Obstetrics

Awards and Accreditations: Women’s Health

Since we prioritize high-quality care, we put our patients first when it comes to how we deliver exams, diagnostics, and treatments. At Central Maine Healthcare, we want you to feel like you’re among caring friends who value your needs and wants. As such, we have a high commitment to excellence, and we provide the highest quality of care close to the places you call home.

Women’s Choice Award®

Our Sam and Jennie Bennet Breast Care Center was recognized for their excellent care by being named one of America’s Best Breast Centers by the Women’s Choice Award®. To qualify for this prestigious award, a hospital must meet certain standards and receive specific types of positive reviews. By receiving this award, Central Maine Healthcare has been recognized as being in the top 1% of breast care centers in the nation. This recognition shows our determination to offer quality care and our commitment to always working with our patients to create the best outcomes.

This award also focuses on the perspective of women, considering their specific needs and wants when choosing their care. For our female patients, this offers a view of our commitment to respectful care that considers the specific needs of each individual patient. We value your perspective and unique needs.

ACR Breast Stereotactic Accredited Center of Excellence – Bennett Breast Center Mammography

ACR Breast Ultrasound Accredited Center of Excellence – Breast Ultrasound

ACR Mammography Accredited Center of Excellence – Bennett Breast Center Mammography

ACR MQSA (Mammography Quality Standards Act) – Bennett Breast Center: The intent of this legislation was to establish minimum standards to ensure that all women have access to quality mammography services.

Maine Perinatal Quality Collaborative: AIM Hypertensive Crisis Bundle – Maternity: The bundle provides actionable steps that can be adapted to a variety of facilities and resource levels to improve quality of care and outcomes for patients experiencing hypertensive disorders of pregnancy.

Newsweek: America’s Best Maternity Hospitals 2024 – Maternity: The ranking is based on a nationwide online survey of hospital managers and medical professionals (regarding areas like perinatal care and operative obstetrics) as well as publicly available data from hospital surveys addressing the patient experience (including topics such as cleanliness and communication about medication).

Data on hospital quality metrics—like the number of elective deliveries and level of personnel vaccination—was provided from several sources, including nonprofit hospital accreditation organization The Joint Commission, the Centers for Medicare and Medicaid Services, and the Health Resources and Services Administration.

National Consortium of Breast Centers and NQMBC – Breast Center of Excellence: This is the highest certification level. This certification recognizes a center’s quality performance as meeting quality standards criteria. In addition to the requirements to become a Certified Quality Breast Center, the Certified Quality Breast Center of Excellence applicant must have supplied 90% of the measures for which their quality breast center type should be able to measure performance.

U.S. News & World Report: High Performing in Maternity Care U.S. News evaluates how well hospitals perform in childbirth using C-section rates, newborn complication rates, breast milk feeding rates, early elective delivery rates, routine vaginal birth after cesarean delivery (VBAC) rates, episiotomy rates, whether a hospital meets new federal criteria for “birthing-friendly” practices, and whether a hospital tracked and reported their outcomes for patients of different races and ethnicities.

Blue Distinction Center (Blue Cross Blue Shield National Programs) – Maternity Care (BDC+): Blue Distinction Centers and Blue Distinction Centers+ for maternity care demonstrate expertise and a commitment to quality care for vaginal and cesarean section deliveries. These centers demonstrate lower episiotomies, fewer elective deliveries and lower cesarean births.

Access the provider directory of Blue Distinction Centers or Blue Distinction Centers+ designated providers for maternity care. Review the program selection criteria.

View more Central Maine Healthcare Awards and Accreditations

Why Choose Us: Women’s Health

As part of our commitment to excellence, we always use feedback and data to improve our care practices. You can see our range of women’s health offerings below and thoughts about why you should choose us.

Quality Gynecological Care

Our providers and nurses are highly-skilled in women’s health and dedicated to providing the best care for your gynecological needs. We offer the newest advancements in health screenings, including pap smears, breast exams, and mammograms, with additional advanced screening techniques as needed. We also help our patients manage menopause symptoms and offer wellness and fitness support to keep you healthy.

