Wednesday, October 1, 2014

My Birth Plan

******Update***** There have been some requests for some new icons. They've been added at the bottom, above the 'food' related graphics. To those that requested the new icons, June is a busy month for my family and I so I am very sorry it took so long. I hope you check back and get the ones you were asking for. :)

I was recently asked by a lot of people where I got the template for this birth plan I put together for our as not yet even decided for, third baby. Can you say that I am a planner? As a VBAC (Vaginal Birth After Cesarean) I had to do a lot of research and in my journey, I discovered a lot about the science that influences how a birth is handled, the studies behind it, and the recommendations by ACOG (American College of Obstetricians and Gynecologists). I realized that the evidence suggests things in L&D be handled a LOT differently than they actually are. Which prompted me to create this. Because I am asked about it so much, I decided to post my FIRST ever blog on the topic, with the graphics I made for said birth plan, so others can use it too! Hope you enjoy.
























 (This means that instead of continuous electronic fetal monitoring, which studies show have a 99% false positive rate, you have someone come in and listen to your baby, by hand, for a certain amount of time per hour. Usually about 15 minutes every hour using a fetoscope or hand held doppler)


 Like the one above this means only some monitoring of your baby every hour, but unlike the one above, this one still uses the electronic fetal monitoring.


 (This particular picture means only 1 cervical exam every 3 hours.)




































 (this is another form of monitoring for your baby while you labor, however this unit is usually wireless.)














These next few are obviously for a cesarean, but the above can still be used for a cesarean birth plan as well.














And finally, at the request of some of my birthy friends, some food preferences.









These are the icons that I have created. If you have any requests for anything specific, feel free to contact me and I can put new ones together. 


To put the plan together, I used Powerpoint. I am sure you can use Microsoft Office, but I used powerpoint because it's actually really easy to use. Here's the tutorial for how to change the colors. :)


 Step one. Open up  the power point program. Chose the tab at the top that says "Insert".











Step Two.  Chose the option titled "Picture"





Step Three. Once you chose the option Picture, this will open up your computer's inventory of photos. Chose the one you want to insert.




I chose informed consent for this example simply because Informed Consent is very important and often neglected.
Step Four, you should now be looking at something similar to this. Select the option titled 'Recolor'. I have it circled in red.


Chose your color. and it will change color.




Then, to resize, select the little tiny dot at the corner of the picture. 


And move the dot. it makes it bigger or smaller.
Repeat with each picture.






























107 comments:

  1. To bad i can't do this on my phone. :(

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  2. Can you make one for postpartum pitocin only as needed?

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    Replies
    1. I have created this icon. I hope it's what you were looking for and needing. If there are any others that you need, please let me know! Thanks for reading!

      Delete
    2. Is it possible you could make a breast crawl graphic?

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  3. btw, I love these. great job.

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  4. I'm also looking for a way to say that if Mommy is unable to do skin to skin, to make sure the baby is given to daddy for immediate skin to skin.

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    Replies
    1. I added one that says "Baby With Parent At All Times". Your desire that the baby stay with the daddy if the mommy is unable, is a very good one, however its a little hard to word in a phrase short enough to fit on a sticky. I hope this helps, but in the meantime, I am looking for a way to get that wish across in a way that is worded better! Thanks for reading.

      Delete
  5. What font did you use? I'd like to use it in the title for the page.

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  6. I'd like to know what font you used as well. I'm also looking for an icon that says "Fetoscope only"

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    Replies
    1. The fony is called Making Lettering Tall. I found it on a free download from pinterest. I can actually make a feto scope only icon for you real fast! I'll have it up in about an hour.

      Delete
  7. Would it be possible to have an icon for refusal of eye ointment, as well as icons for vitamin K (both for and refusing)? Thank you!

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    Replies
    1. Yes. I can get those up asap. Sorry it took me so long to get back. I've got two little boys and one on the way, so I'm so busy right now!!

      Delete
  8. This comment has been removed by the author.

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  9. May I use these (and cite your website) for my upcoming book, The Unassisted Birth Manual...?

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  10. Is there a way to download all of the images at once?

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    Replies
    1. I can't figure this out either and it would be helpful to pull a file of one large download.

      Delete
    2. Has anyone figured out a way to download everything at once?

