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a
i
n
b
r
e
a
s
t
f
e
e
d
i
ng
[
6]
.
T
h
o
ugh
w
i
d
e
e
duc
a
t
i
o
n
a
l
pr
o
gr
a
m
s
a
n
d
e
n
c
o
ur
a
g
i
n
g
b
r
e
a
s
t
f
e
e
d
i
ng,
t
h
e
que
s
t
i
o
n
t
h
a
t
why
s
uc
h
pr
o
gr
a
m
s
do
n
ot
h
a
v
e
s
i
g
ni
f
i
c
a
n
t
pr
o
gr
e
s
s
r
e
m
a
i
ns
u
n
a
ns
we
r
e
d.
R
e
s
e
a
r
c
h
s
h
o
ws
t
h
a
t
b
r
e
a
s
t
f
e
e
d
i
ng
i
s
a
c
o
m
p
li
c
a
t
e
d
p
h
e
n
o
m
e
n
o
n
a
nd
i
t
s
s
uc
c
e
s
s
f
u
l
a
c
c
o
m
p
l
i
s
h
m
e
n
t
i
s
a
f
f
e
c
t
e
d
by
v
a
r
i
o
u
s
de
m
o
gr
a
phi
c
,
p
hy
s
i
c
a
l
,
s
o
c
i
a
l
a
n
d
m
e
n
t
a
l
v
a
r
i
a
bl
e
s
[
7]
.
S
h
a
k
e
s
pe
a
r
e
e
t
a
l
.
a
r
gue
d
t
h
a
t
b
r
e
a
s
t
f
e
e
d
i
n
g
d
i
f
f
i
c
u
l
t
i
e
s
a
n
d
m
o
t
h
e
r
s
’
l
a
c
k
o
f
pr
e
pa
r
a
t
i
o
n
t
o
f
a
c
e
t
h
e
m
we
r
e
b
a
r
r
i
e
r
s
t
o
s
uc
c
e
s
s
o
f
b
r
e
a
s
t
f
e
e
d
i
ng
a
n
d
t
h
a
t
m
o
t
h
e
r
s
de
m
a
n
de
d
s
uppo
r
t
o
f
h
e
a
l
t
h
s
y
s
t
e
m
s
wh
e
n
e
n
c
o
un
t
e
r
i
n
g
b
r
e
a
s
t
f
e
e
d
i
ng
d
if
f
i
c
u
l
t
i
e
s
a
nd
he
l
p
in
f
i
nd
i
n
g
a
wa
y
t
o
c
o
pe
wi
t
h
t
h
e
m
(
8)
.
I
n
a
s
t
udy
by
P
o
we
l
l
e
t
a
l
.
,
pa
r
t
i
c
i
pa
n
t
s
r
e
f
e
r
r
e
d
t
o
l
a
c
k
o
f
wo
r
k
e
nvi
r
o
nm
e
n
t
s
uppor
t
f
o
r
w
or
ki
n
g
n
ur
s
i
ng
m
o
t
h
e
r
s
a
s
a
b
a
r
r
i
e
r
to
b
r
e
a
s
t
f
e
e
d
i
ng.
F
i
nd
i
ngs
o
f
t
hi
s
s
t
ud
y
a
l
s
o
s
h
o
we
d
t
h
a
t
i
n
a
de
qu
a
t
e
s
uppo
r
t
o
f
b
r
e
a
s
t
f
e
e
d
i
ng
by
h
o
s
p
i
t
a
l
pe
r
s
o
nn
e
l
a
s
we
l
l
a
s
l
a
c
k
o
f
i
ns
t
r
uc
t
i
o
n
s
f
o
r
m
o
t
h
e
r
s
a
b
o
ut
di
f
f
i
c
u
l
t
i
e
s
o
f
b
r
e
a
s
t
f
e
e
d
i
ng
we
r
e
c
a
us
e
s
o
f
b
r
e
a
s
t
f
e
e
d
i
ng
d
a
m
a
ge
[8
]
.
E
duc
a
t
i
o
n
a
l
p
r
o
g
r
a
m
s
a
b
o
ut
b
r
e
a
s
t
f
e
e
d
i
ng
m
u
s
t
b
e
d
i
r
e
c
t
e
d
a
t
b
o
t
h
s
e
x
e
s
,
m
e
n
a
n
d
wo
m
e
n
[
9
]
.
E
duc
a
t
i
o
n
a
n
d
pr
o
vi
d
i
ng
e
x
c
l
u
s
i
ve
b
r
e
a
s
t
f
e
e
d
i
ng
a
r
e
i
nv
e
s
t
m
e
n
t
s
t
h
a
t
c
a
n
pr
o
duc
e
v
e
r
y
im
po
r
t
a
n
t
c
h
a
n
ge
s
to
b
r
e
a
s
t
f
e
e
d
i
ng
pr
a
c
t
i
c
e
s
.
T
hi
s
i
s
t
h
e
m
o
s
t
e
f
f
i
c
i
e
n
t
wa
y
t
o
i
m
pr
o
v
e
h
e
a
l
t
h
[
10
].
T
hi
s
s
tud
y
o
bj
e
c
t
i
v
e
s
we
r
e
t
o
e
x
p
l
o
r
e
t
h
e
b
r
e
a
s
t
f
e
e
d
i
ng
p
r
o
m
ot
i
o
n
a
n
d
e
duc
a
t
i
o
n
.
