ANNEXURE-L

(STRUCTURED TEACHING PROGRAMME ON EXCLUSIVE BREASTFEEDING)

SUMANDEEP NURSING COLLEGE

STRUCTURED TEACHING PROGRAMME

ON
EXCLUSIVE BREASTFEEDING

133 
 
TEACHING PROGRAMME ON EXCLUSIVE BREASTFEEDING.

¾ Name of the student teacher : Sejal Patel

¾ Course : M.SC Nursing

¾ Topic : Teaching programme on exclusive breastfeeding

¾ Group : Lactating mothers

¾ No.of participants : 60

¾ Place : Selected Hospital, Baroda

¾ Duration : 1 Hour

¾ Method of teaching : Lecture cum discussion

¾ Teaching aids : Flash cards ,PPT

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¾ GENERAL OBJECTIVE:
On completion of the teaching session the lactating Mothers will acquire knowledge regarding Exclusive Breastfeeding

¾ SPECIFIC OBJECTIVE:

Introduce about Exclusive Breastfeeding

Define exclusive breastfeeding

Explain benefits of Exclusive breastfeeding to baby.

Explain benefits of exclusive breast feeding to mother.

Describe composition of breast milk and it advantage.

Describe proper technique of exclusive breastfeeding

Discuss the important point about Exclusive breastfeeding

135 
 
 TEACHING
SR. TIME SPECIFIC
CONTENT LEARNING A.V AIDS EVALUATION
NO OBJECTIVE
ACTIVITY
1 5 Introduce about Lecture cum Flash card Mother will gain
MIN Exclusive INTRODUCTION Discussion knowledge about
Breastfeeding. 9 “Exclusive breastfeeding means that the infant exclusive breast
receives only breast milk. No other liquids or feeding
solids are given – not even water.
9 WHO recommends that infants should be
exclusively breastfed for the first six months of
life to achieve optimal growth, development and
health.
9 “Breastfeeding is the feeding of an infant or
young child with breast milk directly from
human breasts. Human breast milk is the
healthiest form of milk for human babies.
9 Exclusive Breast feeding is the most precious
gift a mother can give her infant. “When there is
illness or malnutrition it may be a life saving
gift, when there is poverty, it may be the only
gift”

136 
 
 9 Exclusive Breastfeeding is the optimal source of
nutrition. The Human Milk is specie specific
and it provides all the essential nutrients
necessary for the growth and development of the
newborn infant.

Three Major Killers in India

• Neonatal sepsis
• Diarrhoea
• Pneumonia
Exclusive Breastfeeding is No. 1 intervention for all
the three.

Lecture cum PPT Mother will

3 10 Explain benifits of Mother should start breastfeeding within in half n hour discussion know about
min Exclusive after delivery .so baby got many benifits . Following are benefits of breast
breastfeeding to the benefits of Exclusive Breastfeeding to baby. feeding to baby.
baby.
1.INFANT AND MOTHER BONDING
Through the skin to skin contact physical and
psychological bonding is increasing between infant and

137 
 
 mother.

2.MEETS ALL WATER REQUIREMENTS

Breast milk consist of 87 percent water. Studies show
that healthy, exclusively breastfed infants under 6
months old do not need additional fluids,.

3. PROTECTS AGAINST ILLNESS.

Breast milk , especially the first yellow thick milk
called colostrums, contains anti-bacterial and anti-viral
agents and high levels of vitamin A that protect infants
against disease.

4 . PROMOTES RECOVERY OF THE SICK

CHILD.
Exclusive Breastfeeding provides a nutritious, easily
digestible food when a sick child loses his or her
appetite for other foods. Continued breastfeeding during
diarrhoea reduces dehydration, the severity and duration
of diarrhoea, and the risk of malnutrition.

138 
 
 5.IMPACT ON CHILD NUTRITION
Provides total food security. Breast milk is a hygienic
source of food with the right amount of energy, protein,
fat, vitamins, and other nutrients for infants in the first
six months. It cannot be duplicated. Breast milk is the
only safe and reliable source of food for infants in an
emergency.

6.IMPACT ON CHILD DEVELOPMENT

Optimizes a child's physical and mental growth and
development. Infants fed breast milk show higher
developmental scores as toddlers and higher IQs as
children than those who are not fed breast milk. Breast
milk supplies key nutrients that are critical for health,
growth, and development.

