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Pregnancy

Chiropractic helps pregnant women by relieving spinal pressure, aligning the pelvis, and optimizing nervous system function. This can reduce pain, improve fetal positioning, and ease labor. Many women also experience better digestion, sleep, and emotional balance during care. A mother's experience directly affects her growing baby. A regulated nervous system goes a long way for ensuring healthy pregnancy, birth, and development.

Pregnancy Dress
Image by Suhyeon Choi
Pregnancy

Chiropractic Care Through Every Phase of Pregnancy

Pregnancy brings remarkable changes to a woman’s body, often accompanied by aches, pains, and biomechanical stress. Chiropractic care is a natural, drug-free approach focusing on spinal and pelvic alignment. It has emerged as a valuable support for pregnant mothers. From the early weeks of pregnancy through birth and beyond, gentle chiropractic adjustments can improve mothers with comfort and improved quality of life while also fostering optimal conditions for the baby’s development and birth. In this comprehensive review, we explore how chiropractic care can benefit expectant mothers in each trimester, support healthy fetal positioning, reduce issues like breech presentation, and contribute to a safer, easier birth. We also discuss the safety of prenatal chiropractic and highlight specialized techniques like Webster Technique, Blair Upper Cervical, SOT, TRT, and Network that chiropractors use to care for pregnant patients. All claims are backed by research, case studies, and expert observations to provide an excellent resource for moms and families considering chiropractic during pregnancy.

Introduction: Why Consider Chiropractic During Pregnancy?

Pregnancy-related back pain and pelvic discomfort are extremely common. Studies indicate that at least 50% and as much as 90% of pregnant women experience low back pain or pelvic girdle pain by the third trimester. This pain isn’t just an inconvenience; it can interfere with sleep, work, and daily activities, significantly impacting a mother’s quality of life obgynkey.com. Unfortunately, treatment options are limited because pregnant women must avoid many medications. This makes safe, drug-free interventions highly desirable obgynkey.com. Chiropractic care is increasingly sought by women during pregnancy as a means to relieve pain and improve function. Chiropractic focuses on correcting spinal misalignments known assubluxations, which in turn can reduce nerve irritation and muscle tension. By restoring proper alignment and movement, chiropractic adjustments aim to alleviate back pain, hip pain, sciatica, and other musculoskeletal symptoms of pregnancy. Importantly, these benefits can often be achieved without drugs or invasive procedures.

Research supports the effectiveness of chiropractic for pregnancy discomforts. For example, one study found that 75% of pregnant women who received chiropractic adjustments reported relief from pain and discomfort obgynkey.com. Another survey reported that 84%–94% of pregnant chiropractic patients experienced clinically significant pain relief, often with just a few visits draperutahchiropractic.com arrowheadclinic.com. These high satisfaction rates highlight why many expectant mothers turn to chiropractic as their bodies change.

Not only does chiropractic care help ease pregnancy aches, it may also contribute to better birth outcomes. By maintaining proper alignment of the pelvis and spine, chiropractic is thought to help the baby assume an optimal position for birth and to reduce mechanical stresses that could complicate labor. We will delve into the evidence that regular chiropractic care during pregnancy can lead to shorter labor times, less pain during labor, reduced need for interventions, and even a lower likelihood of breech births. A retrospective study famously found that first-time mothers under regular chiropractic care had labor times that were 25% shorter, and mothers with previous births had labor times 31% shorter than average pmc.ncbi.nlm.nih.gov. Midwives collaborating with chiropractors have observed similar trends, noting that their patients receiving prenatal chiropractic had “shorter, easier labor periods, less pushing time, higher likelihood of natural vaginal birth, and more successful breastfeeding”f4cp.org.

Crucially, chiropractic is considered extremely safe for pregnant women. The American Pregnancy Association affirms that “there are no known contraindications to chiropractic care throughout pregnancy.” Chiropractors use specialized techniques and equipment such as pregnancy pillows or adjustable tables to accommodate a pregnant mother’s body and avoid pressure on the abdomen. The adjustments themselves can be very gentle. A 2012 literature review of adverse events found only a handful of minor cases of complications related to spinal adjutsments during pregnancy, and concluded that serious injuries are exceedingly rare pmc.ncbi.nlm.nih.gov. In fact, surveys of practitioners indicate a general consensus that chiropractic is safe for pregnant patients pmc.ncbi.nlm.nih.gov. As an added reassurance, chiropractic has been increasingly integrated with maternity care. For example, birth centers often partner with chiropractors reflecting growing confidence in its safety and value for expecting mothers f4cp.org.