B
y
u
n
de
r
s
t
a
n
d
t
h
e
s
i
t
ua
t
i
o
n
a
n
d
t
h
e
im
po
r
t
a
n
c
e
o
f
b
r
e
a
s
t
f
e
e
d
i
ng
pr
o
m
o
t
i
o
n
a
n
d
e
duc
a
t
i
o
n
,
t
hi
s
s
t
ud
y
r
e
s
u
l
t
s
c
a
n
b
e
us
e
d
a
s
r
e
c
o
m
m
e
n
da
t
i
o
n
o
n
b
r
e
a
s
t
f
e
e
d
i
ng
pr
o
m
o
t
i
o
n
a
n
d
e
duc
a
t
i
o
n
im
pr
ov
e
m
e
n
t
.
S
i
n
c
e
i
t
i
s
i
m
po
r
t
a
n
t
to
e
x
p
l
o
r
e
t
h
e
b
a
r
r
i
e
r
s
t
o
b
r
e
a
s
t
f
e
e
d
i
ng
pr
o
m
ot
i
o
n
b
a
s
e
d
o
n
e
x
pe
r
i
e
n
c
e
s
o
f
m
o
t
h
e
r
s
,
f
a
mi
l
i
e
s
a
n
d
he
a
l
t
h
wo
r
ke
r
s
a
n
d
i
de
n
t
i
f
i
c
a
t
i
o
n
o
f
t
h
e
s
e
b
a
r
r
i
e
r
s
c
o
u
l
d
be
h
e
l
p
f
u
l
i
n
de
ve
l
o
p
i
n
g
e
f
f
e
c
t
i
v
e
po
l
i
c
i
e
s
a
n
d
im
p
l
e
m
e
n
t
i
n
g
i
n
t
e
r
v
e
n
t
i
o
n
s
i
n
o
r
de
r
to
p
r
o
m
o
t
e
b
r
e
a
s
t
f
e
e
d
i
ng,
t
hi
s
qua
l
i
t
a
t
i
v
e
r
e
s
e
a
r
c
h
wa
s
c
a
r
r
i
e
d
o
u
t
to
e
x
p
l
o
r
e
t
h
e
b
a
r
r
i
e
r
s
to
b
r
e
a
s
t
f
e
e
d
i
ng
pr
o
m
ot
i
o
n
.
2.
RE
S
E
AR
CH
M
E
T
HO
D
T
hi
s
pa
pe
r
i
s
b
a
s
e
d
o
n
l
i
t
e
r
a
t
ur
e
r
e
vi
e
w.
An
o
nl
i
ne
li
t
e
r
a
t
ur
e
s
e
a
r
c
h
wa
s
c
o
n
duc
t
e
d
i
n
P
u
b
M
e
d,
S
c
i
e
n
c
e
D
i
r
e
c
t
,
P
e
di
a
t
r
i
c
J
o
ur
n
a
l
,
J
o
ur
n
a
l
o
f
P
u
bli
c
He
a
l
t
h
,
A
d
v
a
n
c
e
s
i
n
E
p
i
d
e
m
i
o
l
o
g
y
,
A
r
c
hi
ve
s
o
f
D
i
s
e
a
s
e
i
n
C
hil
d
h
o
o
d
,
S
o
c
i
e
t
y
f
o
r
Nu
t
r
i
t
i
o
n
J
o
ur
n
a
l
,
I
n
t
e
r
n
a
t
i
o
n
a
l
J
o
ur
n
a
l
o
f
E
p
i
de
mi
o
l
o
g
y
,
P
u
bl
i
c
He
a
l
t
h
Nut
r
i
t
i
o
n
,
I
n
t
e
r
n
a
t
i
o
na
l
J
o
ur
n
a
l
Nur
s
i
ng
R
e
s
e
a
r
c
h
,
M
a
t
e
r
n
a
l
a
n
d
C
hil
d
He
a
l
t
h
J
o
ur
n
a
l
,
a
n
d
Na
t
i
o
n
a
l
P
u
bli
c
He
a
l
t
h
J
o
ur
n
a
l
.
T
h
e
s
e
a
r
c
h
s
t
r
a
t
e
gy
i
nc
l
ude
d
t
h
e
f
o
ll
o
w
i
n
g
ke
y
wo
r
ds
:
b
r
e
a
s
t
f
e
e
d
i
ng,
b
r
e
a
s
t
f
e
e
d
i
ng
e
d
uc
a
t
i
o
n
,
a
n
d
b
r
e
a
s
t
f
e
e
d
i
ng
pr
o
m
ot
i
o
n
.
S
e
a
r
c
h
li
mi
t
s
i
nc
l
u
de
d:
E
n
g
li
s
h
a
n
d
I
n
do
ne
s
i
a
n
l
a
ngua
ge
,
b
ut
t
h
e
r
e
we
r
e
n
o
li
mi
t
s
f
o
r
y
e
a
r
o
f
publi
c
a
t
i
o
n
o
r
s
t
udy
.
3.
RE
S
UL
T
S
A
ND
DI
S
CU
S
S
I
ON
B
r
e
a
s
t
f
e
e
d
i
ng
i
s
t
h
e
i
de
a
l
m
e
t
h
o
d
m
o
s
t
s
u
i
t
a
bl
e
f
o
r
m
e
e
t
i
n
g
t
h
e
p
hy
s
i
o
l
o
g
i
c
a
l
a
n
d
p
s
y
c
h
o
l
o
g
i
c
a
l
n
e
e
d
s
o
f
a
b
a
by
[
5]
.
E
x
c
l
u
s
i
ve
b
r
e
a
s
t
f
e
e
d
i
ng
a
t
6
m
o
n
t
h
s
a
f
t
e
r
bi
r
t
h
c
a
n
i
m
pr
o
v
e
t
h
e
gr
o
wt
h
a
n
d
d
e
ve
l
o
p
m
e
n
t
o
f
t
h
e
b
a
by
,
t
h
e
he
a
l
t
h
o
f
t
h
e
ba
by
a
n
d
t
h
e
s
ur
vi
va
l
o
f
t
h
e
b
a
by
.