4 10 Explain benefits of Following are the benefits of Exclusive Breastfeeding to Lecture cum PPT Mother got
min exclusive breast Mother. discussion knowledge about
feeding to mother. benefits of
1.NATURAL POSTPARTUM AMENORRHOEA Exclusive
Breastfeeding may delay the return to fertility for some breastfeeding to

139 
 
 women by suppressing ovulation. A breastfeeding own self.
woman may not ovulate, or have regular periods, during
the entire lactation period. The period in which
ovulation is absent differs for each woman.
2.WEIGHT LOSS
As the fat accumulated during pregnancy is used to
produce milk, extended breastfeeding at least 6 months
can help mothers lose weight However, weight loss is
highly variable among lactating women; For
breastfeeding women, long-term health benefits
include:
3. FINANCIAL BENEFITS
Exclusive Brest feeding reduce health care
cost..Breastfeeding is a cost-effective way of feeding an
infant, providing nourishment for a child at a small cost
to the mother.
4. HORMONE RELEASE
Breastfeeding releases oxytocin and prolactin,
hormones that relax the mother and make her feel more
nurturing toward her baby This hormone release can
help to enable sleep even where a mother may

140 
 
 otherwise be having difficulty sleeping. Breastfeeding
soon after giving birth increases the mother's oxytocin
levels, making her uterus contract more quickly and
reducing bleeding. Pitocin , a synthetic hormone used to
make the uterus contract during and after labour
• psychogenic benefit by establishing healthy mother
child relationship .
• Lesson the incidence of sore buttocks ,gastro-
intestinal infection and atopic eczema .the incidence
of scurvy and rickets significantly reduced
.Exclusive breastfeed also decrease the risk of
Engorgement, breast abscess ,mastitis
• Helps involution of uterus.

5 10 Describe First secretion from the breast called colostrums Lecture cum Flash cards Mother will got
min composition of It contain following discussion idea about
breast milk and it 86%-water composition of
advantage. 8.6%-protein breast milk.
2.3%-fat
3.2%-carbohydrate
• It has a got a higher specific gravity, a higher

141 
 
 protein, vitamin A ,sodium ,and chloride.
• provides immunological defense to the newborn.
Breast milk composition
87%-water
1.2%-protein
3.2%-fat
7.5%-carbohydrate
• It contains vitamin –D which protect baby
against rickets.
It gives passive antibody to the baby as the milk
contain protective antibodies .so it prevent against
gastro intestinal infection.
• It helps also in easy digestion.

6 10 Describe proper GOOD EXCLUSIVE BREASTFEEDING Lecture cum Flash cards Mothers
min technique of TECHNIQUES demonstration knowledge will
exclusive 9 The baby should be properly positioned to increase about
breastfeeding. achieve effective latching. breastfeeding
9 The mother should wear comfortable apparel, technique.
with the breast well exposed for the infant to be
able to latch.

142 
 
 9 The infant’s mouth, chin and umbilicus should
be lined up with the head in a neutral position.
The infant is brought to the breast, with the nose
touching or close to the breast.
9 The gum line should overlap the areola, and the
nipple straight back into the mouth. The tongue
moves forward beyond the lower gum, cupped
and forming a reservoir.
9 Milk is removed for the lactiferous sinuses, the
jaw moves down creating a negative pressure
gradient that helped transfer milk to the
pharynx.  

BREASTFEEDING POSITIONS
1.CRADLE HOLD
This is the most common position used by mothers.
Infant’s head is supported in the elbow, the back and
buttock is supported by the arm and lifted to the breast.

143 
 
 2.SIDE LYING POSITION

The mother lies on her side propping up her head and

shoulder with pillows. The infant is also lying down
facing the mother. Good position after Caesarean
section. Allows the new mother some rest. Most
mothers are scared of crushing the baby

3.CROSS CRADLE

Hold Position Ideal for early breastfeeding. Mother

holds the baby crosswise in the crook of the arm
opposite the breast the infant is to be fed. The baby's
trunk and head are supported with the forearm and
palm. The other hand is placed beneath the breast in a
U-shaped to guide the baby's mouth to your breast.  
 

