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Makes you wonder what this was originally illustrating.

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i created the text overlay myself. and picked phrasing others did not pick, so I could argue with anyone claiming it was a repeat.

notice I used the highest resolution scan of this image I could get. I cropped the white paper page edges off.

As far as I can tell it comes from a hispanic language book, based on other images of mother from other angles in same clothing :

https://files.catbox.moe/o5phae.jpg

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All that comes to mind is some kind of sinus-clearing position. Maybe some facial thing to soak the skin?

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Its nefarious, i bet. Probably a "true crime" novella of a post-partum depression mother killing her kids.

https://en.wikipedia.org/wiki/Postpartum_depression