E
x
c
l
us
i
ve
b
r
e
a
s
t
f
e
e
d
i
ng
i
s
o
n
e
o
f
t
h
e
b
e
s
t
a
n
d
m
o
s
t
n
a
t
ur
a
l
f
o
r
m
s
o
f
h
e
a
li
ng
t
o
a
v
o
i
d
i
nf
e
c
t
i
o
n
a
nd
d
i
s
e
a
s
e
[
5]
.
P
r
ot
e
c
t
i
o
n
f
o
r
i
nf
a
n
t
s
e
s
pe
c
i
a
l
ly
a
t
t
h
e
a
ge
o
f
0
-
6
m
o
n
t
h
s
i
s
s
t
r
o
n
ge
r
c
o
m
pa
r
e
d
t
o
i
nf
a
n
t
s
a
ge
d
7
-
12
m
o
n
t
hs
[
1]
.
B
r
e
a
s
t
f
e
e
d
i
ng
c
a
n
pr
o
vi
d
e
s
igni
f
i
c
a
n
t
e
c
o
n
o
m
i
c
be
n
e
f
i
t
s
f
o
r
f
a
mi
li
e
s
a
n
d
t
h
e
c
o
m
m
u
ni
t
y.
B
r
e
a
s
t
f
e
e
d
i
ng
a
l
l
o
w
s
f
a
mi
li
e
s
t
o
s
a
v
e
m
o
r
e
m
o
n
e
y
t
h
a
n
i
s
s
pe
n
t
o
n
b
u
y
i
ng
i
nf
a
n
t
f
o
r
m
u
l
a
,
ot
h
e
r
m
il
k
s
u
bs
t
i
t
ut
e
s
,
a
n
d
e
a
t
i
n
g
ut
e
n
s
il
s
[
1
1
]
.
3.
1.
B
ar
r
ie
r
s
on
b
r
e
a
s
t
f
e
e
d
in
g
p
r
ac
t
ice
A
m
o
t
h
e
r
de
c
i
s
i
o
n
t
o
b
r
e
a
s
t
f
e
e
d
h
e
r
b
a
by
i
s
e
x
c
l
u
s
i
ve
ly
i
nf
l
u
e
n
c
e
d
by
v
a
r
i
o
us
f
a
c
t
or
s
[
1
2
]
,
t
hi
s
i
nc
l
ude
s
a
m
o
t
h
e
r
de
c
i
s
i
o
n
t
o
gi
v
e
b
r
e
a
s
t
mi
l
k
t
o
h
e
r
b
a
by
a
n
d
t
h
e
s
uc
c
e
s
s
o
f
do
i
n
g
s
o
i
s
l
a
r
ge
ly
i
n
f
l
u
e
n
c
e
d
by
t
h
e
s
uppo
r
t
s
h
e
r
e
c
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1
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1
5
].
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[
1
6
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.
E
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9,
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20
20
:
3
20
–
3
26
322
a
n
d
s
k
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ll
s
a
b
o
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[
17
]
.
M
ot
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[
18]
.
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[
19
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.
Dur
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h
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[
20
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[
14]
.
M
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[
21
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[
22
]
.
P
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ly
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[
23
]
.
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[
14]
.
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14]
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[
24
]
.
M
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[
25
].
3.
2.
B
r
e
as
t
f
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e
d
in
g
p
r
o
m
ot
ion
when
t
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s
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o
d
a
do
l
e
s
c
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n
t
s
m
u
s
t
b
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g
i
v
e
n
m
o
t
i
v
a
t
i
o
n
to
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upp
o
r
t
t
h
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o
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r
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n
t
a
n
d
im
pr
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a
bil
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do
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n
t
s
to
f
a
c
e
d
i
f
f
i
c
u
l
t
i
e
s
[
26]
.
E
duc
a
t
i
o
n
a
b
o
ut
b
r
e
a
s
t
f
e
e
d
i
ng
e
s
pe
c
i
a
ll
y
f
o
r
a
do
l
e
s
c
e
n
t
s
i
s
a
s
t
r
o
n
g
f
o
un
da
t
i
o
n
to
o
v
e
r
c
o
m
e
ba
r
r
i
e
r
s
to
b
r
e
a
s
t
f
e
e
d
i
ng
i
n
t
h
e
f
ut
ur
e
wh
e
n
s
h
e
b
e
c
o
m
e
s
a
m
o
t
h
e
r
[
27]
.
S
uppo
r
t
a
n
d
c
o
un
s
e
li
ng
f
o
r
m
o
t
h
e
r
s
i
s
a
va
i
l
a
bl
e
r
o
u
t
i
ne
l
y
dur
i
n
g
a
n
t
e
n
a
t
a
l
c
a
r
e
.
I
t
i
s
us
e
d
f
o
r
m
a
t
e
r
n
a
l
pr
e
pa
r
a
t
i
o
n
a
t
t
h
e
t
i
m
e
o
f
t
h
e
bi
r
t
h
o
f
t
h
e
ba
by
,
t
o
h
e
l
p
t
h
e
m
o
t
h
e
r
t
o
s
t
a
r
t
b
r
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a
s
t
f
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e
d
i
n
g
a
n
d
to
e
ns
ur
e
t
h
a
t
t
h
e
m
o
t
h
e
r
h
a
s
g
i
ve
n
b
r
e
a
s
t
f
e
e
d
i
ng
e
x
c
l
us
i
ve
ly
i
n
t
h
e
po
s
t
n
a
t
a
l
pe
r
i
o
d
[
3]
.