      Delete
    3. It only took about 4 minutes to right-click and save all icons.

      Delete
    4. 3-second job:

      Ctrl+S > save as 'webpage,Complete (html)' to your preferred location on your computer.

      This will save an html file that you can double-click to open this page, and a folder with all of the graphics on the page - that folder will have the icons in full resolution.

      Delete
  11. Thank you for all the icons, very useful! :) Can you make one icon for in case I need a c-section, asking to always have a support person in the OR with me (in case my husband leaves to stay with the baby, I want my doula or mom to take his place in the OR)?

    Also, the icon "pitocin only when necessary" is misspelled :)

    thank you!

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    Replies
    1. It would also be nice to have an icon for wanting to stay alert during c-section :)

      Delete
    2. Absolutely. I'll get one up within 24 hours for you! Great idea, thanks!

      Delete
  12. Can you add one "lotus birth" plesse

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    Replies
    1. Its the only one im looking for!! Thanks heaps

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    2. I know it took a LONG time to get the icon up. I hope it's not too late for you. We just had our rainbow baby, by unplanned repeat cesarean, so I was understandably, unavailable!

      Delete
  13. Hello,
    I love this. If you are still creating icons could you add:

    No urinary catheter
    No enema
    Bank Cord Blood
    See placenta before discarded

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    Replies
    1. Could you add:

      Parents bathe baby

      Apgar Exam on Chest

      No Suction

      No Forcepts

      Thank you!

      Delete
    2. Added. I hope it isn't too late for your birth! I have been under the weather since the unplanned repeat cesarean birth of our rainbow baby on the first of May.

      Delete
  14. This is wonderful! If you are still adding icons, could you create:
    -music during labor
    -use essential oils
    -wear own clothing

    Thanks!

    ReplyDelete
    Replies
    1. I have added the requested icons. They should be located near the bottom of the post! I hope they help!

      Delete
  15. Hi there, I was wondering if you'd be able to make up a couple of icons for me?? I was hoping to see one for: reminder to slow down when crowning, reminder to empty bladder before pushing, want enema, limited vital checks, no warmer, exams done in room, and video/photography allowed. Thank you so much! :)

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    Replies
    1. Also if you have one for natural friendly nurses preferred :)

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    2. I've added several of the requested icons for you! I hope they are what you were looking for!

      Delete
  16. Hi! Can you add: hep b okay, circumcision okay, natural water rupture, first bath in front of parents, eye ointment okay, breastfeeding ASAP. They can be worded however but I would love those icons! Thank you!

    ReplyDelete
    Replies
    1. I have one for natural water rupture! :) It says specifically, Natural Rupture of Waters, if that is what you were looking for. I added the other requested ones in for you!

      Delete
  17. Trying to download the icons to the powerpoint but having difficulty. Do you have a way to download everything, or I have to do it individually? Thank you so much in advance, have been searching for a birth plan to use and yours is perfect.

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    Replies
    1. As far as I know you would need to save each icon you want individually. I'll see if I can figure out how to turn them into one download though for the blog for future references. I'm newer at this so it may take me so tinkering. ;)

      Delete
    2. I'm finding this page more than a decade after you created it and this has been the best one I've found - APpreciate the great work and you providing it all for free!!! THANK YOU!!

      Here's my tip for downloading all icons in one go:

      3-second job:

      Ctrl+S > save as 'webpage,Complete (html)' to your preferred location on your computer.

      This will save an html file that you can double-click to open this page, and a folder with all of the graphics on the page - that folder will have the icons in full resolution.

      Delete
  18. I'm not sure if anyone has said this already but could you also create one for No Interns/Interns Allowed?

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    Replies
    1. And a blank box so that I could create my own? I work with pregnant women in recovery and a visual birth plan will be very helpful, especially working with those who may have difficulty with reading! This is GREAT!!! Thanks in advance!

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    2. I added a blank one for you.
      I have one that says no students. Did you want one that specified interns as well?

      Delete
  19. Hi Just wounding if you could please create on called "waiting for placenta to stop pulsing"

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    Replies
    1. Hi, would love it if you could please create one as i need it for my plan ASAP thanks

      Delete
  20. Yes i would love this one too

    ReplyDelete
  21. Could you please add one for 'Discharge from Hospital ASAP'?

