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Trial registered on ANZCTR
Registration number
ACTRN12609000372280
Ethics application status
Approved
Date submitted
23/04/2009
Date registered
27/05/2009
Date last updated
5/07/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
uterine massage to reduce postpartum hemorrhage in women expected to deliver normally: A randomised trial
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Scientific title
Uterine massage to reduce postpartum hemorrhage in women expected to deliver normally: A randomised trial
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
third stage of labour
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postpartum hemorrhage
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reduction of postpartum hemorrhage in women expected to deliver normally.
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Condition category
Condition code
Reproductive Health and Childbirth
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0
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Childbirth and postnatal care
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Before delivery of the placenta, uterine massage will be done till the uterus gets contracted and do controlled cord traction. After delivery of the placenta, massage is done every 10 minutes for 30 minutes.
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Intervention code [1]
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Prevention
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Comparator / control treatment
oxytocin; dose 10 IU once as Intramuscular injection.
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Control group
Active
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Outcomes
Primary outcome [1]
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Blood loss >300ml within 30 minutes. It is measured using calibrated plastic drape placed under the buttocks of the woman.
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Assessment method [1]
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Timepoint [1]
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30 minutes after delivery of the placenta
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Primary outcome [2]
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Placenta delivered >30 minutes after birth.
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Assessment method [2]
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Timepoint [2]
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30 minutes after birth
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Secondary outcome [1]
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Blood loss 500 ml in 30 minutes (blood loss will be measured for 30 minutes). It is measured using calibrated plastic drape placed under the buttocks of the woman
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Assessment method [1]
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Timepoint [1]
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Blood loss is measured for 30 minutes after birth
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Secondary outcome [2]
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Median time to placental delivery/ placenta undelivered after 30 minutes.
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Assessment method [2]
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Timepoint [2]
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30 minutes after birth
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Secondary outcome [3]
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Use of additional uterotonics or other procedures for management of postpartum hemorrhage. Number of women who needed additional uterotonics after procedrue.
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Assessment method [3]
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Timepoint [3]
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untill uterus becomes contracted.
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Secondary outcome [4]
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Haemoglobin level after 12-24 hours < 8g/100ml. it is assessed by laboratory methods.
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Assessment method [4]
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Timepoint [4]
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24 hours after birth
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Secondary outcome [5]
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Blood transfusion. Number of women requiring blood transfusion.
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Assessment method [5]
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Timepoint [5]
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before discharge
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Secondary outcome [6]
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Maternal morbidity. Number of women admitted to intensive care unit(ICU) or with prolonged hospital stay or developed complications.
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Assessment method [6]
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Timepoint [6]
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before discharge
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Eligibility
Key inclusion criteria
Pregnant women expected to deliver normally will be given information about the study and be invited to participate.
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Minimum age
20
Years
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Maximum age
40
Years
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
medical complications such as hypertension and diabetes; previous caesarian section; abdominal wall not thin enough to allow easy palpation of the uterus after delivery.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Computer generated allocation sequence.Closed opaque envelops to ensure allocation concealment
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
computer generated
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
10/10/2008
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
2400
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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Egypt
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State/province [1]
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Country [2]
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South Africa
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State/province [2]
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Address [1]
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Country [1]
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Egypt
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Primary sponsor type
University
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Name
Assiut University
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Address
Assiut, Arab Republic of Egypt. Post office Box 71511.
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Country
Egypt
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Other collaborator category [1]
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Individual
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Name [1]
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Professor Hany Abdel-Aleem
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Address [1]
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Women health center, Department of Obstetrics and Gynecology, assiut university, Assiut Arab republic of Egypt Post office: 71511
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Country [1]
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Egypt
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Other collaborator category [2]
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Individual
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Name [2]
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Professor Justus Hofmeyr
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Address [2]
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Frere Hospital,
5201,
East London
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Country [2]
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South Africa
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Ethics committee ,Faculty of Medicine,Assiut University
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Ethics committee address [1]
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Assiut University, faculty of medicine, Assiut, Arab republic of Egypt. Postal code: 71511
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Ethics committee country [1]
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Egypt
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Date submitted for ethics approval [1]
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Approval date [1]
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23/02/2009
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Ethics approval number [1]
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Ethics committee name [2]
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Region C-Ethics Committee,Department of Health of the Eastren Cape
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Ethics committee address [2]
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PO Box 12882 Amalinda 5252
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Ethics committee country [2]
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South Africa
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Date submitted for ethics approval [2]
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Approval date [2]
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29/03/2005
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Ethics approval number [2]
6891
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Summary
Brief summary
Bleeding from the genital tract after childbirth (postpartum haemorrhage) is a major cause of maternal mortality and disability in under-resourced areas with poor access to health services. It is the leading cause of maternal mortality in Sub-Saharan Africa and Egypt and yet is largely preventable. In these settings, poor nutrition, malaria and anaemia add to the health risk. Heavy bleeding directly following childbirth or within 24 hours is most common. Possible causes are the uterus failing to contract after delivery (uterine atony), a retained placenta, inverted or ruptured uterus, and cervical, vaginal, or perineal lacerations. In well-resourced settings haemorrhage is reduced by routine active management of delivery of the placenta, the third stage of labour. Facilities for resuscitation, blood transfusion and surgical interventions are also available. The 2004 joint statement of the International Confederation of Midwives and the International Federation of Gynaecologists and Obstetricians recommends routine massage of the uterus after delivery of the placenta to promote contraction. This involves placing a hand on the woman's lower abdomen and stimulating the uterus by repetitive massaging or squeezing movements to stimulate uterine contraction. This trials aime to evaluate the effect of uterine massage before delivery of the placenta on the blood loss after delivery.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Hany Abdel-Aleem
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Address
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Women' Health Centre, Assiut University, Assiut,Egypt. Postal code; 71511
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Country
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Egypt
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Phone
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002088 2414672
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Fax
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002088 2373899
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Email
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[email protected]
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Contact person for scientific queries
Name
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Hany Abdel-Aleem
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Address
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Department of Obstetrics and Gynecology
Women' Health Centre
71511, Assiut, Egypt.
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Country
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Egypt
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Phone
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002088 2414672
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Fax
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002088 2373899
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Uterine massage to reduce postpartum hemorrhage after vaginal delivery.
2010
https://dx.doi.org/10.1016/j.ijgo.2010.04.036
N.B. These documents automatically identified may not have been verified by the study sponsor.
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