7 10 Discuss the IMPORTANT POINT KEPT IN MIND WHILE Lecture cum PPT Mothers
min important point EXCLUSIVE BREASTFEEDING. discussion knowledge will
about Exclusive increase about

144 
 
 breastfeeding. • The preparation for breast feeding should some important
actually be started the middle of pregnancy. point.
• Always check the nipple for abnormality
cracked or depressed nipple. Allows skin-to-
skin contact for warmth and colonization of
baby with maternal organisms
• Provides colostrums as the baby’s first
immunization
• Increases duration of breastfeeding
• A clean supporting brassiere should be worn.
• To clean the breast before and after each
feeding.
• Mother should wash her hand prior to feeding.
• A healthy baby is put to the breast half n hour
following normal delivery and following
caesarean delivery a period of 4-6 hours is
sufficient.
• Baby should put on breast as soon as the baby
becomes a hungry.
• There is no restriction of the number and
duration of suckling time.

145 
 
 • Mother and baby should be in a comfortable
position during feeding.
• Infant should have about 6-8 wet diapers in a 24
hour period once breast feeding is established.
Infant should have minimum of 3-4 bowel
movements every 24 hours. golden yellow color
stool is sign of good exclusive feeding
• After feeding burping should be done to avoid
regurgitation.
  
SUMMARY: -

In this class we have studied about the

introduction and definition of the Exclusive
breastfeeding .Benefits of Exclusive breastfeeding to
mother and baby ,composition of milk, and techniques
of Exclusive breastfeeding and important points about
Exclusive Breastfeeding  

146 
 
 CONCLUSION: -

Infant mortality is one of the major issue in

our country. Exclusive breastfeeding is avoided by
mother ,so knowledge of Exclusive breastfeeding is
very important for lactating mothers it will be helpful
when they will put in practice

147 
 
ANNE
EXURE-M
M

(A.V
V. AIDS)

148
149
 ANNEXURE-N

(MASTER SHEET)

DEMOGRAPHICA SHEET

SR  1  2  3 4 5  6 
NO 
1  1  2  2  1  2  2 
2  1  1  2  1  1  2 
3  2  2  1  2  2  2 
4  1  2  3 1 1 1 
5  1  2  2  2  2  2 
6  1  1  2  1  2  1 
7  1  3  2 1 2 1 
8  1  2  2  1  1  1 
9  1  2  2  1  2  2 
10  2  3  2  1  1  2 
11  1  1  2 2 2 2 
12  3  3  3  2  1  2 
13  2  3  2  1  2  1 
14  3  3  3  1  1  2 
15  2  2  1 1 2 1 
16  1  1  2  1  1  1 
17  4  1  2  1  2  2 
18  2  1  2  1  2  1 
19  1  2  2 1 1 1 
20  2  3  1  1  1  1 
21  1  1  2  1  2  1 
22  1  2  3 1 1 1 
23  1  2  2 2 1 1 
24  1  1  2  1  2  1 
25  3  4  3  1  1  2 
26  2  2  1 1 1 2 
27  1  1  1  1  2  1 
28  3  1  2  3  1  1 
29  1  2  1  1  2  1 
30  1  1  2 1 2 1 
31  2  3  3  1  1  1 
32  1  2  2  1  2  1 
33  1  1  2  1  1  1 
34  1  1  2 1 2 1 
35  1  2  2  1  2  1 
36  1  3  3  1  1  1 
37  4  1  2  1  2  2 
38  1  1  1 1 1 1 
39  3  1  2  1  2  2 
40  1  1  2  1  2  1 
41  1  1  2 2 2 1 

150 
 
 42  1  1  2 1 2 1 
43  1  3  1  1  1  1 
44  1  1  2  1  1  1 
45  1  1  2  1  2  1 
46  1  1  2 1 2 1 
47  2  4  3  1  1  2 
48  1  1  2  1  2  1 
49  2  3  2  1  1  2 
50  1  2  2 1 2 1 
51  1  1  2  2  2  1 
52  1  2  1  1  1  1 
53  1  3  4  1  1  1 
54  1  1  2 1 2 1 
55  2  2  2  1  2  2 
56  1  2  1  1  1  1 
57  1  1  2 1 2 1 
58  1  2  2  1  1  1 
59  1  2  1  1  2  1 
60  1  1  2  1  2  1 
 