In summary, chiropractic care during pregnancy offers an effective, non-pharmacological way to manage pain, improve function, and it may confer additional benefits for the birth process. Below we examine how chiropractic can support mothers and babies through the first, second, and third trimester. We will also highlight specific chiropractic techniques designed for prenatal care.

First Trimester: Laying the Foundation

In the first trimester, a woman’s body is undergoing rapid hormonal changes, though outwardly her belly is still small. Common early pregnancy symptoms include fatigue, headaches, nausea, and postural adaptations as ligaments begin to loosen. While significant back pain is less prevalent in the first trimester than later, about 28% of women report back pain by 12 weeks gestation obgynkey.com. Early pregnancy is also when prior spinal issues or poor posture can start to cause discomfort as the body prepares to accommodate the growing uterus.

Chiropractic care in the first trimester focuses on gentle, conservative treatment to support the body’s adjustments. Chiropractors can perform thorough evaluations to identify any pre-existing misalignments in the spine or pelvis. Addressing these issues early can prevent more severe pain later as the pregnancy progresses. For example, if the mother has an unstable pelvic alignment or a history of low back pain, early chiropractic adjustments can stabilize can help strengthen the spine before the baby’s weight places additional strain.

Chiropractic adjustments in early pregnancy are adapted for safety and comfort. The chiropractor may use special tables or cushions to accommodate the mother lying face-down without pressure on her abdomen healthline.com. If laying down is not an option, chiropractors can adjust pregnant moms laying face up, seated, standing, and any position necessary. Techniques at this stage often involve very mild pressure or instrument-assisted adjustments to avoid quick movements. Many women report that these adjustments not only help with musculoskeletal alignment but can also relieve tension and headaches. There is some evidence that chiropractic might even alleviate certain early pregnancy symptoms: one study found significant improvements in issues like insomnia, headaches, and even nausea/hypersalivation in pregnant patients receiving gentle spinal treatments pdfs.semanticscholar.org. In that study, over 97% of pregnant women experienced relief from headaches after chiropractic treatment, and around 78% found relief from excessive morning saliva which is a symptom of nausea pdfs.semanticscholar.org. While more research is needed, these findings suggest chiropractic’s nervous system benefits may extend beyond back pain.

Another important aspect of first trimester chiropractic care is education and preparation. Chiropractors often advise patients on proper posture, ergonomics, and exercises to strengthen core and pelvic floor muscles. Even at this early stage, practicing good body mechanics (e.g. how to bend/lift safely, how to sleep comfortably) can pay dividends in later pregnancy. Chiropractors may teach gentle stretches and prescribe simple exercises to improve stability in the pelvis. This proactive approach helps lay a strong foundation for the mother’s body to handle the physical changes to come. Starting chiropractic care in the first trimester means the mother builds a relationship with her doctor and can continue care seamlessly through pregnancy. Regular check-ups can catch emerging issues like a rotating hip or increasing spinal curvature early. Overall, first-trimester chiropractic care is about prevention and preparation. Maintaining optimal alignment & nervous system function from the very beginning of pregnancy sets the stage for a more comfortable second and third trimester, and ultimately, a healthier birth.

Second Trimester: Maintaining Comfort as the Baby Grows

The second trimester (weeks 13–27) is when the belly enlarges, weight gain accelerates, and the mother’s center of gravity shifts forward. This phase is often when back pain, pelvic pain, and sciatica start to become more pronounced due to the increasing biomechanical stresses. By mid-pregnancy, at least half of expectant mothers are experiencing significant low back or pelvic girdle pain obgynkey.com. Additionally, hormonal effects (especially the relaxin hormone) cause ligament laxity in the pelvis, which can lead to instability of the sacroiliac joints and the pubic symphysis. Conditions like Symphysis Pubis Dysfunction (SPD), sharp pain at the front of the pelvis, or round ligament pain in the lower abdomen often emerge in the second trimester as well.