T
h
e
po
s
i
t
i
v
e
a
t
t
i
t
ude
o
f
m
o
t
h
e
r
s
a
b
o
ut
b
r
e
a
s
t
f
e
e
d
i
ng
a
n
d
t
h
e
i
n
i
t
i
a
t
i
o
n
o
f
b
r
e
a
s
t
f
e
e
d
i
ng
i
n
a
c
t
i
v
e
ly
pr
o
vi
d
i
ng
s
uppo
r
t
du
r
i
n
g
pr
e
gn
a
n
c
y
.
T
hi
s
i
nc
l
ude
s
dur
i
n
g
t
h
e
p
e
r
i
n
a
t
a
l
a
n
d
po
s
t
n
a
t
a
l
pe
r
i
o
ds
t
h
a
t
c
a
n
h
e
l
p
m
o
t
h
e
r
s
m
a
ke
t
h
e
de
c
i
s
i
o
n
to
b
r
e
a
s
t
f
e
e
d
e
x
c
l
u
s
i
ve
ly
a
s
a
pa
t
t
e
r
n
o
f
b
r
e
a
s
t
f
e
e
d
i
ng
b
a
bi
e
s
t
h
a
t
a
r
e
s
o
c
i
a
ll
y
a
c
c
e
pt
a
bl
e
a
n
d
r
e
s
pe
c
t
e
d
i
n
t
h
e
c
o
m
m
u
ni
t
y
[
28]
.
P
o
s
t
n
a
t
a
l
c
a
r
e
a
n
d
p
e
r
s
o
n
a
l
h
e
a
l
t
h
c
a
n
i
nc
r
e
a
s
e
k
n
o
w
l
e
dge
a
n
d
a
wa
r
e
n
e
s
s
o
f
a
d
o
l
e
s
c
e
n
t
m
o
t
h
e
r
s
a
n
d
pr
o
vi
de
t
r
a
n
s
i
t
i
o
na
l
e
x
pe
r
i
e
n
c
e
s
o
f
t
e
e
n
a
ge
m
o
t
h
e
r
s
[
29]
.
All
m
a
t
e
r
ni
t
y
u
ni
t
s
m
u
s
t
b
e
e
n
c
o
ur
a
ge
d
to
m
a
k
e
t
h
e
s
t
r
a
t
e
gi
c
a
n
d
pr
a
c
t
i
c
a
l
c
h
a
n
ge
s
n
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de
d
to
a
c
hi
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ve
t
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t
a
n
da
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a
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us
o
f
t
h
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I
nf
a
n
t
F
r
i
e
n
d
ly
Ho
s
pi
t
a
l
I
ni
t
i
a
t
i
v
e
[
30]
.
E
a
r
l
y
i
ni
t
i
a
t
i
o
n
o
f
b
r
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a
s
t
f
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d
i
n
g
c
a
n
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us
t
a
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t
h
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pe
r
i
o
d
o
f
b
r
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a
s
t
f
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d
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u
n
t
i
l
t
h
e
b
a
by
we
a
ni
ng
p
e
r
i
o
d
[
31]
.
B
r
e
a
s
t
f
e
e
d
i
ng
a
n
d
e
a
r
ly
b
r
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a
s
t
f
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d
i
ng
i
n
i
t
i
a
t
i
o
n
a
r
e
de
t
e
r
m
i
na
n
t
s
o
f
n
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o
n
a
t
a
l
m
o
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t
a
l
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t
y
f
o
r
l
o
w
bi
r
t
h
we
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g
h
t
i
n
i
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f
a
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s
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n
A
c
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h
P
r
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vi
nc
e
,
I
n
do
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e
s
i
a
.
Ne
w
s
t
r
a
t
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g
i
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de
d
t
o
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we
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g
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nf
a
n
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s
w
h
o
r
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c
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v
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n
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t
i
a
t
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o
f
b
r
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a
s
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f
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d
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ng
a
n
d
e
xc
l
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s
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ve
b
r
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a
s
t
f
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d
i
n
g.
O
n
e
e
f
f
o
r
t
i
s
t
o
o
r
ga
ni
z
e
a
nn
ua
l
l
o
w
bi
r
t
h
w
e
i
g
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t
c
o
n
t
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s
t
s
f
o
r
i
nf
a
n
t
s
i
n
e
a
c
h
d
i
s
t
r
i
c
t
,
wh
e
r
e
t
h
e
a
s
s
e
s
s
m
e
n
t
w
i
ll
be
b
a
s
e
d
o
n
a
c
c
e
pt
a
nc
e
o
f
b
r
e
a
s
t
f
e
e
d
i
ng
i
n
i
t
i
a
t
i
o
n
a
n
d
e
x
c
l
us
i
v
i
t
y
o
f
b
r
e
a
s
t
f
e
e
d
i
ng
f
o
r
i
nf
a
nt
s
f
o
r
i
nf
a
n
t
gr
o
w
t
h
a
n
d
de
v
e
l
o
p
m
e
n
t
[
32]
.
Kn
o
w
l
e
dge
i
s
us
e
d
t
o
e
n
h
a
nc
e
t
h
e
pr
o
m
o
t
i
o
n
o
f
b
r
e
a
s
t
f
e
e
d
i
ng
i
n
a
v
a
r
i
e
t
y
o
f
s
o
c
i
o
e
c
o
n
o
m
i
c
a
n
d
c
u
l
t
ur
a
l
c
o
n
t
e
x
t
s
[
33]
.
