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o
t
e
c
t
e
d
f
r
o
m
i
ns
e
c
ur
i
t
y
,
wo
r
r
y
,
a
nxi
e
t
y
t
h
a
t
c
a
n
l
e
a
d
t
o
t
h
e
de
c
li
ne
i
n
pr
o
duc
t
i
o
n
o
f
t
h
e
o
xy
t
o
c
i
n
h
o
r
m
o
n
e
w
hi
c
h
t
h
e
o
xy
t
o
c
i
n
h
o
r
m
o
n
e
i
s
a
n
im
po
r
t
a
n
t
h
o
r
m
o
n
e
f
o
r
b
r
e
a
s
t
m
il
k
pr
o
duc
t
i
o
n
[
8]
.
T
h
e
de
c
r
e
a
s
e
i
n
t
he
pr
o
duc
t
i
o
n
o
f
t
hi
s
h
o
r
m
o
n
e
c
a
n
r
e
s
u
l
t
i
n
a
de
c
li
ne
i
n
b
r
e
a
s
t
m
il
k
pr
o
duc
t
i
o
n
due
to
t
h
e
dr
a
i
n
a
ge
o
f
b
r
e
a
s
t
m
il
k
s
u
b
s
t
a
n
da
r
d
a
n
d
w
i
ll
c
a
u
s
e
d
i
s
r
upt
i
o
n
o
f
t
h
e
pr
o
c
e
s
s
o
f
lac
t
a
t
i
o
n
[
9]
.
R
e
a
d
i
ne
s
s
by
O
hni
s
hi
i
s
a
f
o
r
m
o
f
m
a
t
ur
i
t
y
f
o
r
s
o
m
e
o
n
e
t
o
f
a
c
e
a
ne
w
s
i
t
ua
t
i
o
n
a
n
d
o
ne
o
f
t
h
e
im
po
r
t
a
n
t
t
hi
n
gs
t
h
a
t
m
us
t
be
o
wn
e
d
b
y
a
pe
r
s
o
n
t
o
de
c
i
de
t
hi
ngs
[
10
,
11]
.
T
h
e
de
c
i
s
i
o
n
t
o
b
r
e
a
s
t
f
e
e
d
o
r
n
ot
i
s
pe
r
f
o
r
m
e
d
s
i
nc
e
t
h
e
y
a
r
e
pr
e
gn
a
n
t
or
b
e
f
o
r
e
h
a
vi
ng
c
hil
dr
e
n
[
12
,
13]
.
R
e
a
d
i
n
e
s
s
m
o
t
h
e
r
i
n
e
x
c
l
u
s
i
ve
b
r
e
a
s
t
f
e
e
d
i
ng
i
s
t
h
e
a
t
t
i
t
ude
a
n
d
be
h
a
vi
o
r
o
f
t
h
e
mot
h
e
r
i
s
a
f
o
r
m
o
f
m
a
t
ur
i
t
y
o
wn
e
d
by
t
he
m
o
t
h
e
r
to
de
c
i
d
e
a
n
d
h
a
v
e
t
h
e
r
e
a
d
i
n
e
s
s
t
o
e
x
c
l
u
s
i
ve
b
r
e
a
s
t
f
e
e
d
i
ng
[
14]
.
R
e
a
d
i
ne
s
s
b
r
e
a
s
t
f
e
e
d
i
n
g
dur
i
n
g
pr
e
g
n
a
n
c
y
i
s
im
p
o
r
t
a
n
t,
m
o
t
h
e
r
s
w
h
o
pr
e
pa
r
e
e
a
r
ly
w
il
l
be
b
e
t
t
e
r
pr
e
pa
r
e
d
to
b
r
e
a
s
t
f
e
e
d
h
e
r
ba
by
[
15,
16]
.