Exceptional Birth Centers

Our hospitals offer birth centers staffed with providers who care about your and your baby’s well-being. Our teams include doctors, midwives, physician assistants, nurse practitioners, and nurses who all work together to make sure you’re healthy, comfortable, and supported through your birthing journey. Two of our hospitals have achieved the Baby Friendly Hospital designation and all our hospitals are proud to offer accessible lactation support. The NICU at our Lewiston hospital provides parents with peace of mind and the knowledge that we are here to keep you safe and cared for.

Breast Health Screening and Cancer Treatment

Our facilities are all equipped with quality diagnostic equipment to ensure that you are screened regularly for breast cancer and other breast issues. Our award-winning Breast Care Center at Central Maine Medical Center is set up for advanced diagnostics and the latest in treatment techniques. We also pride ourselves on our supportive team members who will be there for you throughout your breast health journey.

Education, Events, Support

Our hospitals offer classes to help you learn healthy skills and develop wellness habits. Choose from our childbirth education classes, sibling and grandparent education classes, smoking cessation classes, and even our fitness classes at our gym in collaboration with the YMCA. Whatever you want to improve or develop, we offer affordable classes and workshops to help.

Find Compassionate Care, Close to Home

Our women’s services are available near where you live or work, so you can focus on your good health:

Rumford Hospital in Rumford, Maine
Central Maine Medical Center in Lewiston, Maine
Bridgton Hospital in Bridgton, Maine

View our Women’s and Children’s Health Services Awards and Accreditations

Childbirth and Parenting Classes

We want to do more than just support you on your big day – we aim to offer the education you’ll need to feel empowered and ready for birth and parenting!

Central Maine Healthcare offers several classes for parents-to-be and their family members. Whether you’re a first-time parent or a seasoned parent, these classes will help you get ready for your birth and bringing home your baby.

Childbirth Education Classes

We offer childbirth education classes to ensure that our families feel confident and ready to face the wonderful challenges to come. Through discussion, PowerPoint presentations, DVD video clips, plus hands-on-activities, we explore a wide variety of childbirth topics.

Our classes cover pregnancy, labor, labor comfort techniques, cesarean birth, newborns, postpartum issues, and breastfeeding. We practice labor positions (which includes trying out physical therapy balls and a birthing stool), develop different breathing techniques for different parts of labor, and learn the vital importance of relaxation. Our goal is for expectant parents to learn about childbirth in a fun, comfortable, and respectful class environment.

The birth of your child can be a positive, powerful experience, one that you will carry with you always. Through our childbirth education classes, we hope to give you the tools necessary to have the best birth experience possible.

Preparing for Your Big Day

Few experiences in life are as exciting as bringing home a new member of your family. Central Maine Healthcare wants to help you get ready for birth and caring for your newborn in any way that we can.

Ways We Can Help

Our doctors, midwives, and nurses are here to help you create the best plan for your upcoming birth experience. There are several ways we can assist in your preparation, including:

Childbirth and Parenting Classes: We offer a selection of classes for families, including childbirth education.
Guide to Pregnancy and Birth: We want to make sure you have the best birth experience, so we’ve created guides to help inform you and answer all your questions. From pregnancy to birth, breastfeeding to new mother and baby care, we’ve covered it all in our helpful guides created just for you.
Car Seat: Proper installation of your new baby’s car seat is vital to its working properly to keep your newborn safe. We can ease your mind by helping you ensure that it’s installed correctly.

Personalized Birth Plan: At Central Maine Healthcare, our goal is to help you have the best birth experience possible. To help you and your doctor better understand your birth preferences, we encourage parents-to-be to create a birth plan. Central Maine Healthcare can provide you with a birth plan form through your care provider.

What is a Birth Plan? A birth plan is a personal care plan that outlines your preferences for how you’d like your labor, birth, and postpartum care to go. By creating a plan, you can determine exactly what kind of care you would like for you and your baby.
We encourage you and your spouse or birthing partner to enroll in our childbirth education classes, where you can learn about options that will be available to you during the labor experience. This will help you decide what should go into your birth plan and if your expectations are in sync with any requirements your hospital and birthing unit may have.

Creating Your Birth Plan: To create your plan, we suggest starting by making some notes about your labor and birth preferences. You can address experiences such as:

The sort of emotional support you would like to have. (For example, who would you like to be with you?)
The special comforts you would like to have throughout labor. (For example, would you like to spend time in a labor tub?)
The ways that you would like to alternative therapies. (For example, would you be interested in trying out our birthing stools and physical therapy balls?)