151 
 
 PRE-TEST SCORE

Question
no
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Total
Sample
no.
1 1 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 1 1 1 1 0 0 10
2 1 1 1 0 0 0 1 0 1 0 1 0 1 0 0 0 0 0 0 1 0 1 0 0 9
3 0 1 0 0 1 1 1 0 0 1 1 1 1 0 0 0 0 1 0 1 0 1 1 0 12
4 1 1 1 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 0 1 0 0 9
5 1 1 1 0 0 0 0 1 0 0 0 0 1 0 0 0 1 1 0 0 1 1 0 0 9
6 0 1 0 1 1 0 1 0 0 1 0 0 1 1 0 0 1 1 0 0 1 0 0 0 10
7 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 1 1 1 0 1 6
8 1 0 1 0 1 0 1 0 1 1 0 0 1 0 0 0 0 1 0 1 1 1 0 0 11
9 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 1 1 1 1 1 1 1 0 0 13
10 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 1 1 1 1 1 0 0 10
11 1 1 1 0 0 0 1 0 1 1 1 0 1 0 0 0 0 1 0 1 0 0 0 0 9
12 1 1 1 0 1 1 1 0 1 1 0 1 1 0 0 0 0 1 1 1 1 0 0 0 15
13 0 1 0 0 0 0 1 1 0 1 0 1 1 0 0 0 0 1 0 0 0 1 0 1 9
14 0 1 0 1 1 0 1 0 1 1 0 0 1 1 0 0 1 1 0 0 1 0 0 0 11
15 0 0 0 0 0 1 0 0 0 1 0 0 1 0 1 0 1 0 0 1 1 0 0 0 7
16 1 0 0 0 1 0 1 1 0 1 0 0 1 0 0 0 0 1 0 1 1 0 1 0 10
17 1 1 1 0 1 0 0 1 1 1 0 0 1 0 0 0 1 1 1 1 1 1 1 1 16
18 0 1 0 0 0 0 0 1 1 0 0 0 1 0 1 0 1 0 0 1 0 0 0 0 7
19 1 0 0 0 0 1 1 1 1 1 0 0 1 1 0 0 1 1 1 1 1 0 0 1 14
20 1 1 0 0 1 1 1 1 1 0 1 0 1 0 1 0 1 1 1 1 1 1 0 1 16
21 0 1 0 0 0 0 1 1 0 1 0 0 1 0 0 0 0 1 0 1 0 1 1 1 9
22 1 1 0 0 1 1 1 1 1 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 14
23 1 0 0 0 0 1 1 0 1 1 1 0 1 0 1 0 1 0 1 1 0 1 0 0 12
24 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1 1 1 1 1 1 1 9
25 1 1 1 0 1 0 0 1 0 0 1 0 0 1 1 1 1 1 0 1 1 1 0 1 15
26 0 0 0 0 0 1 1 1 0 1 1 0 1 0 0 0 1 1 0 1 1 1 0 1 11
27 0 1 0 0 1 0 1 1 0 1 0 0 1 0 0 0 1 1 1 1 0 1 0 1 11