I
n
d
i
c
a
t
o
r
s
o
f
r
e
a
d
i
ne
s
s
t
h
e
m
o
t
h
e
r
s
i
n
e
x
c
l
u
s
i
ve
b
r
e
a
s
t
f
e
e
d
i
n
g
in
t
hi
s
s
t
ud
y
i
nc
l
ud
e
:
(
a
)
t
h
e
r
e
a
d
i
ne
s
s
o
f
t
h
e
h
e
a
l
t
h
o
f
t
h
e
m
o
t
h
e
r
,
i
t
i
s
a
f
o
r
m
o
f
a
t
t
i
t
ude
a
n
d
b
e
h
a
vi
o
r
o
f
t
h
e
m
o
t
h
e
r
i
n
ke
e
p
i
ng
h
e
r
h
e
a
l
t
h
dur
i
n
g
pr
e
g
n
a
n
c
y
,
(
b)
ps
y
c
h
o
l
o
g
i
c
a
l
r
e
a
d
i
ne
s
s
m
o
t
h
e
r
,
e
x
pe
c
t
e
d
m
o
t
h
e
r
h
a
s
t
h
e
i
n
t
e
n
t
i
o
n
a
n
d
s
e
lf
-
c
o
nf
i
de
n
c
e
w
il
l
be
h
e
r
a
bil
i
t
y
t
o
gi
v
e
e
x
c
l
us
i
ve
b
r
e
a
s
t
f
e
e
d
i
ng
[
17]
.
T
h
us
t
h
e
m
o
t
h
e
r
w
i
l
l
t
hi
n
k
o
pt
i
m
i
s
t
i
c
a
n
d
po
s
i
t
i
v
e
w
hi
c
h
w
il
l
a
f
f
e
c
t
t
h
e
r
e
a
d
i
n
e
s
s
o
f
a
l
l
t
h
e
o
r
ga
ns
o
f
b
r
e
a
s
t
-
f
e
e
d
i
ng
s
o
t
h
a
t
t
h
e
mi
l
k
f
l
o
w
e
d
s
m
o
o
t
hl
y
,
(
c
)
n
ut
r
i
t
i
o
n
/
n
ut
r
i
t
i
o
n
o
f
p
r
e
gn
a
n
t
wo
m
e
n
,
dur
i
n
g
pr
e
g
na
n
c
y
n
ut
r
i
t
i
o
n
i
s
o
ne
o
f
t
h
e
im
po
r
t
a
n
t
f
a
c
t
or
s
t
h
a
t
de
t
e
r
m
i
ne
t
h
e
s
uc
c
e
s
s
o
f
b
r
e
a
s
t
f
e
e
d
i
ng
,
(
d)
t
h
e
r
e
a
d
i
ne
s
s
o
f
t
h
e
b
r
e
a
s
t
,
s
e
v
e
r
a
l
un
s
u
c
c
e
s
s
f
u
l
b
r
e
a
s
t
f
e
e
d
i
ng
i
s
due
t
o
a
n
o
b
s
t
r
uc
t
i
o
n
o
n
t
h
e
m
o
t
h
e
r
’
s
ni
pp
l
e
s
o
t
h
e
b
r
e
a
s
t
m
il
k
c
a
n
n
o
t
b
e
r
e
m
o
v
e
d
a
n
d
w
il
l
ha
v
e
a
n
im
pa
c
t
o
n
t
h
e
de
c
li
ne
i
n
b
r
e
a
s
t
m
il
k
pr
o
duc
t
i
o
n
[
18]
,
(
e
)
t
h
e
r
e
a
d
i
n
e
s
s
o
f
t
h
e
h
e
a
l
t
h
i
n
f
a
n
t
s
,
b
a
bi
e
s
h
e
a
l
t
hy
a
n
d
i
n
t
h
e
n
o
r
m
a
l
c
o
n
d
i
t
io
n
s
w
i
ll
b
e
a
bl
e
to
a
b
s
o
r
b
t
h
e
ni
pp
l
e
s
t
r
o
n
g
l
y
,
i
t
i
s
v
e
r
y
im
po
r
t
a
n
t
to
s
t
i
m
u
l
a
t
e
t
h
e
pr
o
l
a
c
t
i
n
a
n
d
o
xy
t
o
c
i
n
ho
r
m
o
n
e
[
19]
.
2.
RE
S
E
AR
CH
M
E
T
HO
D
C
r
o
s
s
-
s
e
c
t
i
o
n
a
l
s
t
udy
p
e
r
f
o
r
m
e
d
o
n
pr
e
gn
a
n
t
wom
e
n
w
h
o
l
i
ve
i
n
t
he
c
i
t
y
o
f
S
ur
a
ka
r
t
a
.