Be sure to share your birth plan with your healthcare provider and other maternity support people, as they might have some great ideas for you. Also show it to those who will be with you during your labor and birth experience. You can go over your plan with the team ahead of time, so they know what your preferences are.
Keep in mind that if your birth does not go exactly as you planned, it’s okay! This is where flexibility is the key. Learn about the ways that labor can unfold and plan for how you will handle unexpected situations, then focus on the positive.
A birth plan reflects how you would like to navigate a joyful experience. By writing things down, you also let those assisting you know more about who you are.

Guide to Pregnancy and Birth

We know that new parents often have lots of questions about pregnancy, delivery, and taking care of a new infant. That’s why Central Maine Healthcare created guides to guide you on your new parenting path. To make it even more interactive and accessible, this series of guides includes online access to educational videos. That way you can read the material and then see the information in action. If you’ve already received access to your guides, you can get to the online materials by signing in here.

Guides for Pregnancy through Parenting: We created the Injoy Birth & Parenting Education series to address many of the common questions that new parents often have. Included in this series are four guides:

Understanding Pregnancy
Better Breastfeeding
Understanding Birth (for those who are enrolled in our Childbirth Education Course)
Mother and New Baby Care

Baby’s Car Seat

When it’s time to head home after the birth, it is important to make sure your baby is safe and snug in their car seat. At CMH, your safety is one of our top priorities which includes the ride home! For more information about car seat inspection and installations, call 207-795-2695.

Keep Your Baby Safe: Maine law requires that your baby rides home in an approved child safety seat. It’s best to take the time to install the car seat ahead of time, so you’ll be familiar with how it works before your baby is born. We recommend that you have the car seat inspected by a certified car seat inspection station, just to make sure it’s as safe as can be.
Central Maine Healthcare helps with safe care seat installations by providing resources. We can connect you with the professionals that can test your installation.

Why CMH Created the Program: Child safety seats are required under Maine law. National Highway Traffic Safety Administration statistics show that using properly installed car seats reduces the risk of death by 71 percent for infants and by 54 percent for children between one and four years of age. Child car seats also reduce the need for hospitalization after a car accident. Simply put: car seats save children’s lives.

Virtual Car Seat Assistance: CMMC offers free virtual car seat inspections and installation assistance. Appointments available daily.
Contact: June Turcotte, Certified Child Passenger Safety Technician 207-795-2695
Need more resources? Child Passenger Safety Seat Program

Community Resources: You can bring your vehicle and car seat to a free monthly fitting clinic held at the United Ambulance station in Lewiston on the third Thursday of every month from 2 p.m. – 6 p.m. More information about car seat safety (as well as inspection dates and locations) is available through the Maine Department of Motor Vehicles or the Safe Kids Maine organization.

To help you get started with proper car seat installation procedure, we’ve included some tips below.

The safest way to position the harness: the internal harness straps should be at or below your baby’s shoulders when using a car seat in the rear-facing position.
Once you have buckled your baby into the internal harness, adjust the harness so the fit is snug. If you can pinch a fold in the harness, it is not tight enough and will need to be re-adjusted. The harness retainer clip is in the proper position when it is at armpit level.
It is not recommended to add items to your safety seat that did not come with it. If you feel that your baby needs additional head support, you can use rolled baby blankets or towels and place them on each side. Do not place anything including blankets behind the baby or between the baby and the harness.
To obtain optimal harness fit for your baby it’s ideal to avoid bulky clothing. Once the baby is secured in the harness cover the child with a blanket if needed.

Once You Are Home

Once you leave the birthing center to head home with your new bundle of joy, we will continue to offer you the care that you need. From offering breastfeeding support to local resources, we want you to feel supported by us and those in your community.

Breastfeeding Support and Resources We have many resources available to help you as you adjust to motherhood. New mothers might like to take a breastfeeding class and consider joining a breastfeeding support group. Our lactation consultants are also available to help you through breastfeeding issues that require expert help.

Infant Care Resources When it comes to infant care, there are several free home-visiting programs available to all families, with visits from a social worker and a nurse. Both can help with the expected and the unexpected issues that may arise for you and your family.