Chiropractic care during the second trimester aims to relieve these discomforts and keep the mother active and pain-free. Chiropractors have a variety of gentle techniques to accommodate the pregnant body. As the abdomen grows, practitioners will typically use specialized pregnancy pillows or tables with drop-away sections to allow the mother to lie prone safely healthline.com. Side-lying positions are also used for certain adjustments, supported by pillows, to avoid any strain. Common second-trimester complaints that respond well to chiropractic include:

Low back pain and sciatica: As the lordotic (lower back) curve increases with the belly’s weight, many women get compression of lumbar joints or nerves. Chiropractic adjustments to the lumbar spine can restore normal motion and reduce nerve pressure, often alleviating radiating sciatica pain down the legs. Research consistently shows favorable outcomes. One retrospective series reported 94% of pregnant women had clinically improved back pain with chiropractic, without any adverse effects pubmed.ncbi.nlm.nih.gov. Another study found 75% of women got pain relief after chiropractic adjustments obgynkey.com.

Pelvic girdle pain (PGP): This refers to pain in the pelvic joints, sacroiliac joints in the back, or pubic symphysis in front. A misalignment or excess motion in these joints can cause sharp pain with walking, climbing stairs, or turning in bed. Chiropractors often use techniques like the Sacro-Occipital Technique (SOT) blocking to address PGP. SOT involves placing wedge-shaped blocks under the pelvis at certain angles to gently realign the sacrum and ilia using gravity. This low-force method is well-suited for pregnancy because it helps balance the pelvis and relieve ligament stress without force.

Case reports show that combining adjustments and home exercises can significantly reduce pubic bone dysfunction and pain pmc.ncbi.nlm.nih.gov. In two documented cases of severe symphysis pubis dysfunction at 30 weeks, chiropractic care led to reduced pain and improved mobility, with both women experiencing relief and functional improvement throughout the remainder of pregnancy pmc.ncbi.nlm.nih.govpmc.ncbi.nlm.nih.gov.

Mid-back and rib pain: As posture changes and the breasts enlarge, pregnant women often develop tension in the mid-back (thoracic spine) or rib cage, sometimes causing pain with breathing. When a thoracic vertebra misaligns, the assosiated rib that wraps around the front and connects to the sternum can press on the lung and cause pain. Gentle thoracic spinal adjustments can bring ease to this area and reduce pain. Chiropractors may also address associated neck pain or headaches arising from postural strain.

Round ligament pain: The round ligaments are bands that anchor the uterus and can become strained as the uterus expands, leading to sharp groin pain with sudden movements. Chiropractors trained in pregnancy techniques often gently release tight round ligaments through adjustments. For example, the Webster Technique (discussed more below) includes specific steps to relieve tension in these ligaments on the front of the pelvis healthline.com, which can alleviate round ligament pain and also assist the uterus in sitting more symmetrically.

Importantly, chiropractors also pay attention to the neurological well-being of the mother during the second trimester. The spine houses the central nervous system, which coordinates all body functions. Ensuring the vertebrae are moving properly and not irritating nerve roots can help optimize the function of the mother’s nervous system. Some chiropractic techniques like Blair Upper Cervical or Network Spinal Analysis focus specifically on balancing the nervous system. The Blair Upper Cervical technique, for instance, corrects misalignments of the top vertebrae (atlas and axis) with precise and gentle adjustments. This can improve headaches, vertigo, and overall wellness by removing stress on the brainstem. Network Spinal care uses very gentle touches along the spine to cue the patient’s own nervous system to release tension. Pregnant women under Network care often report not only pain relief but also a profound reduction in stress and improved emotional balance.

Overall, the second trimester is about maintaining stability and comfort as the baby grows. Chiropractic care serves as a tune-up for the mother’s musculoskeletal system, preventing small misalignments from turning into debilitating pain. By the end of the second trimester, the groundwork is laid for the critical third trimester, when fetal position and birth preparation come into play.

Third Trimester: Optimizing Pelvic Alignment and Fetal Position for Birth

The third trimester (weeks 28–40+) is often the most challenging physically. The baby’s rapid growth leads to significant weight gain and the greatest shift in the mother’s center of gravity. The pelvis continues to loosen in preparation for birth, which can exacerbate instability or pain in the low back and hips. By this stage, as many as 75%–85% of women are experiencing back pain or pelvic pain, and about 30% report that pain significantly interferes with daily activities. Additionally, many women develop the “waddle” gait and may experience pain radiating down the legs or in the buttocks known as piriformis syndrome due to the pressure on pelvic nerves.

