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r
e
p
ar
e
d
an
d
lack
in
g
in
c
o
n
f
id
en
ce
(
s
elf
-
ef
f
icac
y
)
t
o
a
s
s
is
t
th
eir
p
ar
tn
er
s
in
b
r
ea
s
tf
ee
d
in
g
,
lead
in
g
to
lim
ited
s
u
p
p
o
r
t
.
T
h
ey
m
a
y
a
ls
o
s
tr
u
g
g
le
wh
en
th
eir
p
ar
tn
er
s
f
ac
e
b
r
ea
s
tf
ee
d
in
g
c
h
allen
g
es
[
1
0
]
,
[
1
1
]
.
A
f
ath
er
'
s
s
elf
-
ef
f
icac
y
in
s
u
p
p
o
r
tin
g
b
r
ea
s
tf
ee
d
in
g
is
r
ef
er
r
ed
t
o
as p
ater
n
al
b
r
ea
s
tf
ee
d
in
g
s
elf
-
ef
f
icac
y
.
Pater
n
al
b
r
ea
s
tf
ee
d
in
g
s
elf
-
ef
f
icac
y
ca
n
p
r
ed
ict
th
e
p
r
ac
tice
o
f
ex
clu
s
iv
e
b
r
ea
s
tf
ee
d
in
g
[
1
2
]
.
Acc
o
r
d
in
g
to
th
e
B
r
ea
s
tf
ee
d
in
g
Self
-
ef
f
icac
y
f
r
am
ew
o
r
k
,
an
in
d
iv
id
u
al'
s
s
elf
-
ef
f
i
ca
cy
is
in
f
lu
en
ce
d
b
y
f
o
u
r
an
tece
d
a
n
t
f
ac
to
r
s
:
m
aster
y
ex
p
er
ie
n
ce
s
,
v
icar
io
u
s
ex
p
er
ien
ce
,
v
er
b
al
p
e
r
s
u
asio
n
,
an
d
p
h
y
s
io
lo
g
ical
an
d
em
o
tio
n
al
s
tates.
Facto
r
s
in
f
lu
en
cin
g
p
ater
n
al
b
r
ea
s
tf
ee
d
in
g
s
elf
-
ef
f
icac
y
,
lik
e
th
o
s
e
in
f
lu
en
cin
g
m
ater
n
al
b
r
ea
s
tf
ee
d
in
g
s
el
f
-
e
f
f
icac
y
,
a
r
e
th
o
u
g
h
t
to
s
tem
f
r
o
m
f
o
u
r
p
r
im
a
r
y
s
o
u
r
ce
s
o
f
i
n
f
o
r
m
atio
n
:
i
)
m
aster
y
ex
p
er
ien
ce
(
e.
g
.
,
p
r
ev
io
u
s
s
u
c
ce
s
s
f
u
l
ex
p
er
ien
ce
s
in
s
u
p
p
o
r
t
in
g
th
eir
p
ar
t
n
er
a
n
d
c
h
ild
wit
h
b
r
ea
s
tf
ee
d
i
n
g
)
,
ii
)
v
icar
io
u
s
ex
p
er
ien
ce
s
(
e.
g
.
,
w
itn
ess
in
g
o
th
er
m
en
s
u
p
p
o
r
ti
n
g
th
eir
p
ar
tn
e
r
s
in
b
r
ea
s
tf
ee
d
i
n
g
)
,
an
d
iii
)
v
e
r
b
al
p
er
s
u
asio
n
(
e
.
g
.
,
p
o
s
itiv
e
f
ee
d
b
ac
k
a
n
d
m
o
tiv
atio
n
f
r
o
m
th
e
ir
p
ar
tn
e
r
,
h
ea
lth
ca
r
e
p
r
o
v
id
er
s
,
an
d
o
th
er
s
)
an
d
iv
)
p
h
y
s
io
lo
g
ical
r
esp
o
n
s
es
(
f
o
r
ex
a
m
p
le,
f
ee
lin
g
s
o
f
s
atis
f
ac
tio
n
an
d
co
m
p
eten
ce
v
er
s
u
s
s
tr
es
s
,
an
x
iety
,
an
d
h
elp
less
n
ess
wh
ile
ass
i
s
tin
g
th
eir
p
a
r
tn
er
with
b
r
ea
s
tf
ee
d
i
n
g
)
[
1
2
]
.