Postpartum Mood Disorders While you’re healing and recovering from birth, pay attention to how you feel emotionally. It’s normal to have ups and downs while you’re adjusting to parenting and dealing with lack of sleep. But it’s also not uncommon for depression or anxiety to creep in that needs treatment. You can read more about the issue of postpartum depression and don’t hesitate to reach out to your healthcare provider if you suspect that you might need a little extra help.

Newborn Care

Becoming a new parent can be overwhelming, especially as you’re just getting to know your baby and dealing with a bit of sleep deprivation in the process. We want you to feel confident and successful at parenting your newborn, which is why we offer support for learning about caring for your infant.

Learn Before Birth Infant care adds another great reason to attend the class. You can also do lots of reading in books and online, watching videos, and talking with your friends and family about what they did to provide the best care to their babies. Just make sure to check with your provider about anything that you find that’s confusing or concerning.

State and Community Resources Several state and federally funded agencies offer special programs to families with newborns. The Maine Families Home Visiting Program provides a home visitor who will visit with you and your family from pregnancy until your child is three years old. This program is free and is available to all. The home visitor is there to offer guidance and assistance for a range of issues. Another program provides free Visiting Nurse visits. The nurse can help you by providing healthcare, resources and information about your baby’s wellness.

Postpartum Care

After you’ve given birth, you now begin what we call the postpartum period. This term refers specifically to the six weeks following birth but can last much longer depending on your culture or medical needs. We love caring for postpartum mothers and babies! The Central Maine Healthcare teams will work with you to help you adjust to motherhood and to heal your post-pregnancy body.

Body Changes During Postpartum After you’ve given birth, you will typically bleed (called lochia) in which your body is eliminating all the excess blood, tissue, and mucus that helped your baby to grow. The best thing for you during this time is to rest and enjoy your baby, allowing your body to do the work to heal up properly. If you have any concerns about your bleeding, please don’t hesitate to call us with questions.

During the 6 weeks after birth, your uterus shrinks back to its normal size and you might feel some light contractions as this is happening. You also might feel more uterus tightening while breastfeeding, which is perfectly normal (and another reason why breastfeeding helps your body heal!).

Breastfeeding In the first few days after birth, your breasts will change size and shape as they prepare to feed your new baby. Colostrum is the first “milk” that your breasts will produce and is an amazing substance that gives your infant nutrients that they need to get a great start at growing. A couple days later, your breast milk will come in and you will probably notice a difference in how your breasts feel.

If, at any time, you have concerns about breastfeeding, feel free to talk to a nurse or lactation consultant at our hospitals. If you have chosen not to or can’t breastfeed for any reason, we can work with you to take care of your body and help you decide how you would like to feed your baby.

Postpartum Depression Feeling extra moody, sensitive, or even a little “down” is normal during the first days and weeks of postpartum. But sometimes new moms can develop depression that they just can’t shake on their own.

Postpartum depression is a type of clinical depression that occurs in some new moms shortly after they give birth. Our nurses screen new moms very carefully for this treatable condition but it may not become apparent until you are back at home.

Research indicates that as many as 1 in 6 mothers will experience depressive feelings or the more consistent condition of postpartum depression. The causes are believed to be the significant drop in hormones (primarily estrogen and progesterone) that occur once a woman gives birth. Thyroid levels may also drop significantly, and a low thyroid condition can cause depression. The body may adjust in time and correct itself. If the cause is low thyroid, that can be easily tested and treated with medication.

It is important to note any symptoms you are feeling, and if they persist, tell your healthcare provider. Difficult emotional or life circumstances occurring at the same time can trigger or make postpartum depression worse. Serious, lingering depression is debilitating – but treatable – so don’t hesitate in telling healthcare providers all that you are feeling.

You might not feel like “yourself” for several days after giving birth, due to hormonal changes, fatigue and recovery. However, if after a week or two you notice the following symptoms, set up an appointment with your healthcare provider immediately. Symptoms of postpartum depression include:

Feelings of being overwhelmed
Feeling hopeless
Feeling sad and crying frequently
Restlessness
Moodiness
Lack of interest in social interaction
Low libido
No interest in food, or the opposite, overeating
Lack of energy and motivation
Trouble sleeping or sleeping too much
Memory problems
Inability to focus
Inappropriate feelings of guilt or worthlessness
Inexplicable and/or vague body pains

Postpartum depression treatment The two most common forms of treatment for postpartum depression, which may be combined, are medication and talk therapy. Some medication may not be appropriate for women who are breastfeeding, and your healthcare provider can counsel you about what you can take.