152 
 
 28 0 0 0 0 0 0 1 1 1 0 0 0 1 0 0 0 0 0 0 1 0 1 0 0 6
29 0 0 0 0 1 1 0 1 1 1 0 0 1 0 1 0 1 0 0 1 1 0 0 0 10
30 1 1 1 0 0 0 0 1 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 0 6
31 0 1 0 0 0 1 1 1 1 1 0 0 0 1 0 0 0 1 0 1 1 1 0 0 12
32 1 1 1 0 1 1 1 1 1 1 0 0 0 0 1 0 0 1 1 1 1 0 0 0 14
33 0 1 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 1 0 1 1 0 0 0 6
34 0 1 0 0 0 0 1 1 1 1 0 0 0 0 1 0 1 1 1 1 1 1 0 0 11
35 0 1 0 0 0 0 1 1 1 1 0 0 1 0 0 0 1 0 0 1 1 1 0 0 10
36 1 1 1 0 1 0 1 1 0 1 1 0 1 0 1 0 1 1 1 1 1 1 0 1 17
37 0 0 0 0 0 0 1 0 1 1 0 0 0 0 1 0 1 0 1 1 1 0 0 1 8
38 1 1 0 0 0 0 1 0 1 1 0 0 0 0 0 0 1 1 0 1 1 1 0 0 10
39 1 1 1 0 0 0 1 1 1 1 0 0 0 0 1 0 1 1 1 1 1 0 0 1 13
40 1 0 0 0 0 0 1 1 1 1 0 1 0 0 1 0 1 1 1 1 0 0 0 0 10
41 0 0 0 0 0 0 1 1 1 0 0 0 1 0 1 0 1 1 1 1 1 1 0 1 11
42 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 1 1 0 0 0 6
43 1 1 1 0 1 0 1 1 0 1 0 0 1 0 1 0 1 1 1 1 1 1 0 0 15
44 0 1 0 0 1 0 1 0 1 1 0 0 1 0 1 1 0 1 1 1 0 1 0 0 11
45 0 1 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 1 0 1 1 0 0 0 6
46 1 1 0 0 0 0 1 1 0 1 0 0 0 0 1 0 0 1 1 1 0 1 0 0 9
47 1 1 1 0 1 0 1 1 0 1 0 0 1 0 1 1 1 1 1 1 1 1 0 0 16
48 0 0 1 0 1 0 1 0 1 1 0 0 0 0 0 0 1 1 0 1 0 0 0 0 8
49 1 1 0 1 1 1 0 0 0 1 1 0 0 0 1 0 0 1 1 1 1 1 0 1 13
50 1 1 0 0 0 0 1 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 0 10
51 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 1 1 0 1 1 0 0 0 6
52 0 0 0 0 1 1 0 1 1 1 0 0 1 1 1 0 1 1 1 1 1 1 0 0 13
53 1 1 1 0 0 1 1 1 1 1 0 0 0 0 1 0 1 1 1 1 1 1 0 1 15
54 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 1 0 1 0 1 0 1 0 0 8
55 1 1 0 0 0 0 1 0 1 1 0 0 0 0 0 0 1 0 0 1 1 0 0 0 8
56 1 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 0 0 1 1 1 0 1 11
57 0 1 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 5
58 1 0 0 0 0 0 1 1 1 0 0 1 0 0 1 0 1 1 1 1 0 0 0 1 10
59 0 0 0 0 0 0 1 1 1 0 0 0 1 0 1 0 1 1 1 1 1 1 0 1 11
60 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 1 1 0 0 0 6
Total 625

153 
 
 Question
no
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Total
Sample
no.
1 1 1 1 1 1 1 1 1 1 1 0 1 1 0 0 0 1 1 0 1 1 1 0 1 18
2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 0 0 0 1 20
3 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 1 1 1 1 1 0 0 0 1 19
4 1 1 1 1 1 1 1 1 0 1 1 1 1 1 0 0 1 1 1 1 0 0 1 1 19
5 1 1 1 0 1 1 1 1 1 1 1 0 1 1 1 1 0 1 0 1 1 1 1 1 20
6 1 1 1 1 1 1 1 1 1 1 0 1 1 0 1 0 1 1 1 1 0 1 1 0 19
7 1 1 0 1 1 0 0 1 0 1 1 1 1 1 1 0 0 1 0 1 1 1 1 0 16
8 1 1 1 1 1 1 0 0 1 1 0 1 1 0 1 1 0 1 1 0 1 1 1 0 17
9 1 1 1 1 0 1 1 1 1 1 1 1 1 0 1 0 1 1 1 1 1 1 1 1 21
10 1 1 1 1 1 0 1 1 1 1 1 1 1 0 0 0 1 1 1 1 1 1 0 1 19
11 1 1 1 1 1 0 1 1 1 1 1 1 0 1 1 0 1 1 1 1 1 0 1 1 20
12 1 1 1 1 1 0 1 1 1 0 1 1 1 0 1 0 1 1 1 1 1 1 1 1 20
13 1 1 1 1 1 0 1 1 1 0 1 1 1 1 1 0 1 1 0 1 0 1 1 1 19
14 1 1 1 1 1 0 1 1 1 1 1 0 1 1 0 1 1 0 1 1 1 0 0 1 19
15 1 1 1 1 1 1 0 1 1 1 0 0 1 0 1 0 1 1 0 1 1 0 0 1 16
16 1 1 1 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 0 1 0 20
17 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 1 21
18 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 0 0 1 0 1 1 0 1 1 19
19 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 0 1 21
20 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 0 1 1 22
21 1 1 1 1 1 1 1 0 1 1 0 1 1 0 1 0 0 1 0 1 0 1 1 1 17
22 1 1 1 1 1 1 1 1 1 1 1 0 1 0 1 0 1 1 1 1 1 1 1 1 21
23 1 1 1 1 1 0 1 1 1 1 1 1 0 0 1 0 1 1 1 1 1 1 1 1 20
24 1 1 1 0 0 0 1 1 0 1 1 0 1 0 1 1 1 1 1 1 1 1 0 1 17
25 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 23
26 1 1 1 1 1 1 0 1 1 1 1 1 1 1 0 1 0 1 0 1 1 1 1 1 20
27 0 1 1 1 1 1 1 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 1 20
28 1 1 0 1 1 0 1 1 1 1 1 1 1 0 1 0 1 1 0 0 1 1 1 0 17

