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[(Birth)-334.5(country)]TJ
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T*
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T*
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[(2529)-17113.6(7)-335(\(33.3\))]TJ
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T*
[(Married)-15886.6(18)-336(\(85.7\))]TJ
T*
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T*
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T*
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T*
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T*
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[(obviously)-424.7(the)-419.3(pregnancy)]TJ
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T*
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T*
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[(happened)-283(because)-282.9(I)-283.3(knew)-282.9(I)-277.5(could)-283.3(help)-282.2(someone.)47.8()]TJ
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T*
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0 -1.1174 TD
[(somebody)-281.7(elses)-285.1(child.)46.2()]TJ
1.0137 -1.1116 TD
[(Hanna)-342.8(said)-339.6()50.8()0(I)-342(feel)-346.6(really)-343.2(proud)-339.5(of)-342(it.)-340(Its)-344.1(one)-338.5(thing;)-341.1(one)]TJ
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[(way)-247.2(my)-239.6(loss)-246(can)-241.8(help)-241.8(other)-248.7(babies)]TJ
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13.7023 0 TD
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[(one)-246.4(thing)-241.9(that)-242(I)-243(feel)-243(like)]TJ
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[(I)-283.3(can)-282.1(do)-278.7(thats)-284.3(positive)]TJ
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9.2558 0 TD
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T*
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0 -1.1174 TD
[(that)-230.5(point)]TJ
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3.8072 0 TD
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[(we)-234.6(discussed)-236.4(selling)-233.7(the)-229.2(milk,)-234(but)-233.8(that)-230.5(just)-234.9(didnt)]TJ
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T*
[(donated)-332.7(to)-330.6(an)-325.9(NICU)]TJ
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(.)Tj
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1.1635 0 TD
[(I)-329.4(wanted)-332.5(someone)-333.6(to)-330.6(get)-327.1(something)]TJ
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[(of)-278.6(positive.)42.9()]TJ
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8.9663 0 0 8.9663 62.022 336.0188 Tm
[(Support)-337.4(and)-329.4(recognition)]TJ
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[(Participants)-477.6(placed)-471(high)-471.1(value)-474.5(on)-468.7(milk)-472.4(bank)-472.1(efforts)-475.2(to)]TJ
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[(recognize)-331.4(their)-329.4(donation)-332.8(and)-327(provide)-325.8(a)-330.6(token)-329.3(of)-324.7(thanks)-330.2(and)]TJ
T*
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1.0137 -1.1174 TD
[(Donna)-433.8(valued)-429.5(the)-430.8(milk)-432.1(bank)-431.8(recognition)-435.3(and)-430.7(tokens)-433.9(of)]TJ
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[(appreciation)-231.3(offered.)-226.5(She)-223.2(said)-224.4()50.8(Yes,)-222.8(I)-225.7(want)-225.4(a)-221.1(T-shirt)-227.8(because)]TJ
T*
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0 -1.1116 TD
[(the)-413.5(milk)-414.8(I)-415.8(donated)]TJ
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1.4111 0 TD
[(and)-413.4(sent)-414.4(me)-413.5(back)-415.7(a)-417(pendant)]TJ
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11.8823 0 TD
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[(.)-412.4(that)]TJ
-22.1173 -1.1116 TD
[(was)-281.6(a)-284.5(really)-279.9(amazing)-283.3(gift)]TJ
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10.2177 0 TD
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[(it)-284.7(made)-278.7(me)-281.1(so)-284.2(happy.)52.2()]TJ
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T*
[(me)-396.3(from)-397.2(time)-398.7(to)-399.7(time)-398.7(and)-396.1(then)]TJ
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13.0976 0 TD
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1.0022 0 TD
[(they)-397.4(have)-398.4(a)-399.7(tree)-398.5(in)-394(their)]TJ
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[(facility,)-464.3(just)-459.5(like)-455.1(a)-463(mural)-457.3(with)-460.6(leaves)-459.3(with)-460.6(the)-459.6(childrens)]TJ
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T*
[(memorialize)-290.3(your)-286.6(child)]TJ
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(.)Tj
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[(having)-284.4(that)-288(extra)-290.2(support)-284.1(was)-287.4(also)]TJ
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0 -1.1174 TD
[(as)-279.6(well.)46.4()]TJ
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[(Marie)-216.2(shared)-210.3()45()0(I)-209.5(a)0(m)-211.9(s)0(o)-215.1(grateful)-212.9(for)-216.3(the)-211.9(woman)-216.1(who)-211.5(walked)]TJ
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0 -1.1174 TD
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T*
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[(it)-365.3(just)-361.6(felt)-362.9(very)]TJ
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[(honoring,)-283.1(honoring)-279.6(of)-278.6(my)-279.9(son.)44.2()]TJ
26.5177 67.9242 TD
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[(grateful)-287.8(to)-278.8(them.)46.2()]TJ
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[(the)-275.3(information)-279.8(and)-275.2(helped)-274(me)-275.3(get)-275.3(a)-273(pump.)-279.8(They)-271.7(were)-278.3(there)]TJ
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[(This)-305(theme)-308.7(describes)-306.9(the)-304.1(emotional)-307.6(experience)-304.9(surround-)]TJ