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  22. Could you please add delay PKU and vaccines? Thank you!

    ReplyDelete
  23. how do i download this so i can customize?!

    ReplyDelete
    Replies
    1. I copied and pasted each picture that I wanted into a google doc (I don't have Microsoft Word or else I would have used that).

      Delete
  24. Can you make one for choice of gas for pain management?

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  25. Can you create episiotomy if needed and no formula

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  26. Do we request here or is there a way to contact you privately for requests?

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  27. since I just downloaded them all I could probably send the folder to anyone that wants an easy way to download them all at once. Julie

    Icons I would like:
    No music/no TV
    No formula
    Delayed vaccines
    Lactation consultant wanted
    If you're not making them anymore, I'll just use the blank one. Thanks so much for all your work!

    ReplyDelete
  28. It would be great to have icons created for "Hypnobirth" or "Hypnobirthing", "Minimal Staff in Room" and "Partner(Daddy) to Announce Sex"

    ReplyDelete
  29. These are fantastic! Awesome work :)
    I would love one for Hypnobirthing and Allow parents to discover/announce sex please.
    Thanks!

    ReplyDelete
  30. Hi also a hypnobirthing mama here, so more gentle wording for some of these would be fantastic. i.e surge or wave instead of contraction, and release instead of rupture.
    Could you also add one for no sweeping of membranes and natural physiological 3rd stage.

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  31. I will be adding a few new ones as requested over the course of the next few days! As a mommy of three little boys, they keep me on my toes. Your patience is much appreciated!!!

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  32. Could you possibly please add view and touch placenta and also parents to announce the sex.. thank you

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  33. Could you please add donating cord blood and is there any way you could add some for premature birth and for premature babies please.. thank you

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  34. I love These! thank you so much. I am specifically looking for one that says No Vitamin K and one that says No eye ointment. Can you make those?

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  35. Nevermind, i didn't scroll down the post far enough!

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  36. Hello, These are fantastic icons! I made a visual birth plan builder website for my wife and anybody else to use for free. I would love to add your icons to my project, if you don't mind.

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  37. This is amazing....thank you!

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  38. Can you make an icon that says something to the effect of: "Do not tell Mom dilation number" (totally psyches me out!)?

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  39. I love your icons and used them to create my own visual birth plan. Thank you!

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  40. Can you make one that says something like "Dad to announce gender" or "Dad reveals Gender"?

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  41. Thank you for taking the time to make all of these for free for all of us! I can't even tell you the stress that this took off of me I feel so much more confident now that my own Visual Birth Wishes are created

    ReplyDelete
  42. This is definitely the most complete list I've seen so far, but it was still missing a few that I wanted (as seems the case for a few others as well). As OP seems to have taken a bit of a break from this, I got to playing around with and customizing some of my own using her blank template and the font she listed. I started off making a few just for myself, but here's the list of customized ones I've created from the requests I've seen on this thread (for fun!). If it isn't too forward of me, I can send some (or all) of these via email to those who would like them.

    SPD (Symphisis Pubis Dysfunction)
    Do Not Announce Dilation
    Celiac/Gluten Allergy
    Hypno Birth
    Epidural Wanted (modified for a non Csec delivery)
    Gas Please (laughing gas)
    Limited Cervical Checks (modified to not show 1/3h)
    Please No Distractions (tv/music/noise)
    Do Not Announce Gender
    Mommy Announce Gender
    Parent Announce Gender
    Partner Announce Gender
    Natural Placenta Delivery (modified from "Wait For Placenta To Deliver Naturally". Less words)
    No Vacuum
    Do Not Bank Cord Blood
    No Bottles
    No Formula
    Oral Vitamin K

    ReplyDelete
    Replies
    1. Holly- how wonderful of you! I would greatly appreciate it, -how do I get in touch with you to receive?

      Delete
    2. Why don't you send me an email at keithandhollygordon@gmail.com and I can send you what I have?

      Delete
    3. Thanks for taking care of my followers! We've had a very busy time lately, and as such this poor blog has been very neglected.

      Delete
  43. could you please make - No pitocin, No cord clamping / delayed cord clamping till cord stops plusating, not sure how to say that in 3 words lol

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  44. This comment has been removed by the author.

