877-5108. This stage is complete when the cervix is fully effaced and dilated and the baby is ready to be pushed out. q7FXYq7FXYq7FXYq7FXYq7FXYq7FXYq7FXYq7FXYq7FXYq7FXYq7FXYq7FXYq7FXYq7FXYq7FXYq xmp.did:445a1b58-d19d-4660-a28a-8773292f399e 21.0.0 CMYK 0.000000 0.000000 Crowning is when your baby's scalp comes into view. These contractions help to thin (efface) and open (dilate) the cervix so the baby can pass through the birth canal. %PDF-1.5 % CpQb/OtBTDjkIhwthh6uJSufOPkewuHsZ9Vs7aeFzC1uZFUq6qGKcfEKa08MI0siLpfGA6sIvIFs VRZAQK/HHIg+91XEikArb1S0NB1/syrNEmBAZwNFjjeTfL0mtQ621lEuoRpIryCOP94ZQqlnPHkW Jg4CvEFqavYvH6iGRo+nMQykeHXjhMCvGFDWtam02zjuodMvNT9RqGGzEIkUFSwZluJbfbanWtT0 PROCESS ZtuyP7w/1f0h0nbn91H+t+gs51vyRoGrWF3aPbx25vQBNOkFtM1PW9cgJdRXENGkqxrH9o8vtb50 c2DLwkcA+Rtk/lG60D9HfUNJ1Oz1AWzSPKLJ4ikfrSvIFEcbP6ajkVUV6DHPGV3IEe9GCcCKiQa7 The process that leads to the birth of your baby is called labor and delivery. ;>-KYI6ruqH+9v&WbP-@V|3ha%SHNR"-UEcRqMc(zVs.p;-o&0T "X/eld He was at my head, telling me that everything would be OK, and was just trying to comfort me. 001.000 But try to be flexible. That's why we offer a full range of labor and delivery facilities, amenities, and services such as classes and help with breastfeeding. CMYK Lying on your side is helpful if you are tired of lying on your back. "Natural" childbirth techniques (without medicine) may help reduce pain and help you feel a sense of control during labor. Univers-CondensedBold Over the following weeks, I expressed my frustration over the birth to my husband, to some close friends, and even to the hospital. A. Yourheart rate willincrease quickerwith less effortduringpregnancy. Actionsets are designed to help people take an active role in managing a health condition. In some cases, a woman may need medical help to give birth. 0.000000 to 4 cm (1.6 in.) So give yourself permission to change your mind at any time. 35.000000 It was all about comfort and choice. About the Women's and Children's Center: Approximately 50-60 deliveries per month. In the past, a woman who had one C-section delivery had to have all of her other babies by C-section. You may be given some medicine to help the uterus contract firmly. Why?" She told me to have a good day and then hung up the phone on me. sxfFyxFH9DkcEC8vvdH1Wy/MyW6sJbq50sRxXFxZR+rccT6zKxNtGj8iFK8di4AryHXN2BKQBNDp 100.000000 seM3EU1ZdVkyCpGwmOXuO7FXYq7FXYq7FXYq7FUDq2pzafHE8en3WoerII2S0EbNGCCebiSSL4dq 13.189600 Forceps delivery or vacuum extraction is used to assist a vaginal delivery. CMYK They strengthen your pelvic floor muscles. Heavy bleeding: Bleeding heavier than the first day of your periodcan be significant. This is good for you, because it improves your circulation. Address 2006 Brookwood Medical Center Drive Suite 202, Homewood, Alabama, Estados Unidos 35209. uIpSgYFxWlRyAptl2OfD1aMkBLoidCn1xtPkGtwW8N56jBFs+XpGOgo1WJNSa5WWYDXmDV4tNs7e She ignored me, acting almost annoyed with me. converted When I heard the verdict, I was shaking. ULVRVloW23GC5xtv4YSYv+bflrzFYmwTQL1k06dJv0ms7GRyqtGPhVU5Ggcn4WG/thwzle3NjnhH That's why I'm so horribly injured, because she kept holding the baby in. 1711_BBH-Brookwood-Map-MAP For more information, see the topic. It all happened so fast. Adobe Illustrator CC 2015.3 (Macintosh) Caroline Malatesta was just awarded $16 million in a lawsuit against the hospital where she delivered her fourth child. % \p8b/9@NY8l@]7D"(UBlXlk{NnCg,s9\]%,^%Z2z1*buB}VIW%0l* @ Y\("D, Y!KEAZWZ$n2u\9kn`P gpA!.(]%(uGiTF4vjRT5OkZMJp!`(6ILgel:(r*4v`Hda4=-6}( !^*nq(b8EpNOSrpik"=^G_/kgc5?iNRSuElx5! Adobe Illustrator CC 2017 (Macintosh) You just take one day at a time. uzfAwd9qnbp4ZtMR8OERdiurrZw8ScjVHy6pp5N0C+g1KC8vvLk2najKq/pK+M1o8MnCJeghmaWo Ejbf4a2lg9Vfzz5fRnVppapxrTTb015mg40tvi3606d8hwsrWXerwX0+mT2jTTWwnnWUxQywiq2s 22.000000 endstream endobj 3 0 obj <> endobj 16 0 obj <>/Resources<>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>/Shading<>>>/Thumb 28 0 R/TrimBox[9.0 9.0 1161.0 729.0]/Type/Page>> endobj 17 0 obj <>stream +YNeKlTqV0Vb7Q9eSh3rv8XicH5jJ/OPzLP8ri/mx+QW/pzWqU/SFzQbgetJ3+nB40/5x+afy+P+

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