154 
 
 29 1 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 0 0 1 1 1 1 19
30 1 1 1 1 1 0 1 1 0 1 1 1 1 1 1 1 1 0 0 1 1 0 0 1 18
31 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 1 1 0 1 1 1 1 1 21
32 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 1 1 0 1 1 0 1 0 19
33 1 1 1 1 1 0 1 0 1 1 0 0 1 0 0 0 1 1 1 1 1 1 0 0 15
34 1 1 1 1 1 0 1 1 1 1 0 1 0 1 1 0 1 1 1 1 1 1 1 0 19
35 1 1 1 0 1 0 1 1 1 1 1 0 1 0 1 1 1 1 1 1 1 1 0 1 19
36 1 1 1 1 1 1 1 1 1 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 21
37 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 0 1 1 0 0 1 19
38 1 1 1 1 1 0 1 1 1 1 1 1 1 0 1 0 1 1 0 1 1 1 1 1 20
39 1 1 1 1 0 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 21
40 1 1 1 1 0 1 1 1 1 1 1 1 1 0 0 0 1 1 1 1 1 0 1 1 19
41 1 1 1 1 1 0 1 1 1 1 1 1 1 0 0 0 1 1 0 1 1 0 1 1 17
42 1 1 1 1 1 0 0 1 1 1 0 0 0 0 1 0 1 1 1 1 1 0 0 1 15
43 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 0 1 1 1 1 1 1 1 1 22
44 1 1 1 1 1 0 1 1 1 1 1 1 0 1 1 1 0 1 1 1 0 1 0 0 18
45 1 1 1 1 0 0 1 1 0 1 1 0 0 0 0 1 1 1 1 1 1 0 0 1 15
46 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 1 0 1 1 0 0 1 17
47 1 1 1 1 1 1 1 0 1 1 1 1 0 1 1 1 1 1 1 1 0 1 1 1 21
48 1 1 1 0 1 0 1 1 1 1 1 1 0 0 1 0 1 1 1 1 1 0 0 1 17
49 1 1 1 1 1 1 1 1 1 1 0 1 1 0 0 0 1 1 1 1 1 1 1 1 20
50 1 1 0 1 1 1 1 1 1 1 0 1 1 1 1 0 1 1 1 1 1 1 0 0 18
51 1 1 0 1 1 0 1 1 1 1 0 1 0 1 0 1 0 1 1 1 1 0 1 0 16
52 1 1 1 1 1 0 1 1 0 1 0 1 1 1 0 1 1 1 1 1 1 1 1 1 20
53 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 0 1 22
54 1 1 1 0 1 1 1 1 1 1 0 1 1 1 1 0 1 1 0 1 1 0 0 1 18
55 1 1 1 0 1 1 1 1 1 1 0 1 1 1 1 0 1 1 0 1 1 0 0 1 18
56 1 1 1 1 1 0 1 1 1 1 1 1 1 0 1 0 1 1 1 1 1 0 0 1 19
57 1 1 0 0 1 1 1 1 1 1 0 1 1 0 0 0 0 1 1 1 1 1 0 1 16
58 1 1 1 1 0 1 1 1 1 1 0 1 1 1 0 0 1 1 1 1 1 1 1 1 20
59 1 1 1 1 1 0 1 1 1 1 0 1 1 1 0 0 1 1 0 1 1 1 1 1 19
60 1 1 1 1 1 0 0 1 1 1 0 0 0 0 1 0 1 1 1 1 1 1 0 1 16
Total 1134

155