Qu
alitativ
e
s
tu
d
ies
o
n
f
ath
er
s
in
T
h
ailan
d
d
elin
ea
te
f
o
u
r
s
o
u
r
ce
s
o
f
p
at
er
n
al
s
elf
-
ef
f
icac
y
,
in
clu
d
in
g
f
ath
er
s
'
ex
p
er
ien
ce
s
in
s
u
p
p
o
r
tin
g
b
r
ea
s
tf
ee
d
in
g
m
o
th
er
s
,
o
b
s
er
v
atio
n
s
o
f
f
r
ien
d
s
,
in
f
o
r
m
ati
o
n
f
r
o
m
s
o
cial
m
ed
ia
an
d
f
am
ily
,
v
er
b
al
p
er
s
u
asio
n
,
an
d
f
ee
lin
g
s
o
f
f
atig
u
e
at
t
h
e
o
u
ts
et
o
f
b
r
e
astfe
ed
in
g
,
as
well
as
f
ee
lin
g
s
o
f
h
a
p
p
in
ess
wh
en
th
e
b
ab
y
r
ec
eiv
es
b
r
ea
s
t
m
ilk
[
1
3
]
.
C
h
ar
ac
ter
is
ti
c
f
ac
to
r
s
s
u
ch
as
a
f
ath
er
'
s
ag
e
[
1
2
]
,
[
1
4
]
,
th
e
n
u
m
b
er
o
f
ch
ild
r
e
n
[
1
4
]
,
o
cc
u
p
atio
n
,
in
co
m
e
[
1
5
]
,
an
d
p
a
r
ticip
atio
n
in
a
n
ten
atal
ca
r
e
(
ANC)
[
1
6
]
ar
e
r
elate
d
t
o
p
ater
n
al
b
r
ea
s
tf
e
ed
in
g
s
elf
-
e
f
f
icac
y
.
R
esear
ch
o
n
p
ater
n
al
b
r
ea
s
tf
e
ed
in
g
r
em
ain
s
r
elativ
ely
s
ca
r
c
e,
an
d
th
er
e
is
cu
r
r
e
n
tly
n
o
p
u
b
lis
h
ed
r
esear
ch
o
n
th
e
d
eter
m
in
an
ts
o
f
p
ater
n
al
b
r
ea
s
tf
ee
d
in
g
s
elf
-
ef
f
icac
y
i
n
I
n
d
o
n
esia.
T
h
is
s
tu
d
y
aim
s
to
ex
p
lo
r
e
th
e
s
o
u
r
ce
s
o
f
p
ater
n
al
s
elf
-
ef
f
icac
y
i
n
s
u
p
p
o
r
tin
g
e
x
clu
s
iv
e
b
r
ea
s
tf
ee
d
i
n
g
in
I
n
d
o
n
esia.
2.
M
E
T
H
O
D
T
h
is
s
tu
d
y
is
f
ir
s
t
s
tag
e
o
f
a
lar
g
er
s
tu
d
y
th
at
c
o
n
s
titu
tes
th
e
f
ir
s
t
au
th
o
r
'
s
d
is
s
er
tatio
n
.
T
h
is
s
tu
d
y
u
s
ed
a
q
u
alitativ
e
m
eth
o
d
with
a
p
h
en
o
m
e
n
o
lo
g
ical
ap
p
r
o
a
ch
.
I
t
in
v
o
lv
e
d
f
iv
e
f
ath
er
s
as
th
e
m
ain
s
o
u
r
ce
s
o
f
in
f
o
r
m
atio
n
,
an
d
f
iv
e
wiv
es
as
s
u
p
p
o
r
tin
g
in
f
o
r
m
an
ts
.