S
uc
h
kn
o
w
l
e
dge
c
a
n
t
a
i
l
o
r
c
o
s
t
-
e
f
f
e
c
t
i
v
e
i
n
t
e
r
v
e
n
t
i
o
n
s
w
i
t
h
t
h
e
a
i
m
o
f
i
nc
r
e
a
s
i
ng
t
h
e
c
h
a
n
c
e
s
o
f
l
a
c
t
a
t
i
o
n
s
uc
c
e
s
s
a
n
d
w
il
l
u
l
t
im
a
t
e
l
y
i
m
pr
o
v
e
i
nf
a
n
t
h
e
a
l
t
h
[
34]
.
K
n
o
w
l
e
dg
e
a
l
o
ne
i
s
n
o
t
e
n
o
ugh
b
e
c
a
u
s
e
wo
m
e
n
o
f
t
e
n
do
n
o
t
pr
a
c
t
i
c
e
e
x
c
l
u
s
i
ve
b
r
e
a
s
t
f
e
e
d
i
ng
o
r
wa
i
t
up
to
6
m
o
n
t
h
s
f
o
r
c
o
m
p
l
e
m
e
n
t
a
r
y
f
e
e
d
i
ng,
e
v
e
n
if
t
h
e
y
k
n
o
w
a
b
o
ut
t
h
e
be
n
e
f
i
t
s
o
f
b
r
e
a
s
t
f
e
e
d
i
ng
[
35]
.
T
h
e
im
po
r
t
a
nt
r
o
l
e
o
f
s
uc
c
e
s
s
f
u
l
e
f
f
o
r
t
s
i
n
t
h
e
pr
o
m
o
t
i
o
n
o
f
b
r
e
a
s
t
f
e
e
d
i
n
g
i
s
t
h
e
qua
l
i
t
y
o
f
kn
o
w
l
e
dge
a
n
d
s
uppo
r
t
f
r
o
m
o
th
e
r
s
[
3]
.
C
o
m
pr
e
h
e
ns
i
ve
b
r
e
a
s
t
f
e
e
d
i
ng
e
duc
a
t
i
o
n
a
n
d
s
upp
o
r
t
f
r
o
m
a
l
a
c
t
a
t
i
o
n
c
o
ns
u
l
t
a
n
t
s
h
o
u
l
d
b
e
g
i
n
i
n
t
h
e
pr
e
n
a
t
a
l
pe
r
i
o
d
a
n
d
c
o
n
t
i
n
ue
i
n
t
o
t
h
e
po
s
t
pa
r
tum
p
e
r
i
o
d
un
t
i
l
t
h
e
m
o
t
h
e
r
f
e
e
l
s
t
h
a
t
s
h
e
n
o
l
o
n
ge
r
n
e
e
d
s
t
h
a
t
s
uppo
r
t
[
14
]
.
Ge
n
e
r
a
l
k
n
o
w
l
e
dge
a
b
o
ut
b
r
e
a
s
t
f
e
e
d
i
ng
i
s
i
nc
r
e
a
s
i
ng
a
m
o
n
g
he
a
l
t
h
c
a
r
e
pr
o
f
e
s
s
i
o
n
a
l
s
t
h
u
s
c
a
u
s
i
ng
m
o
r
e
i
ns
t
i
t
ut
i
o
n
s
t
o
i
m
pr
o
v
e
b
r
e
a
s
t
f
e
e
d
i
ng
pr
a
c
t
i
c
e
s
.
P
e
r
c
e
i
ve
d
ba
r
r
i
e
r
s
i
nc
l
ud
e
d
if
f
i
c
u
l
t
y
a
nd
s
h
a
m
e
i
n
pu
bli
c
b
r
e
a
s
t
f
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e
d
i
ng,
pr
o
bl
e
m
s
m
a
i
n
t
a
i
n
i
ng
p
e
r
s
o
n
a
l
i
de
n
t
i
t
y
w
hil
e
b
r
e
a
s
t
f
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e
d
i
ng
a
n
d
wo
m
e
n
b
o
d
i
e
s
i
n
s
o
c
i
e
t
y
[
36]
.
T
h
e
r
e
l
a
t
i
o
n
s
hi
p
b
e
t
we
e
n
t
h
e
l
e
n
gt
h
o
f
a
b
r
e
a
s
t
f
e
e
d
i
ng
m
o
t
h
e
r
a
n
d
t
h
e
r
e
a
s
o
n
f
o
r
t
h
e
m
o
t
h
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r
to
we
a
n
h
e
r
b
a
by
m
us
t
h
a
ve
c
o
n
s
i
de
r
a
t
i
o
n
f
o
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p
l
a
nni
ng
a
b
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a
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t
f
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d
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c
a
m
pa
i
g
n
.
W
e
a
ni
ng
a
b
a
b
y
b
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f
o
r
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t
h
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a
ge
o
f
12
m
o
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t
h
s
h
a
s
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t
hi
n
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t
o
d
o
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t
h
c
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ur
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m
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s
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r
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r
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t
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t
e
d
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2252
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B
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t
i
o
n
o
f
b
r
e
a
s
t
f
e
e
d
i
ng
i
n
pr
e
m
a
t
ur
e
b
a
bi
e
s
by
pr
o
vi
d
i
n
g
a
ppr
o
pr
i
a
t
e
h
e
a
l
t
h
e
duc
a
t
i
o
n
a
n
d
f
a
mi
ly
p
l
a
nni
ng
t
o
m
o
t
h
e
r
s
w
h
o
a
r
e
b
r
e
a
s
t
f
e
e
d
i
ng
[
37]
.
3.
3.