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  45. Thank you so very much for doing this! I totally love it! Do you have a Breastfeed ASAP with the same mommy and baby icon that you used on your birthplan? just wondering .... thanks again ! Annette

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    Replies
    1. I changed that from the original plan as I didn't want to violate anyone's copy laws. Unfortunately that means the original graphic from the example is not available.

      Delete
  46. Hello! I would also love a "hypnobirth" one and one that says "Breathe baby down" rather than "push". I love these thank you!!!

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  47. These are so amazing!

    Would you be able to create one that is for nitrous oxide and one that says announce last chance for Epidural?

    Thanks for all this hard work!

    ReplyDelete
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    ReplyDelete
  49. Thanks so much for this template info. & icons! Was a huge help for me!

    ReplyDelete
  50. These are amazing!! If not for pinterest I wouldn't have found these or been able to make my visual birth plan come alive. My only thought was I couldn't find a "no pain meds" option but I used the "only if requested instead. I also hope it's okay I wanted to save others in my pregnancy group the trouble and made a photo album with of course you're website noted as the founding place.
    However, this truly helped because I know with current covid19 scares even if I have to go in alone when it's my turn alone I'll have more piece of mind being able to have my preferences down and ready to talk about with my nurse and obgyn.

    ReplyDelete
  51. How are people getting the icons. I am trying to copy the ones i want but it will not let me.

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  52. Thank you. This really helped me a lot.

    ReplyDelete
  53. Hi, thank you so much for your amazing work, they are helping women (and midwives like me) everywhere! Is it possible to Add the following icons:
    "No Fundal Pressure"
    "No Suctioning of Baby"
    "Newborn Bloodspot Screening OK"

    ReplyDelete
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  55. I loved these Icons . Can I use tem on My birth plans for my clients? Im a postpartum doula

    ReplyDelete

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  60. Can you add:
    no fundal massage
    No coaches pushing

    ReplyDelete
  61. Can you also add Expectant management and active management?

    ReplyDelete
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  63. No retraction would be a good one! With a diaper. Since most doctors don’t know not to retract foreskin and hospitals don’t really circumcise anymore anyways!

    ReplyDelete
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  70. Good day to you all from the United States,I have been suffering from (HERPES) disease for the last eight years and have had constant pain, especially in my private parts. During the first year,I had faith in God that i would be healed someday.This disease started circulate all over my body and i have been taking treatment from my doctor, few weeks ago i came on search on the internet if i could get any information concerning the prevention of this disease, on my search i saw a testimony of someone who has been healed from (Hepatitis B diabetes) by this Man Dr Ehimare and she also gave the email address of this man and advise me to contact him for any sickness that he would be of help, so i wrote to Dr Ehimare telling him about my (HERPES Virus) he told me not to worry that i was going to be cured!! hmm i never believed it,, well after all the procedures and remedy given to me by this man, few weeks later i started experiencing changes all over me as Dr Ehimare assured me ,after some time i went to my doctor to confirmed if i have be finally healed, behold it was TRUE, email Dr Ehimare on : (drehimare3@gmail.com ) whatsapp him : +1 (267) 691-1087 And He also have herbs medicine to cured the following diseases; eczema,urethra wart,chronic problems.Herpes, Cancer, Als,Hepatitis, Diabetes, HPV,Infections,ulcer ETC

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  71. WITH A HEART FILLED WITH JOY I WANT TO SAY THANK YOU TO DR LOJA.

    Good day everyone reading my short story, it all started this year when my boyfriend left the house and packed in with his ex from high school i tried all i could on mine own to win his heart and no result and now i was already pregnant for him and everything has caused me depressions it was after two months of all the dramas i read a little article where they said this man DR LOJA can cast a spell or say prayers to restore broken marriages. i sent him a message on Facebook and email and this was how everything was restored and today my relationship is back for good our wedding is December 2021. with my experience and few others i have read online and spoken to about DR LOJA i can beat my chest and say this man is real and can help you as well. his contact details are below
    https://www.youtube.com/watch?v=WT6RpIvoC9Y
    Email; drlojasolutions@gmail.com
    facebook.com/Drlojasolutions1000000/
    call/ text/ whatsapp ; +2349159144552