T
h
ese
in
f
o
r
m
an
ts
wer
e
ca
r
ef
u
lly
s
elec
ted
p
u
r
p
o
s
iv
el
y
b
ased
o
n
in
clu
s
io
n
cr
iter
ia:
t
h
ey
h
a
d
ch
ild
r
en
ag
ed
6
-
2
4
m
o
n
th
s
an
d
wer
e
ex
clu
s
iv
ely
b
r
e
astfe
d
.
T
h
e
r
esear
ch
to
o
k
p
lace
in
Ma
y
-
J
u
l
y
2
0
2
3
i
n
So
u
th
T
a
n
g
er
a
n
g
C
ity
.
Data
f
r
o
m
f
ath
er
s
wer
e
c
o
llected
t
h
r
o
u
g
h
f
o
cu
s
g
r
o
u
p
d
is
cu
s
s
io
n
s
(
FGD)
,
wh
ile
d
at
a
f
r
o
m
f
i
v
e
wiv
es
wer
e
g
ath
er
ed
th
r
o
u
g
h
i
n
-
d
e
p
th
in
ter
v
i
ews.
T
h
e
co
m
m
o
n
n
u
m
b
er
o
f
p
ar
ticip
a
n
ts
in
th
e
FGD
is
f
o
u
r
t
o
eig
h
t.
Fo
r
t
h
is
s
tu
d
y
,
f
i
v
e
p
ar
ticip
a
n
ts
ar
e
co
n
s
id
er
ed
id
ea
l
b
ec
au
s
e
th
ey
h
av
e
s
u
b
s
tan
tial
ex
p
er
ien
ce
with
th
e
to
p
ic
o
f
d
is
cu
s
s
io
n
,
en
ab
lin
g
th
em
to
f
r
ee
ly
s
h
ar
e
th
eir
ex
p
er
ien
ce
s
in
d
ep
th
[
1
7
]
.
T
h
e
FGD
an
d
in
-
d
ep
th
in
ter
v
iews
wer
e
led
b
y
th
e
r
esear
ch
e
r
,
f
o
llo
win
g
a
p
r
ed
ef
in
e
d
g
u
id
e.
Her
e
a
r
e
s
o
m
e
q
u
esti
o
n
g
u
id
elin
es
g
iv
e
n
to
th
e
f
ath
er
s
:
i
)
Ho
w
wo
u
ld
y
o
u
d
escr
ib
e
y
o
u
r
s
elf
-
co
n
f
id
en
ce
in
s
u
p
p
o
r
tin
g
y
o
u
r
wif
e
in
ex
cl
u
s
iv
ely
b
r
ea
s
tf
ee
d
in
g
th
e
b
a
b
y
?
ii
)
W
h
en
d
id
th
is
co
n
f
id
en
ce
em
er
g
e?
iii
)
W
h
at
d
id
y
o
u
d
o
to
s
u
p
p
o
r
t
y
o
u
r
wif
e
in
e
x
clu
s
iv
ely
b
r
ea
s
tf
ee
d
in
g
th
e
b
ab
y
?
iv
)
W
h
at
d
if
f
ic
u
lties
/ch
allen
g
es
d
id
y
o
u
ex
p
er
ien
ce
in
s
u
p
p
o
r
tin
g
ex
c
lu
s
iv
e
b
r
ea
s
tf
ee
d
in
g
?
v
)
H
o
w
d
id
y
o
u
o
b
ta
in
i
n
f
o
r
m
atio
n
ab
o
u
t
s
u
p
p
o
r
tin
g
ex
clu
s
iv
e
b
r
ea
s
tf
ee
d
i
n
g
?
Pr
o
b
in
g
:
Me
n
tio
n
th
e
s
o
u
r
ce
s
(
w
h
at,
wh
er
e,
f
r
o
m
wh
e
r
e,
wh
o
,
wh
en
)
vi
)
Ho
w
d
id
y
o
u
f
ee
l w
h
en
s
u
p
p
o
r
tin
g
ex
cl
u
s
iv
e
b
r
ea
s
tf
ee
d
in
g
?