Chiropractic care in the third trimester has three overarching goals: (1) to keep the mother as comfortable and mobile as possible in late pregnancy. (2) to ensure optimal alignment of the pelvis for labor and delivery. (3) to have a healthy and regulated nervous system so that the mother's stress is not absorbed by the baby. For comfort, chiropractors continue to provide relief for back and pelvic pains with tailored adjustments. Because the belly is quite large now, chiropractors use techniques that allow the mother to lie face-down supported by a special table or pillow with a belly cut-out, or they will adjust with the mother in side posture or seated positions. Adjustments can yield immediate relief, as many heavily pregnant women feel a lot of strain taken off their spine when misalignments are corrected.

Beyond symptom relief, the third trimester is when chiropractic shines in preparing for a smoother birth. The proper alignment of the pelvic bones like the ilia, sacrum, and pubic bone creates appropriate space in the birth canal for baby. Chiropractors remove obstructions for the baby getting into the ideal position (head-down, facing the mother’s back). If the pelvis is twisted or the sacrum (tailbone) is misaligned, it can lead to what’s termed intrauterine constraint. This is the tightening or torquing of the uterus due to uneven ligament pull obgynkey.com. The uterus is anchored to the pelvis by ligaments such as the uterosacral and round ligaments, so a pelvic misalignment can create uneven muscular tension in the uterine walls. These constrict fetal motion and affect the baby’s positioning obgynkey.com. Chiropractors aim to correct these issues before labor.

The most well-known chiropractic technique for pregnancy is the Webster Technique, which is particularly focused on the third trimester. The Webster Technique is a specific sacral adjustment combined with a release of tight muscles and ligaments around the pelvis. It was developed by Dr. Larry Webster in the 1980s with the goal of reducing intrauterine constraint and easing difficult labors. In Webster technique, the chiropractor assesses the alignment of the pelvis by checking the legs/feet for imbalance and palpating the sacrum. If the sacrum is rotated or tilted, a gentle adjustment is applied, often using a drop-table piece or instrument, to correct its position healthline.com. Then, the patient usually lies on her back so the chiropractor can gently press on specific spots on the abdomen. This is not to move the baby directly, but to relieve tension in the round ligaments and associated tissues on the side opposite of the sacral misalignment healthline.com. The effect is to relax any “twist” in the uterus. By making more space in the uterus and pelvis, Webster Technique encourages a breech or transverse baby to turn head-down on their own healthline.com. Unlike an obstetric procedure called External Cephalic Version (ECV) where a doctor manually pushes on the baby through the belly, the Webster Technique does not attempt to force the baby to move. It simply adjusts the mother’s biomechanics to remove constraints, and then nature takes over.

The success of the Webster Technique in reducing breech presentations is documented in several studies and many case reports. A survey of chiropractors published in the Journal of Manipulative and Physiological Therapeutics found that, among 112 documented cases of breech pregnancy where Webster Technique was used in the 8th month, 92% of cases resulted in the baby turning to the head-down vertex position pubmed.ncbi.nlm.nih.gov. The authors concluded this was a very high success rate and recommended that the Webster Technique be considered at around week 34–36 of pregnancy when a baby is breech pubmed.ncbi.nlm.nih.gov. For comparison, the success rate of medical external version is only around 50–60% healthline.com. 

A 2020 published case study described a 28-year-old woman whose baby was breech at 35 weeks; after five Webster adjustments, the baby flipped to head-down before delivery chiroindex.org. Proper pelvic alignment in the third trimester doesn’t just help with breech issues, it can also contribute to a smoother labor for all mothers. The ideal fetal position for birth is head-down and facing the mother’s back (occiput anterior). If the baby is in a posterior position (facing the mother’s front), the mother often experiences intense “back labor” and longer labor duration. Back labor is indeed common; estimates suggest 50–75% of women feel back pain during labor bmcpregnancychildbirth.biomedcentral.com Chiropractic care may help here as well.