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  72. Good day everyone. I'm here to give a testimony on how Dr Imoloa herbal medicine cured me from (CANDIDIASIS DISEASE). Every day I am always looking for research to find the perfect way to get rid of this terrible disease because I always know what we need because our health is on earth . So, on my internet search I saw several testimonies about how dr. Imoloa uses his herbal medicine to cure them from their diseases  Thank God for Dr. Imoloa for using a powerful herbal remedy to cure me. he also has a cure for diseases such as Parkison's disease, vaginal cancer, epilepsy, anxiety disorders, autoimmune diseases, back pain, sprains, bipolar disorder, brain tumors, malignant, bruxism, bulimia, cervical disc disease, cardiovascular disease, cardiovascular disease, sprains, bipolar disorder, brain tumors, malignant, bruxism, bulimia, cervical disc disease, cardiovascular disease, cardiovascular disease, sprains, bipolar disorder, brain tumors, malignant, bruxism, bulimia, cervical disc disease, cardiovascular disease , chronic respiratory diseases, mental and behavioral disorders, Cystic Fibrosis, Hypertension, Diabetes, asthma, autoimmune mediated arthritis. Chronic kidney disease, arthritis, back pain, impotence, feta alcohol spectrum, Dysthymic Disorders, Eczema, skin cancer, tuberculosis, Chronic Fatigue Syndrome, constipation, inflammatory bowel disease, bone cancer, lung cancer, mouth sores, oral cancer, body pain, fever, hepatitis ABC, syphilis, diarrhea, Huntington's disease, back acne, chronic kidney failure, Addison's disease, Chronic Disease, Crohn's Disease, Cystic Fibrosis, Fibromyalgia, Inflammatory Bowel Disease, Fungal Nail Disease, Paralysis, Celia Disease , Lymphoma, Major Depression, Malignant Melanoma, Mania, Melorheostosis, Meniere's Disease, Mucopolysaccharidosis, Multiple Sclerosis, Muscle Dystrophy, Rheumatoid Arthritis, Alzheimer's Disease email- drimolaherbalmademedicine@gmail.com / or {whatssapp..+2347081986098} website- http/ www.drimolaherbalmademedicine.wordpress.com

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  73. www.amanathospital.com 958, the year when Amanat Eye Hospital opened its doors for public, at Rawalpindi. The first private eye hospital of the city. As we moved step by step, staying abreast with the latest technology of the field, we marked our presence and our foot print for others to follow. Today we stand in our realm with a crown on our head, cherishing every accomplishment with a pride and with humility for we owe it to our patients.

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  74. Its a pleasure for me to write this testimony about how i got my Genital Herpes simplex been reading so many comments of some people who were cured from various diseases by Dr ubarlo but i never believed them. I was hurt and depressed so I was too curious and wanted to try Dr ubarlo, then i contacted him through his email when i contact him, he assured me 100% that he will heal me, i pleaded with him to help me out. My treatment was a great success, he healed me just as he promised. he sent me his medication and ask me to go for check up after one weeks of taking the medication. i agreed with him i took this medication and went for check up a , to my greatest surprise my result was negative after the treatment, i am really happy that i am cured and healthy again. I have waited for 3weeks to be very sure i was completely healed before writing this testimony. I did another blood test one week ago and it was still Herpes negative. so i guess its time i recommend anyone going through Herpes HSV-1 or HSV-2, HIV, HPV, Hepatitis B, Diabetes, Cancer reach him through Email drubarlohome@gmail.com OR add on whatsapp +2348119508814

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  75. Thanks to the great Dr Ehimare herbalist doctor that has cured many people of HPV DISEASE today i am here to testify on his wonders on my life. for changing my life for the better after all the frustration of getting cured finally i got introduce to DR.Ehimare for which i believe has a cured after reading all his testimonies. after writing to him. he responded quick to me that i will be cured for my HPV DISEASE once i am able to receive his herbal medicine. afterwards he prepared my herbal cure and sent to me and when i did received it and used it. i was surprised that there was changes going on in my body. behold after using the medicine for the days he assured me that i should go and test myself. and getting there i was found HPV negative, and even the doctor was surprise and told me this can only be a miracle. i'm completely cured today and that happened by the great herbal remedy. contact DR.Ehimare Now on his email:drehimare3@gmail.com or his WhatsApp Number::+1 (267) 691-1087

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