Your choice of therapist may depend on your healthcare provider’s recommendation, your health insurance coverage and your income. Possible therapy resources are: a psychiatrist (a provider’s referral is usually needed), a psychologist, or a licensed clinical social worker. Ask your provider about CMH mental health experts who specialize in postpartum depression.

Please remember that depression is not your fault. It is a condition that affects many new mothers. And most of all, it can have an impact on your new baby. Call your healthcare provider if you have any concerns about your emotional or psychological state. You can get help to feel better!

For additional resources on post-partum depression visit Postpartum Support International.

Baby Lena’s Story

Within minutes of their daughter arriving, it was clear that the baby was in distress. She was quickly whisked away to the NICU at CMMC due to complications from fluid in her lungs. Ben and Kim stayed with their little one while she received care in the NICU for a week. Family members watched their older son. The baby recovered and the family was able to head home together.

Ben and Kim are grateful for all of the doctors and nurses who cared for their daughter with compassion and provided them comfort during a stressful time. Today, their baby girl is thriving, and she and her older brother are seen regularly at Central Maine Pediatrics.

Women’s and children’s health

“The team delivered four healthy, happy babies, the most precious gifts that I have ever received. I could never thank them enough!

Women’s Health services | Breast Health | Maternity Care | Pediatrics

Women of all ages have unique health and medical needs, which is why Central Maine Healthcare has spent decades building services, treatment, education programs and facilities specifically for the care of women.

We have made every effort to make our women’s health services seamless and easily accessible because we know how hectic life can be. In addition to providing convenient, high-quality care, we also empower women to take control of their own health from the reproductive years to midlife and beyond.

From performing routine physicals to relieving symptoms of menopause or performing the latest diagnostic breast screenings, our women’s health specialists take a holistic yet personal approach, considering each woman’s lifestyle and needs in tailoring care. Our professionals are not only well qualified, but also equipped with skill and compassion to make the experience of getting healthy as good as the care itself.

Meet our providers

Baby Lena’s story

“Kim and Ben were looking forward to the birth of their second child. Everything had gone well during the birth of their son two years earlier, so they figured this delivery would be similar. When the unthinkable happened, they were thankful to have the care team at CMMC by their side” Read More…

A to Z Search for Services

Central Maine Healthcare covers all of your physical and mental health needs.
Click on a service below to learn more about what we offer and where to find care near you.