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[(ing)-331.7(participants)-334.9(decision)-328(to)-330.6(stop)-326.9(expressing)-329.8(milk)-328.4(for)-331.5(dona-)]TJ
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[(tion.)-186.6(Participant)-10.2(s)-185.2(describe)-190.8(this)-183(time)-191.4(as)-187.5(bittersweet,)-187.2(where)-193(they)]TJ
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T*
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[(Carol)-295.8(described)-301.3(her)-298.2(difculty)-293.5(in)-296.1(letting)-297.4(go)-295.9()50.8()]TJ
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(.)Tj
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[(this)-298.2(is)-295.9(like)]TJ
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[(self-worth,)-425.4(I)-421.5(guess.)-424.4(And)-418.9(like)-420.5(a)-422.7(connection)-423.7(with)-420.2(my)-418.1(baby,)]TJ
T*
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[(because)-288.6(the)-281.1(milk)]TJ
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7.096 0 TD
(..)Tj
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2.2808 0 TD
[(it)-278.9(my)-279.9(last)-282.1(physical)-281.9(connection.)44.1()]TJ
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[(Shawna)-251.6(reported)-253.1(feeling)-252.2(sad)-251.9(when)-254.1(she)-246.2(stopped)-256.5(expressing)]TJ
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[(Teresa)-264.5(expressed)-260.7(how)-257.6(stopping)-256.5(milk)-259.3(expression)-260.7(stirred)-256.5(up)]TJ
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T*
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T*
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[(Finding)-339.7(my)-329.9(way)]TJ
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T*
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T*
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T*
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T*
[(approved)-241.5(study)-241.6(plan)-236.1(specied)-242.5(remote)-240.7(interviews.)-242.4(A)-238.1(response)]TJ
T*
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T*
[(described)-278.3(that)-276.5(feelings)-276.1(of)-272.9(loss)-274.8(resurfaced)-280.3(when)-271.4(they)-276.4(stopped)]TJ
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[(milk)-282.4(expression)-283.8(and)-280.9(donated)-286.6(for)-279.7(the)-281.1(last)-282.1(time.)]TJ
1.0137 -1.1116 TD
[(Our)-303.6(sample)-303.8(included)-299.4(participants)-305(from)-299.3(11)-301.7(different)-306.1(states)]TJ
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[(throughout)-270.4(the)-263.8(United)-268.1(States)-268(who)-269.1(donated)-269.4(to)-261.5(seven)-266.8(different)]TJ
T*
[(HMBANA)-236.7(milk)-224.8(banks)-231.1(and)-229.1(were)-232.2(more)-225.6(diverse)-234.6(in)-227(background)]TJ
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T*
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[(feeding)-286.6(experience)-281.9(and)-280.9(those)-283.1(without.)]TJ
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[(infants)-458.2(did)-446.9(not)-452.7(survive)-452.3(after)-457.1(birth)-449.2(were)-456.8(very)-454.8(direct)-452.7(about)]TJ
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T*
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[(support)-266.8(to)-267.3(bereaved)-266.9(mothers)-269.2(in)-267.3(their)-266.1(decision)-264.6(to)-267.3(donate)-268.2(their)]TJ
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[(professionals)-287(working)-279.4(with)-276.2(childbearing)-282(families.)-280.9(Our)-280.6(study)]TJ
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[(participants)-253.1(stated)-245.1(how)-246.1(important)-248.8(continuing)-248.7(to)-244.2(express)-251.5(milk)]TJ
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[(after)-370.8(their)-369.8(loss)-367(for)-366.1(the)-361.7(specic)-373.8(intent)-365.3(of)-365(nonprot)-365.9(donation)]TJ
T*
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[(information)-544.7(provided,)-537.6(particularly)-541.3(to)-538(those)-536.5(who)-539.8(had)-534.4(not)]TJ
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T*
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[(milk)-316.9(donation)-315.5(information)-320.1(following)-316.4(the)-315.6(death)-319(of)-313.2(an)-314.4(infant.)]TJ
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T*
[(in)-284.6(their)-277.6(region.)]TJ
26.5234 67.9242 TD
[(Similar)-269.5(to)-273(coordination)-275.1(with)-276.2(organ)-271.6(donation,)-272.9(birth)-270.7(centers)]TJ
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[(can)-293.6(facilitate)-298.5(the)-298.3(donation)-292.5(process,)-301(screen)-297.9(donors)-294.4(after)-295.9(peri-)]TJ
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[(natal)-411.3(loss)-407.3(according)-416.7(to)-405.5(the)-413.5(HMBANA)-409.5(standardized)-415.3(proto-)]TJ
T*
(col,)Tj
7.3823 0 0 6.5614 325.4172 696.6423 Tm
(13)Tj
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[(and)-494(develop)-494(strategies)-498.3(so)-491.6(that)-495.4(eligible)-495.5(and)-488.3(willing)]TJ
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[(donors)-426.8(can)-426.1(get)-425.1(their)-427.4(blood)-426.1(drawn)-428(for)-429.5(required)-425.9(serological)]TJ
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[(donor)-449(has)-447.8(access)-454.4(to)-445.8(a)-445.8(high-quality,)-450.3(double)-451.4(electric)-451.6(breast)]TJ
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[(pump)-282.1(and)-280.9(continued)-283.2(support.)]TJ
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[(This)-178.3(research)-186(demonstrated)-185(that)-184.4(these)-180.6(women)-181.6(who)-182.7(chose)-186.2(to)]TJ
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T*
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T*
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T*
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