The same adjustments that align the pelvis for breech can help the baby rotate into anterior position. Even if the baby is already head-down, a well-aligned pelvis means the passage for birth is as open as possible, potentially reducing labor complications. Obstetric textbooks recognize that difficult labors (dystocia) can result from pelvic misalignment or suboptimal fetal position obgynkey.com. Chiropractic care addresses these factors by balancing the bony pelvis and associated soft tissues. It’s notable that one study found women who received chiropractic adjustments during pregnancy had less pain during labor than those who did not obgynkey.com. Additionally, in clinical observations, mothers under chiropractic care have been reported to have shorter labors and less need for interventions. Dr. Joan Fallon’s review of 100+ births in the early 1990s noted a 24% shorter average labor for first-time moms under chiropractic care and 39% shorter labor for experienced moms compared to population averages pmc.ncbi.nlm.nih.gov. A midwife from the Atlanta Birth Center observed that in their practice, integrating chiropractic resulted in shorter, easier labor periods, less pushing times, and overall increased likelihood of vaginal births for their clients 4cp.org.

Many mothers report that regular adjustments in the last weeks of pregnancy help with the typical discomforts like difficulty walking, lower back stiffness, and even rib pain as everything is crowded. Being well-aligned helps the baby engage properly in the pelvis, which can potentially make the onset of labor and the progression of labor more efficient. Even the subtle influence of chiropractic on the nervous system plays a role. The pelvic nerves, which regulate uterine contractions and cervical dilation, can function optimally when spinal subluxations are cleared. It’s fascinating to consider that chiropractic care might be affecting not just the biomechanics but also the mother’s physiological readiness for labor. 

Chiropractic techniques for pregnant mothers

The Webster Technique is the premier prenatal chiropractic method for addressing intrauterine constraint and breech presentation. It involves a specific sacral adjustment intended to optimize uterine space. Webster chiropractors undergo additional training to specialize in pregnancy care healthline.com. Why choose Webster? If a baby is breech or the mother has sacroiliac or pubic pain, Webster Technique can gently correct pelvic misalignments. Case series show success rates as high as 82–92% in resolving breech positions pubmed.ncbi.nlm.nih.gov. Even for non-breech pregnancies, Webster technique helps ensure the pelvis is in the best shape for labor, potentially preventing certain causes of dystocia obgynkey.com.

Blair Upper Cervical  technique focuses on the upper neck (C1 and C2 vertebrae). Blair chiropractors use a precise analysis to detect minute misalignments in the atlas and axis, then correct them with a gentle adjustment usually given with the patient lying on their side. In pregnancy, Blair Upper Cervical care can be extremely useful for women suffering from neck pain, headaches, or vertigo. It’s very gentle (no twisting of the neck) and thus comfortable even if a mom is feeling nausea or sensitivity. Moreover, upper cervical adjustments can have wide-ranging benefits by improving nervous system communication. Some women report better sleep and reduced anxiety with this care. Anecdotally, upper cervical chiropractors have also noted improvements in pregnancy-related hypertension and stress once the brainstem pressure is alleviated. Blair technique can be a great option for expectant mothers who prefer a focused, low-force approach that avoids pressure on the lower back since it’s confined to the neck. It is often combined with full-spine care if needed, but even as a standalone can contribute to overall balance in the body.

Sacro-Occipital Technique is a comprehensive chiropractic system developed by Dr. DeJarnette, notable for its use of pelvic blocks and emphasis on the relationship between the sacrum (base of the spine) and the occiput (base of the skull). Pregnancy and SOT are a perfect match. SOT is a low-force method where the chiropractor places wedge-shaped blocks under the patient’s pelvis in specific positions, typically with the mother lying comfortably on her back or side. The blocks use gravity and the mother’s breathing movements to coax the pelvis back into alignment over several minutes. This gentle correction is especially good for pelvic instability issues which are very common in pregnant women with loose ligaments jccponline.com. For example, a woman with SI joint pain or a mild pubic symphysis separation can often get relief after an SOT blocking session that realigns the pelvic joints and releases muscle spasms pmc.ncbi.nlm.nih.gov. SOT practitioners also work with the cranial bones using light pressure to ensure the skull and sacrum pump cerebrospinal fluid efficiently. This can help with tension and even sinus issues. A recent article on SOT in pregnancy noted that chiropractic care focused on stabilizing the pregnant pelvis may lead to better pregnancy outcomes and support optimal fetal positioning jccponline.com. Many chiropractors integrate SOT blocking for their pregnant patients because it’s safe, relaxing, and highly effective for the unique biomechanical sequelae of the pregnant pelvis jccponline.com.