Du
r
i
n
g
t
h
e
o
b
s
e
r
v
a
t
i
o
n
m
a
de
i
n
2015
t
h
r
o
ugh
2016
we
r
e
t
a
ke
n
a
s
a
m
p
l
e
o
f
150
r
e
s
po
n
de
n
t
s
.
M
e
a
s
ur
e
m
e
n
t
o
f
t
h
e
v
a
r
i
a
bl
e
s
us
e
d
t
h
e
e
n
c
l
o
s
e
d
que
s
t
i
o
nn
a
i
r
e
i
n
e
a
c
h
i
t
e
m
que
s
t
i
o
n
s
r
a
t
e
d
by
L
i
ke
r
t
s
c
a
l
e
.
M
o
t
i
va
t
i
o
n
i
s
m
e
a
s
ur
e
d
by
t
h
r
e
e
i
nd
i
c
a
t
o
r
s
,
n
a
m
e
ly
s
uppo
r
t,
e
f
f
o
r
t,
a
n
d
pe
r
s
i
s
t
e
n
c
e
.
F
a
mi
ly
s
uppo
r
t
i
s
m
e
a
s
ur
e
d
by
t
h
r
e
e
i
nd
i
c
a
t
o
r
s
,
n
a
m
e
ly
m
e
n
t
or
i
n
g,
a
t
t
e
n
t
i
o
n
a
n
d
a
s
s
i
s
t
a
n
c
e
.
R
e
a
d
i
ne
s
s
i
s
m
e
a
s
ur
e
d
by
f
i
ve
i
nd
i
c
a
t
o
r
s
o
f
m
a
t
e
r
n
a
l
h
e
a
l
t
h
pr
e
pa
r
e
d
n
e
s
s
,
m
a
t
e
r
n
a
l
ps
y
c
h
o
l
o
g
i
c
a
l
pr
e
pa
r
e
dn
e
s
s
,
r
e
a
d
i
n
e
s
s
o
f
t
h
e
b
r
e
a
s
t
,
n
utr
i
t
i
o
n
/
m
a
t
e
r
n
a
l
n
ut
r
i
t
i
o
n
a
n
d
i
n
f
a
n
t
h
e
a
l
t
h
pr
e
pa
r
e
d
n
e
s
s
.
E
a
c
h
i
nd
i
c
a
t
o
r
i
s
e
x
pr
e
s
s
e
d
i
n
s
o
m
e
o
f
t
h
e
i
t
e
m
s
t
h
e
que
s
t
i
o
n
t
h
a
t
h
a
s
b
e
e
n
va
l
i
da
t
e
d
b
o
t
h
i
n
t
e
r
m
s
o
f
l
a
n
gu
a
ge
o
r
s
e
n
t
e
n
c
e
s
t
r
uc
t
ur
e
(
c
ontent
v
ali
dit
y
)
a
s
we
l
l
a
s
t
h
e
s
ide
o
f
t
h
e
c
o
n
s
t
r
uc
t
.
Al
l
c
o
n
s
t
r
uc
t
s
(
v
a
r
i
a
bl
e
s
)
a
l
s
o
h
a
s
a
hi
g
h
r
e
l
i
a
bil
i
t
y
(
C
r
onbac
h'
s
alpha>
0.
9)
.
R
e
l
a
t
i
o
ns
b
e
t
we
e
n
v
a
r
i
a
bl
e
s
we
r
e
a
n
a
ly
z
e
d
i
n
t
h
e
s
i
m
p
l
e
s
t
f
o
r
m
o
f
t
h
e
s
t
r
uc
t
ur
a
l
m
o
de
l
w
i
t
h
path
a
n
a
ly
s
i
s
.