T
h
e
Rol
e
of
h
u
s
b
an
d
,
h
e
al
t
h
wor
k
e
r
,
an
d
gove
r
n
m
e
n
t
p
ol
icie
s
s
u
p
p
o
r
t
on
b
r
e
as
t
f
e
e
d
in
g
p
r
ac
t
ice
S
m
a
ll
f
a
mi
li
e
s
w
i
t
h
1
-
2
c
hil
dr
e
n
h
a
v
e
a
po
s
i
t
i
v
e
i
nf
l
ue
n
c
e
o
n
e
x
c
l
us
i
ve
b
r
e
a
s
t
f
e
e
d
i
ng
c
o
m
pa
r
e
d
w
i
t
h
l
a
r
ge
f
a
mi
l
i
e
s
w
i
t
h
3
-
5
c
hil
dr
e
n
.
T
hi
s
i
s
a
s
i
g
n
t
ha
t
m
o
t
h
e
r
s
c
a
n
pr
o
vi
d
e
e
x
c
l
u
s
i
ve
b
r
e
a
s
t
f
e
e
d
i
ng
by
h
a
vi
ng
f
e
we
r
b
a
bi
e
s
a
n
d
h
a
vi
ng
go
o
d
bi
r
t
h
s
pa
c
i
n
g
[
5]
.
W
h
a
t
ha
s
b
e
e
n
pr
o
v
e
n
t
o
h
a
v
e
a
s
t
r
o
n
g
i
nf
l
ue
n
c
e
o
n
t
h
e
i
n
i
t
i
a
t
i
o
n
a
n
d
dur
a
t
i
o
n
o
f
b
r
e
a
s
t
f
e
e
d
i
ng
i
s
t
h
e
s
up
po
r
t
gi
v
e
n
by
f
a
t
h
e
r
s
t
h
r
o
ugh
a
c
t
i
v
e
ly
pa
r
t
i
c
i
pa
t
i
ng
i
n
t
h
e
m
o
t
h
e
r
de
c
i
s
i
o
n
t
o
b
r
e
a
s
t
f
e
e
d
a
n
d
by
h
a
vi
ng
p
o
s
i
t
i
v
e
k
n
o
w
l
e
dge
a
n
d
a
t
t
i
t
ude
s
a
b
o
u
t
t
h
e
b
e
n
e
f
i
t
s
a
n
d
im
po
r
t
a
n
c
e
o
f
b
r
e
a
s
t
f
e
e
d
i
ng
e
x
c
l
u
s
i
ve
ly
[
3
8]
.
T
h
e
h
us
b
a
n
d
h
a
s
a
v
e
r
y
im
po
r
t
a
n
t
r
o
l
e
i
n
t
h
e
m
o
t
h
e
r
de
c
i
s
i
o
n
to
gi
v
e
e
xc
l
u
s
i
ve
b
r
e
a
s
t
f
e
e
d
i
n
g
to
h
e
r
b
a
by
[
40]
.
F
a
mi
ly
s
uppo
r
t
a
n
d
a
hi
g
h
l
e
v
e
l
o
f
h
us
b
a
n
d
e
duc
a
t
i
o
n
c
a
n
h
e
l
p
i
t
i
n
pr
a
c
t
i
c
i
ng
e
x
c
l
us
i
ve
b
r
e
a
s
t
f
e
e
d
i
ng
[
39]
.
F
a
t
h
e
r
s
w
i
ll
be
g
i
ve
n
r
e
s
po
n
s
i
b
i
li
t
y
a
f
t
e
r
t
h
e
bi
r
t
h
o
f
t
h
e
b
a
by
by
a
s
k
i
ng
f
o
r
a
c
t
i
v
e
c
o
o
pe
r
a
t
i
o
n
i
n
i
nc
r
e
a
s
i
ng
i
nf
a
n
t
f
e
e
d
i
ng
i
s
a
n
e
f
f
e
c
t
i
v
e
wa
y
t
h
a
t
c
a
n
i
m
pr
o
v
e
t
h
e
r
e
l
a
t
i
o
ns
hi
p
o
f
pa
r
e
n
t
s
w
i
t
h
t
h
e
i
r
b
a
bi
e
s
,
f
o
r
m
a
n
i
n
t
e
r
a
c
t
i
o
n
a
n
d
s
o
c
i
a
l
s
k
il
l
s
a
n
d
c
a
n
pr
e
v
e
n
t
c
hil
dr
e
n
f
r
o
m
e
m
o
t
i
o
n
a
l
de
pr
i
va
t
i
o
n
a
n
d
c
hil
d
a
b
us
e
.
F
a
t
h
e
r
s
c
a
n
c
o
ns
i
s
t
e
n
t
l
y
pa
r
t
i
c
i
pa
t
e
i
n
c
a
r
e
o
r
s
uppo
r
t
du
r
i
n
g
b
r
e
a
s
t
f
e
e
d
i
ng
[
41]
.
T
o
i
nc
r
e
a
s
e
a
m
o
t
h
e
r
b
r
e
a
s
t
f
e
e
d
i
ng
r
a
t
e
,
pe
di
a
t
r
i
c
i
a
n
s
m
us
t
f
u
l
f
il
l
t
h
e
i
r
r
e
s
po
n
s
i
b
il
i
t
y
t
o
p
r
o
vi
de
a
ppr
o
pr
i
a
t
e
c
o
un
s
e
l
i
ng
a
nd
s
uppo
r
t
f
o
r
m
o
t
h
e
r
s
wh
o
b
r
e
a
s
t
f
e
e
d
t
h
e
i
r
b
a
bi
e
s
[
42]
.
M
o
s
t
pe
di
a
t
r
i
c
i
a
n
s
b
e
li
e
v
e
t
h
a
t
g
i
vi
ng
b
r
e
a
s
t
m
i
l
k
o
r
f
o
r
m
u
l
a
i
s
a
n
a
c
c
e
pt
a
bl
e
m
e
t
h
o
d
f
o
r
b
r
e
a
s
t
f
e
e
d
i
ng
a
b
a
by
.