All
d
ata
co
llectio
n
ac
tiv
ities
wer
e
d
o
cu
m
e
n
ted
an
d
r
ec
o
r
d
e
d
.
Du
r
in
g
t
h
e
d
ata
co
llectio
n
p
r
o
ce
s
s
,
we
to
o
k
f
ield
n
o
tes.
Field
n
o
tes
h
elp
ed
u
s
to
co
m
p
lem
en
t
an
d
b
etter
u
n
d
er
s
tan
d
wh
at
p
ar
ticip
an
ts
co
n
v
ey
ed
.
T
h
e
f
ield
n
o
tes
an
d
r
ec
o
r
d
s
wer
e
d
ev
elo
p
e
d
in
to
tr
an
s
cr
ip
ts
.
T
h
e
tr
an
s
cr
ip
ts
s
er
v
ed
as
th
e
b
asis
f
o
r
co
n
d
u
ctin
g
d
ata
an
aly
s
is
.
Su
b
s
eq
u
en
tly
,
we
r
ed
u
ce
d
th
e
d
ata
b
y
s
elec
tin
g
im
p
o
r
tan
t
in
f
o
r
m
ati
o
n
,
i
d
e
n
tify
in
g
p
atter
n
s
an
d
ca
teg
o
r
ies.
W
e
u
s
ed
co
n
ten
t
a
n
aly
s
is
wh
ich
r
ef
er
r
ed
to
th
e
Self
-
ef
f
icac
y
th
eo
r
y
,
wh
ic
h
in
clu
d
es
f
ac
to
r
s
lik
e
s
elf
-
ef
f
icac
y
,
m
aster
y
ex
p
er
ie
n
ce
s
,
v
icar
io
u
s
ex
p
e
r
ien
ce
,
a
n
d
p
h
y
s
io
lo
g
ical
r
esp
o
n
s
es.
W
e
m
ad
e
a
m
atr
i
x
to
h
elp
u
s
f
in
d
th
e
m
ain
r
esear
ch
f
in
d
in
g
s
.
T
o
v
alid
ate
th
e
d
ata,
we
u
s
ed
s
o
u
r
ce
an
d
m
eth
o
d
tr
ia
n
g
u
latio
n
.
So
u
r
ce
tr
ian
g
u
latio
n
aim
e
d
to
v
alid
ate
d
ata
f
r
o
m
th
e
f
ath
er
th
r
o
u
g
h
th
e
wif
e'
s
v
iews,
wh
ile
m
eth
o
d
tr
ian
g
u
latio
n
was
co
n
d
u
cte
d
b
y
ap
p
ly
in
g
d
if
f
e
r
en
t
m
eth
o
d
s
,
n
am
ely
FGD
an
d
in
-
d
e
p
th
in
ter
v
iew.
Nex
t,
we
co
n
clu
d
e
d
an
d
p
r
esen
ted
o
u
r
f
in
d
in
g
s
in
a
n
ar
r
ativ
e
f
o
r
m
at.
T
h
is
s
tu
d
y
was
eth
ically
r
ev
i
ewe
d
at
th
e
Facu
lty
o
f
Pu
b
lic
Hea
lth
,
Un
iv
er
s
ity
o
f
I
n
d
o
n
e
s
ia,
u
n
d
er
r
ef
er
en
ce
n
u
m
b
er
Ket
-
1
5
0
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N2
.
F1
0
.
D1
1
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M.
0
0
.
0
2
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0
2
3
.
T
h
e
r
esear
ch
e
r
p
r
o
v
id
e
d
in
f
o
r
m
ed
co
n
s
en
t
b
ef
o
r
e
ask
in
g
th
e
in
f
o
r
m
an
t'
s
willin
g
n
ess
.