I
n
t
e
r
m
e
d
i
a
t
e
v
a
r
i
a
bl
e
s
c
r
i
t
e
r
i
a
e
x
pr
e
s
s
e
d
a
s
a
m
e
d
i
a
t
or
b
e
t
we
e
n
t
he
i
nde
pe
n
de
n
t
va
r
i
a
bl
e
s
a
n
d
t
h
e
de
pe
n
d
e
n
t
v
a
r
i
a
bl
e
i
s
w
h
e
n
t
h
e
r
e
l
a
t
i
o
n
s
hi
p
b
e
t
we
e
n
t
h
e
t
h
r
e
e
s
i
g
ni
f
i
c
a
n
t
v
a
r
i
a
bl
e
s
a
n
d
t
h
e
i
nf
l
ue
nc
e
o
f
t
h
e
i
nde
pe
n
de
n
t
v
a
r
i
a
bl
e
o
n
t
h
e
de
pe
n
de
n
t
v
a
r
i
a
bl
e
de
c
r
e
a
s
e
s
s
i
g
ni
f
i
c
a
n
t
l
y
w
h
e
n
t
h
e
i
n
t
e
r
m
e
d
i
a
t
e
v
a
r
i
a
bl
e
s
i
nc
l
ude
d
a
s
c
o
v
a
r
i
a
t
e
s
(
i
n
de
pe
n
d
e
n
t
v
a
r
i
a
bl
e
s
toget
h
e
r
)
.
Da
t
a
pr
o
c
e
s
s
i
n
g
w
a
s
p
e
r
f
o
r
m
e
d
us
i
ng
S
P
SS
f
or
W
indo
w
s
13
ve
r
s
i
o
n
.
S
t
a
t
i
s
t
i
c
a
l
t
e
s
t
i
n
g
i
s
do
n
e
w
i
t
h
a
s
i
g
ni
f
i
c
a
nc
e
l
e
ve
l
o
f
5%
.
3.
RE
S
UL
T
S
AN
D
AN
AL
YSI
S
T
h
e
de
m
o
gr
a
p
hi
c
c
h
a
r
a
c
t
e
r
i
s
t
i
c
s
o
f
r
e
s
po
n
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Evaluation Warning : The document was created with Spire.PDF for Python.
I
J
P
HS
I
S
S
N:
2252
-
8806
M
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Evaluation Warning : The document was created with Spire.PDF for Python.
I
S
S
N:
2252
-
8806
I
J
P
H
S
V
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l
.
6,
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.
2,
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e
2017
:
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ll
d
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r
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c
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l
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he
r
f
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tt
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r
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a
d
y
to
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v
e
e
x
c
l
us
i
ve
b
r
e
a
s
t
f
e
e
d
i
ng
[
20]
.
T
h
e
i
n
d
i
r
e
c
t
e
f
f
e
c
t
i
s
s
h
o
wn
by
t
h
e
c
o
n
d
i
t
i
o
ns
w
h
e
n
a
go
o
d
s
uppor
t
f
r
o
m
f
a
m
il
y
a
t
t
h
e
b
e
g
i
nn
i
ng
i
s
c
o
m
po
s
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o
r
e
nh
a
nc
e
m
o
t
i
v
a
t
i
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n
o
f
m
o
t
h
e
r
s
i
n
e
x
c
l
us
i
ve
b
r
e
a
s
t
f
e
e
d
i
ng.
F
ur
t
h
e
r
m
o
r
e
,
i
f
t
h
e
m
o
t
h
e
r
h
a
s
a
hi
g
h
m
o
t
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w
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d
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to
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v
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x
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l
us
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ve
b
r
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a
s
t
f
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d
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ng.
E
m
p
i
r
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c
a
l
m
o
de
l
s
a
r
e
a
na
l
y
z
e
d
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n
t
hi
s
s
t
ud
y
i
s
b
a
s
e
d
o
n
t
h
e
c
o
n
c
e
pt
o
f
Gr
e
e
n
P
r
e
c
e
de
-
P
r
o
c
e
de
.
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e
n
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de
n
t
i
f
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s
t
h
r
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a
t
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go
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o
f
f
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or
s
t
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a
t
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d
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r
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vi
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s
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f
a
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o
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s
,
a
l
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ly
f
a
c
to
r
,
a
n
d
s
uppo
r
t
f
a
c
t
o
r
[
21]
.
R
e
a
d
i
n
e
s
s
to
gi
v
e
e
x
c
l
u
s
i
ve
b
r
e
a
s
t
f
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d
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ng
i
s
o
n
e
f
o
r
m
o
f
h
e
a
l
t
h
b
e
h
a
vi
o
r
s
,
w
hil
e
m
o
t
i
v
a
t
i
o
n
i
s
o
n
e
o
f
t
h
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pr
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d
i
s
po
s
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ng
f
a
c
t
or
s
a
nd
f
a
mi
l
y
s
uppo
r
t
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s
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n
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f
a
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o
r
whi
c
h
s
uppo
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t
h
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b
e
h
a
vi
o
r
.