I
n
a
dd
i
t
i
o
n
,
t
h
e
r
e
a
s
o
n
f
o
r
n
ot
r
e
c
o
m
m
e
n
d
i
ng
m
o
t
h
e
r
s
to
b
r
e
a
s
t
f
e
e
d
i
s
b
e
c
a
us
e
o
f
m
e
d
i
c
a
l
c
o
n
d
i
t
i
o
n
s
e
x
pe
r
i
e
n
c
e
d
s
uc
h
a
s
i
nf
l
a
mm
a
t
i
o
n
o
f
t
h
e
b
r
e
a
s
t
t
i
s
s
ue
,
pr
o
bl
e
ms
w
i
t
h
t
h
e
ni
pp
l
e
,
l
o
w
m
il
k
c
o
un
t
s
,
j
a
u
n
d
i
c
e
a
n
d
l
o
w
we
i
g
h
t
ga
i
n
i
n
t
h
e
m
o
t
h
e
r
de
s
p
i
t
e
h
a
vi
ng
go
n
e
t
h
r
o
ugh
t
h
e
r
a
p
i
e
s
t
h
a
t
d
o
n
ot
pr
e
v
e
n
t
t
h
e
m
o
t
h
e
r
f
r
o
m
b
r
e
a
s
t
f
e
e
d
i
ng
[
43]
.
Go
v
e
r
nm
e
n
t
po
l
i
c
i
e
s
r
e
ga
r
d
i
ng
m
a
t
e
r
ni
t
y
a
n
d
mat
e
r
ni
t
y
l
e
a
ve
m
us
t
r
e
f
l
e
c
t
t
h
e
n
e
e
d
s
o
f
m
o
t
h
e
r
s
i
n
pr
o
vi
d
i
ng
t
i
m
e
w
i
t
h
t
h
e
i
r
b
a
bi
e
s
be
f
o
r
e
r
e
t
u
r
ni
ng
to
w
or
k
[
5
]
.
T
hi
s
l
e
g
i
s
l
a
t
i
v
e
-
b
a
s
e
d
e
f
f
o
r
t
wa
s
unde
r
t
a
ke
n
to
pr
ot
e
c
t
wo
m
e
n
r
i
g
h
t
s
t
o
r
e
t
ur
n
to
wor
k
a
n
d
e
n
c
o
ur
a
ge
f
e
m
a
l
e
e
m
p
l
o
y
e
e
s
to
h
a
v
e
s
a
f
e
pr
i
va
c
y
to
pu
m
p
b
r
e
a
s
t
m
il
k
pr
o
vi
d
e
d
f
o
r
t
h
e
i
r
b
a
bi
e
s
[
44]
.
L
a
w
e
ns
ur
e
s
t
h
a
t
wo
m
e
n
h
a
v
e
t
h
e
t
i
m
e
a
n
d
f
r
e
e
do
m
to
pum
p
b
r
e
a
s
t
m
il
k
o
r
b
r
e
a
s
t
f
e
e
d
a
b
a
by
a
t
wor
k
[
45]
.
T
h
e
pa
r
t
i
c
i
pa
t
i
o
n
o
f
wo
m
e
n
wo
r
ke
r
s
s
h
o
u
l
d
b
e
e
nc
o
ur
a
ge
d
to
s
uppo
r
t
b
r
e
a
s
t
f
e
e
d
i
ng
a
n
d
pr
o
vi
de
f
a
c
il
i
t
i
e
s
f
o
r
e
x
t
o
r
t
i
o
n
a
t
w
or
k
f
o
r
w
or
ki
n
g
m
o
t
h
e
r
s
[
46]
.
E
f
f
o
r
t
s
to
di
s
s
e
mi
na
t
e
i
ni
t
i
a
t
i
o
n
f
o
r
b
r
e
a
s
t
f
e
e
d
i
n
g
w
i
t
hi
n
1
h
o
ur
a
f
t
e
r
bi
r
t
h
a
r
e
a
v
e
r
y
im
po
r
t
a
n
t
r
o
l
e
g
i
v
e
n
by
n
ur
s
e
s
a
n
d
mi
dw
i
ve
s
.
I
n
pr
o
vi
d
i
ng
inf
o
r
m
a
t
i
o
n
a
n
d
e
n
c
o
ur
a
g
i
n
g
pr
a
c
t
i
c
e
s
f
o
r
b
r
e
a
s
t
f
e
e
d
i
ng
i
n
i
t
i
a
t
i
o
n
,
t
h
e
y
c
a
n
b
e
a
s
s
i
s
t
e
d
by
n
ur
s
e
s
o
r
m
i
dw
iv
e
s
w
h
o
wo
r
k
i
n
t
h
e
f
i
e
l
d
o
f
pu
bli
c
h
e
a
l
t
h
.
T
he
s
t
r
a
t
e
gy
t
o
b
e
t
a
ke
n
m
u
s
t
i
n
c
l
ude
a
c
t
i
vi
t
i
e
s
s
uc
h
a
s
e
du
c
a
t
i
o
n
o
n
t
h
e
pr
a
c
t
i
c
e
o
f
e
x
c
l
us
i
ve
b
r
e
a
s
t
f
e
e
d
i
ng
a
n
d
n
ut
r
i
t
i
o
n
e
duc
a
t
i
o
n
dur
i
n
g
p
r
e
g
n
a
n
c
y
a
n
d
b
r
e
a
s
t
f
e
e
d
i
ng.