Addiction Services
We are committed to understanding and serving people who are living with addiction. We provide compassionate trauma-informed care based on best practi… Learn More >
Bariatric Surgery
Central Maine Bariatric Surgery understands how important weight loss is for patients. We have been established since 2007 and have a team ready to su… Learn More >
Breast Health
When it comes to caring for your breast health, Central Maine Healthcare offers a spectrum of services to help screen, diagnose, and treat. From the m… Learn More >
Cancer care
The Cancer Care Center at Central Maine Medical Center is an integrated, multi-disciplinary program that combines a full spectrum of services and med… Learn More >
Cardiovascular services
Central Maine Heart and Vascular Institute (CMHVI) brings skilled medical specialists and innovative treatments to the people of central Maine and bey… Learn More >
Diabetes and Endocrinology
Diabetes and other endocrine-system conditions are complex, and when you’ve been diagnosed with one, it’s hard to know what to do next. Learn More >
Ear, Nose and Throat
At Central Maine Healthcare, our board-certified ear, nose and throat (ENT) specialists understand how this connected system works and can identify th… Learn More >
Emergency Care
If you’re experiencing a life-threatening emergency, dial 9-1-1 immediately or go to your nearest ER. Emergencies happen when you least expect them,… Learn More >
Gastroenterology
Your digestive system involves so many parts of the body – your throat, stomach, intestines, colon, rectum, pancreas, gallbladder and liver. So, whe… Learn More >
Imaging Services
Welcome to Central Maine Medical Center Imaging Services. We take pride in providing our community with technologically advanced, up-to-date imaging s… Learn More >
Integrative Medicine
At Central Maine Healthcare, we’re focused on the whole you — mind, body and spirit. That’s why we specialize in integrative medicine, with a va… Learn More >
Laboratory Services
Central Maine Healthcare offers lab services at convenient locations for tests as part of your routine appointment or for screening of specific condit… Learn More >
Long-Term Care
At Central Maine Healthcare, our long-term care feels exactly like home. We believe in taking complete care of you or your loved one’s physical, med… Learn More >
Neurology
Central Maine Healthcare's neurologists and other doctors are specialists in epilepsy, movement disorders and other neurological disorders. Learn More >
Nutrition Services
Clinical Nutrition A Registered Dietitian (RD) is a “food and nutrition expert” who has completed a Bachelor’s or Master’s degree ... <a class… Learn More >
Orthopedic care
The Orthopedic Institute of Central Maine (OICM) serves the people of Central, Western and Midcoast Maine. OICM works collaboratively with our outpati… Learn More >
Palliative Care
Central Maine Healthcare's palliative care is specialized medical care for people with serious illness. This type of care is focused on providing reli… Learn More >
Pediatrics
CMH’s kid-friendly team members and ambience — as well as our kid-sized examination tables and tools — instantly put children at ease. And we fi… Learn More >
Pharmacy
The CMMC Pharmacy is open to the public and accepts all major insurance plans. As part of your healthcare team, let our pharmacy assist you with manag… Learn More >
Plastic and Reconstructive Surgery
Plastic and reconstructive surgery is a personal choice, and a personal journey. At Central Maine Healthcare, our double-board certified physician a… Learn More >
Primary Care
At Central Maine Healthcare, we make primary care easy and accessible to community members like you. We believe in providing compassionate, quality ca… Learn More >
Pulmonary
At Central Maine Healthcare we provide diagnosis and treatment to our patients as well as education to both the patient and family. Learn More >
Rehabilitation and Therapy
Whether you have suffered an injury at work or on the field, are recovering from surgery or just want to better manage pain, the Orthopedic Institute… Learn More >
Rheumatology
Rheumatology is the study and treatment of rheumatic disorders, a wide range of conditions affecting the joints and connective tissue and typically ca… Learn More >
Sleep Medicine
At Central Maine Healthcare, we know what a peaceful night’s sleep means for your health and life. Our board-certified sleep medicine specialist and… Learn More >
Surgical services
Central Maine Heart and Vascular Institute (CMHVI) brings skilled medical specialists and innovative treatments to the people of central Maine and bey… Learn More >
Telehealth Services
Central Maine Healthcare now offers telehealth services, bringing you the care you need when you’re unable to leave home. Online and telephone visit… Learn More >
Trauma Center
We offer three ERs right in the communities we serve – each staffed 24/7 with board-certified emergency providers and specialty trained team members… Learn More >
Urology
Using the latest and most advanced screening technology allows our medical team to scan with amazing detail. This allows us to more accurately detect… Learn More >
Women’s and children’s health
Women of all ages have unique health and medical needs, which is why Central Maine Healthcare has spent decades building services, treatment, educatio… Learn More >
Wound Care
Central Maine Medical Center’s Comprehensive Wound Center is a centralized location for all aspects of wound care. Our team of specialists provides… Learn More >

Telehealth Services

Central Maine Healthcare now offers telehealth services, bringing you the care you need when you’re unable to leave home. Online and telephone visits are available at most of our outpatient locations.

What is Telehealth?

Telehealth is a service provided to connect you with your healthcare provider virtually, without having to leave the comfort of your home. Telehealth includes phone appointments and video appointments with your provider using technology such as a smartphone, computer or tablet. Depending on your needs and the purpose of your intended visit, you are able to speak your provider about medical conditions and concerns, receive a diagnosis and request prescriptions. To find out if a telehealth visit is right for you, contact the Patient Service Representative at one of our outpatient practices. We can discuss your options with you and schedule the visit.

Telephone Visits

Telephone visits are now available in all CMH primary care and specialty care practices, so you can conduct your healthcare visit by phone from the comfort of your home. Available for both current and new CMH patients, these appointments are scheduled by calling your practice of choice and requesting the appointment. Phone visits are the same cost as an office visit and are covered by all in-network insurance providers.

Online Visits by Smartphone, Computer or Tablet

Many Central Maine Healthcare primary care and specialty care practices now have the ability to conduct online visits. You can visit with your provider using a smartphone, computer or tablet. Below is a list of practices that are currently offering this service. We will continue to update the list as more are added.

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