F
a
m
il
y
s
uppo
r
t
c
a
n
i
nf
l
ue
n
c
e
i
n
d
i
r
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c
t
l
y
o
n
t
h
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r
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d
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s
s
b
ut
by
f
i
r
s
t
f
o
r
m
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m
a
t
e
r
n
a
l
m
o
t
i
v
a
t
i
o
n
.
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he
s
uppo
r
t
o
f
a
h
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s
b
a
n
d
w
h
o
f
i
r
m
ly
t
hi
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k
t
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b
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m
il
k
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be
s
t
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w
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a
ke
t
h
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m
o
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x
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ly
b
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s
t
f
e
e
d
t
h
e
ir
b
a
bi
e
s
e
a
s
il
y
[
22]
.
On
e
t
y
pe
o
f
f
a
mi
ly
s
uppo
r
t
i
s
g
i
vi
ng
m
a
t
e
r
i
a
l
s
a
s
s
i
s
t
a
n
c
e
,
p
hy
s
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c
a
l
a
s
s
i
s
t
a
n
c
e
o
r
a
ny
ot
h
e
r
f
o
r
m
o
f
de
vi
c
e
s
uppo
r
t
a
n
d
h
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l
p
i
ng
mot
h
e
r
s
i
n
b
r
e
a
s
t
f
e
e
d
i
ng.
T
h
e
pr
e
s
e
n
c
e
o
f
f
a
mi
ly
i
s
ve
r
y
im
po
r
t
a
n
t
to
e
n
c
o
ur
a
ge
m
ot
h
e
r
s
to
b
oo
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t
c
o
n
f
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d
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n
c
e
a
n
d
s
t
a
bi
li
z
e
h
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r
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m
o
t
i
o
n
s
,
a
n
d
a
l
s
o
pr
o
vi
d
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ng
a
gr
e
a
t
m
o
t
i
v
a
t
i
o
n
t
o
b
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a
s
t
f
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d
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ng
wo
m
e
n
.
I
n
f
a
c
t
t
h
e
i
nf
l
ue
n
c
e
o
f
f
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mi
ly
s
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d
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c
t
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m
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h
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us
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m
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s
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d
pr
im
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s
h
a
pe
r
o
f
b
e
h
a
vi
o
r
.
4.
CONC
L
USI
ON
T
h
e
c
o
n
c
l
us
i
o
n
f
r
o
m
t
hi
s
s
t
ud
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m
o
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v
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f
pr
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gna
n
t
m
o
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h
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s
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xc
l
us
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b
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a
s
t
f
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d
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m
a
y
h
a
v
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o
l
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a
s
a
m
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d
i
a
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s
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s
to
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pr
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t
m
o
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s
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x
c
l
us
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ve
b
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a
s
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f
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d
i
n
g.
B
a
s
e
d
o
n
t
hi
s
c
o
n
c
l
us
i
o
n
i
n
o
r
de
r
to
t
h
e
i
m
p
l
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m
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t
a
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f
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x
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b
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s
uc
c
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s
f
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o
t
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f
a
mi
ly
(
e
s
pe
c
i
a
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t
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h
us
ba
n
d)
i
s
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g
hly
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m
m
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de
d
t
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pr
o
vi
de
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s
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to
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x
c
l
us
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ve
b
r
e
a
s
t
f
e
e
d
i
ng.
RE
F
E
R
E
NC
E
S
[
1
]
J
.
Ro
b
b
i
n
s
,
“
O
rg
an
i
zat
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o
n
a
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b
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a
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o
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”
t
ran
s
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at
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o
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.
D
i
an
a
A
n
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c
a,
J
ak
art
a,
Sa
l
em
b
a
Fo
u
r
,
2
0
0
7
.
[
2
]
F.
L
u
t
h
an
,
“
O
rg
an
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zat
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o
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al
B
e
h
a
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an
E
v
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Bas
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p
p
rach
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”
N
ew
Y
o
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k
,
Mc
G
ra
w
H
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l
Bo
o
k
Co
m
p
a
n
y
,
2
0
1
1
.
[
3
]
T
.