I
n
a
dd
i
t
i
o
n
,
t
h
e
po
l
i
c
y
m
a
de
m
us
t
pr
o
m
o
t
e
b
r
e
a
s
t
f
e
e
d
i
ng
i
n
a
l
l
h
o
s
p
i
t
a
l
s
i
n
I
n
do
n
e
s
i
a
.
A
de
l
i
ve
r
y
u
ni
t
,
h
e
a
l
t
h
f
a
c
il
i
t
i
e
s
f
o
r
pr
i
m
a
r
y
c
a
r
e
a
n
d
pe
o
p
l
e
wo
r
ki
n
g
i
n
h
o
s
p
i
t
a
l
s
m
u
s
t
im
p
l
e
m
e
n
t
a
n
d
us
e
s
t
r
a
t
e
gi
e
s
to
pr
o
m
ot
e
,
p
r
ot
e
c
t
a
n
d
s
uppo
r
t
m
o
t
h
e
r
s
to
b
r
e
a
s
t
f
e
e
d
e
f
f
e
c
t
i
v
e
ly
[
47]
.
C
h
i
l
d
n
u
r
s
e
p
r
a
c
t
i
t
i
on
e
r
s
m
u
s
t
p
r
ov
i
d
e
b
r
e
a
s
t
f
e
e
di
n
g
m
a
n
a
g
e
m
e
n
t
s
u
c
h
a
s
a
m
oth
e
r
’
s
kn
owl
e
d
g
e
,
s
ki
l
l
s
a
n
d
c
on
f
i
d
e
n
c
e
.
B
r
e
a
s
t
f
e
e
di
n
g
c
a
n
i
m
p
r
ov
e
b
a
b
y
’
s
h
e
a
l
t
h
a
n
d
p
r
ov
i
d
e
e
c
on
o
m
i
c
b
e
n
e
f
i
ts
f
or
a
m
ot
h
e
r
[
4
8
]
.
P
r
o
m
o
t
i
o
n
m
e
t
h
o
ds
i
n
c
o
m
pa
ni
e
s
t
h
a
t
a
r
e
us
e
d
to
c
r
e
a
t
e
a
p
o
l
i
c
y
t
o
de
v
e
l
o
p
b
r
e
a
s
t
f
e
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[
49]
.
E
f
f
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s
to
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pr
o
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[
50]
.
P
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b
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14]
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bi
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to
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by
[
51]
.
B
a
bi
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ba
by
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[
52]
.
B
r
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a
s
t
f
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d
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c
a
n
be
a
c
h
a
ll
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g
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,
b
ut
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ke
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x
c
l
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l
y
[
53]
.
B
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l
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-
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nf
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[
54]
.
T
h
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v
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n
t
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n
i
s
a
b
a
by
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ly
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pr
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d
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duc
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v
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[
55]
.
B
r
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t
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b
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ni
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b
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s
[
56]
.
M
a
t
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r
n
a
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c
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un
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li
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dur
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[
57]
.
S
uppo
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f
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to
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vi
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s
[
58]
.
T
h
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nc
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de
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o
f
ga
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r
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na
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a
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d
Evaluation Warning : The document was created with Spire.PDF for Python.
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9,
No.
4
,
De
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m
b
e
r
20
20
:
3
20
–
3
26
324
r
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[
59]
.
F
a
c
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s
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s
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b
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B
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[
60]
.
4.
CONC
L
USI
ON
B
r
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a
s
t
f
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d
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e
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RE
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[1
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Pras
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v
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.
2
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5
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1
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2
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.
[2
]
W
o
rl
d
H
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t
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rg
a
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zat
i
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n
.
O
b
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s
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t
y
a
n
d
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r
w
ei
g
h
t
,
2012
.
[3
]
E
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ch
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p
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.
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-
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ul
y
2017
.
[2
4
]
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R
.
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ro
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2
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0
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.
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5
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an
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.
[2
7
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Mo
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.
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.
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as
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.
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a
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9
.
[2
8
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.
[2
9
]
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.
[3
0
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.
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ap
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.
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cK
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p
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0
5
.
[3
1
]
Pe
r
m
at
as
ari
T
A
E
,
S
y
afru
d
d
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n
A
.
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p
.
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0
1
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.
[3
2
]
Be
rk
at
S
.
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t
an
R
.
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ffec
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v
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2
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p
p
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-
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0
1
4
.
[3
3
]
Pére
z
-
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s
c
a
m
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l
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a
R
.
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rr
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.
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a
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d
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p
.
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0
1
2
.
[3
4
]
Pe
r
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o
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.
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D
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K
G
.
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n
fan
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ffec
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cce
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s
:
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,”
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m
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Jo
u
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9
4
.
[3
5
]
Fel
d
m
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u
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.
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eek
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.
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o
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.
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al
.
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o
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.
2
8
9
-
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7
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2
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1
0
.
[3
6
]
E
arl
e
S.
,
“
Fac
t
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A
ff
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n
g
T
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fee
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,”
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ea
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t
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o
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,
p
p
.
205
-
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2
0
0
2
.
[3
7
]
J
ak
o
b
s
e
n
MS
.
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S
o
d
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n
n
M
.
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l
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.
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ab
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t
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9
9
6
.
[3
8
]
Pi
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.
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o
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9
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8
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0
0
5
.
[3
9
]
Rat
n
as
ari
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.
,
Para
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.
[4
0
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R
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.
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9
7
.
[4
1
]
Bro
w
n
A
.
,
D
a
v
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s
R.
,
“
Fat
h
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e
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fee
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.
4
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p
.
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6
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1
4
.
[4
2
]
Free
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L
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l
ark
SJ
,
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J
A
,
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R.
,
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d
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In
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