Torque Release Technique is one of the newer chiropractic techniques known as a tonal approach. It uses a special FDA-approved instrument called the Integrator to deliver quick, gentle impulses to the spine. The Integrator releases a controlled force, often applied at the spinal segments or at specific neurological reflex points, to rebalance the central nervous system. During pregnancy, TRT’s ultra-gentle approach is very appealing. Women who might be uncomfortable with traditional manual adjustments can receive TRT adjustments with ease. The chiropractor typically has the mother either lie on her belly with a pregnancy pillow or sit/stand, and then they apply the instrument to the appropriate spots. TRT helps to reduce stress on the nervous system and correct misalignments in a subtle but effective way. It has been shown to improve overall well-being and is often associated with mood uplift and better energy flow. For pregnant clients, this can mean relief from back or neck pain, improved sleep, and less tension in the body atlastchiropractic.com. Because TRT addresses the spine as a whole, rather than one segment at a time, some women find that it not only alleviates pain but also helps with things like round ligament tightness or even constipation by balancing autonomic nervous system function. 

Network Chiropractic, also known as Network Spinal Analysis and NetworkSpinal, is an approach that uses extremely gentle contacts on the skin to cue the brain to release spinal tension. It’s a very holistic and mind-body integrated technique. In the context of pregnancy, Network care can be wonderful for reducing the high stress and emotional tension that sometimes accompany the journey. The light touches during a Network session prompt the pregnant woman’s own nervous system to unwind stored tension, often resulting in visible breath releases or soft movements called somato-respiratory integration. Many expecting mothers who receive Network care report profound relaxation, better emotional balance, and reduced pain as a secondary benefit. Since the technique is so gentle, there’s no risk or strain. It’s about encouraging the body’s self-correcting mechanisms. Network practitioners often say that their pregnant practice members not only feel physically better but approach birth with a more positive, calm mindset. This can foster a smoother labor experience because the mother is not fighting against her body’s natural process. 

Mother’s Quality of Life and Baby’s Health Through Chiropractic

When considering any healthcare choice during pregnancy, the overarching question for a mom-to-be is: will this help me have a healthier pregnancy and a healthier baby? With chiropractic, the answer from both clinical experience and research is yes. Chiropractic can significantly improve a mother’s quality of life during pregnancy and set the stage for a safer, more natural birth for the baby.

By managing pain effectively, chiropractic allows pregnant women to remain active and engaged in their daily lives. Regular chiropractic and movement during pregnancy have well-known benefits like fewer aches, better mood, and easier postpartum recovery. Pain relief can also mean better sleep, which is crucial for both mother and baby’s health. Chiropractic care has been associated with improvements in related symptoms like heartburn, dizziness, and balance pdfs.semanticscholar.org, which if left unaddressed can certainly diminish quality of life. Reducing stress is another intangible but important benefit. Knowing you have a means to get relief instead of just “living with the pain” empowers pregnant women and reduces anxiety about their changing bodies.

Perhaps one of the most compelling quality-of-life aspects is mental and emotional well-being. Pregnancy can be emotionally taxing – hormonal fluctuations and physical discomfort can lead to mood swings or feelings of helplessness. By balancing the nervous system, patients often experience improved mood. Patients frequently remark how they leave the chiropractor’s office feeling “lighter” or more relaxed. Some techniques like Network Chiropractic explicitly aim to integrate mind and body by processing trauma. This helps mothers release emotional tension and connect more positively with their pregnancy experience. Moreover, the act of taking time for self-care fosters a positive mindset that that can improve a mom’s confidence heading into labor.

Ultimately, choosing chiropractic during pregnancy is about investing in a healthier motherhood journey. It empowers women to proactively address the challenges of pregnancy rather than passively endure them. An aligned spine and pelvis can mean the difference between a pregnancy marred by pain and difficulty, versus one where the mom feels strong, supported, and connected to her body. When labor day arrives, that preparation can pay off in spades, potentially yielding a more straightforward labor with less interventions, which is safer for both mother and child. And even after birth, chiropractic continues to be a friend in recovery and raising a healthy family.

References:
 

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