A
m
i
n
,
et
a
l
.
,
“
D
e
t
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r
mi
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a
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s
o
f
In
i
t
i
at
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o
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a
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E
x
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v
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Br
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feed
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A
l
H
as
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a,
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rab
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”
Jo
u
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n
a
l
B
r
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s
t
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M
ed
,
v
o
l
.
6
.
p
p
.
5
9
-
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8
,
2
0
1
1
.
[
4
]
M.
Mei
l
i
as
ari
,
“
Bre
as
t
feed
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n
g
I
s
N
o
t
J
u
s
t
Mo
m
's
D
u
t
y
,
”
J
ak
art
a,
E
G
C,
2
0
1
2
.
[
5
]
Mah
araj
N
.
a
n
d
Ban
d
y
o
p
ad
h
y
a
y
M
.
,
“
Bre
as
t
fee
d
i
n
g
Pr
ac
t
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s
o
f
E
t
h
n
i
c
In
d
i
an
Immi
g
ran
t
W
o
me
n
i
n
M
e
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b
o
u
r
n
e,
A
u
s
t
ral
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a,
”
Jo
u
r
n
a
l
In
t
e
r
n
a
t
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a
l
B
r
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s
t
f
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n
g
,
v
o
l
.
1
7
p
p
.
1
-
9
,
2
0
1
3
.
[
6
]
L
.
B
o
b
ak
an
d
J
an
s
en
,
“
Mat
e
rn
i
t
y
N
u
rs
i
n
g
T
e
a
c
h
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g
T
e
x
t
b
o
o
k
(t
ran
s
l
at
i
o
n
ed
.
4
),
”
J
ak
art
a,
E
G
C,
2
0
0
5
.
[
7
]
Y
o
u
l
i
n
Q
.
,
et
a
l
.
,
“
Mat
e
rn
al
an
d
Br
e
as
t
Pu
m
p
Fa
c
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o
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s
A
s
s
o
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at
e
d
w
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t
h
Br
e
as
t
Pu
m
p
Pro
b
l
em
s
an
d
In
j
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ri
es
,
”
Jo
u
r
n
a
l
o
f
H
u
m
a
n
La
c
t
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t
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o
n
,
v
o
l
.
3
0
p
p
.
6
2
-
7
2
,
2
0
1
4
.
[
8
]
A
.
F.
J
o
r
m
,
“
Me
n
t
al
H
e
a
l
t
h
D
i
s
o
rd
e
rs
,
”
B
r
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i
s
h
Jo
u
r
n
a
l
o
f
P
s
ych
i
a
t
r
y,
v
o
l
.
1
7
7
,
p
p
.
3
9
6
-
4
0
1
,
2
0
0
0
.
[
9
]
J
e
s
s
i
c
a
A
.
,
et
a
l
.
,
“
U
s
i
n
g
m
P
I
N
C
D
at
a
t
o
M
e
as
u
r
e
Br
e
as
t
fee
d
i
n
g
S
u
p
p
o
rt
fo
r
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o
s
p
i
t
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m
p
l
o
y
ee
s
,
”
Jo
u
r
n
a
l
o
f
H
u
m
a
n
La
ct
a
t
i
o
n
,
v
o
l
.
3
0
,
p
p
.
9
7
-
1
0
1
,
2
0
1
4
.
[
1
0
]
M.
O
h
n
i
s
h
i
,
et
a
l
.
,
“
I
m
p
ro
v
emen
t
I
n
Mat
e
rn
a
l
H
e
al
t
h
L
i
t
e
ra
cy
A
m
o
n
g
Pr
eg
n
a
n
t
W
o
me
n
W
h
o
D
i
d
N
o
t
Co
mp
l
e
t
e
Co
m
p
u
l
s
o
r
y
,
”
Th
e
CD
C
G
u
i
d
e
t
o
B
r
e
a
s
t
f
e
ed
i
n
g
In
t
er
ve
n
t
i
o
n
.
U
.
S
D
e
p
art
e
men
o
f
H
e
al
t
h
&
H
u
m
a
n
S
e
rv
i
ce
s
C
en
t
e
r
fo
r
D
i
s
e
as
e
C
o
n
t
ro
l
an
d
Pr
ev
e
n
t
i
o
n
N
at
i
o
n
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