Fo
llo
win
g
th
at,
all
in
f
o
r
m
an
ts
g
av
e
th
eir
c
o
n
s
en
t.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
SS
N
:
2
2
5
2
-
8
8
0
6
I
n
t J Pu
b
lic
Hea
lth
Sci
,
Vo
l.
1
4
,
No
.
1
,
Ma
r
ch
20
2
5
:
56
-
63
58
3.
RE
SU
L
T
S AN
D
D
I
SCU
SS
I
O
N
3
.
1
.
Resul
t
s
Fath
er
s
wer
e
b
etwe
en
th
e
ag
es o
f
3
0
an
d
4
0
,
with
a
m
ea
n
ag
e
o
f
3
5
.
2
,
wo
r
k
in
th
e
p
r
iv
ate
s
ec
to
r
,
an
d
h
av
e
g
r
ad
u
ated
f
r
o
m
co
lleg
e
.
T
h
e
wiv
es o
f
th
e
i
n
f
o
r
m
an
ts
r
an
g
ed
in
ag
e
f
r
o
m
3
0
t
o
3
5
y
e
ar
s
o
ld
,
with
a
m
ea
n
o
f
3
3
,
h
ad
g
r
a
d
u
ated
f
r
o
m
u
n
i
v
er
s
ity
,
wer
e
m
o
s
t
ly
em
p
lo
y
e
d
,
an
d
th
e
o
t
h
er
s
wer
e
h
o
u
s
ewiv
es.
E
v
er
y
co
u
p
le
h
as m
o
r
e
th
a
n
o
n
e
ch
ild
.
3
.
1
.
1
.
P
a
t
er
na
l bre
a
s
t
f
ee
din
g
s
elf
-
ef
f
ica
cy
W
h
en
wiv
es
wer
e
p
r
eg
n
an
t,
f
ath
er
s
alr
ea
d
y
h
ad
s
elf
-
e
f
f
ic
ac
y
to
s
u
p
p
o
r
t
e
x
clu
s
iv
e
b
r
e
astfe
ed
in
g
.
Fu
r
th
er
m
o
r
e
,
f
at
h
er
s
'
s
elf
-
ef
f
ic
ac
y
h
as
ev
en
em
er
g
ed
af
ter
s
u
cc
ess
f
u
lly
ac
h
iev
i
n
g
ex
clu
s
iv
e
b
r
ea
s
tf
ee
d
in
g
with
th
eir
f
ir
s
t
ch
ild
,
esp
ec
ially
if
th
is
is
n
o
t
th
eir
f
ir
s
t
ch
ild
.
T
h
ey
h
av
e
m
ad
e
a
f
ir
m
co
m
m
itm
en
t
to
th
eir
wiv
es to
p
r
o
v
id
e
th
e
b
est n
u
tr
i
tio
n
p
o
s
s
ib
le
f
o
r
t
h
eir
ch
ild
r
en
.
Her
e'
s
a
q
u
o
te
f
r
o
m
t
h
eir
s
tatem
en
t:
“S
in
ce
th
e
b
a
b
y
h
a
s
n
o
t
ye
t
b
ee
n
b
o
r
n
,
I
h
a
ve
ma
d
e
a
c
o
mmitmen
t
w
ith
my
w
ife
to
ex
clu
s
ively
b
r
ea
s
tfeed
th
e
b
a
b
y
f
o
r
6
mo
n
th
s
a
n
d
ev
en
c
o
n
tin
u
e
b
r
ea
s
tfeed
in
g
fo
r
u
p
to
tw
o
ye
a
r
s
,
s
o
I
h
a
ve
n
o
h
esit
a
tio
n
in
s
u
p
p
o
r
tin
g
ex
clu
s
iv
e
b
r
ea
s
tfeed
in
g
.
”
(
I
n
f
o
r
m
a
n
t A
1
)
“C
o
n
fid
en
ce
h
a
s
b
ee
n
th
ere
s
in
ce
s
u
cc
ess
fu
lly
b
r
ea
s
tfeed
in
g
th
e
fir
s
t c
h
ild
.
”
(
I
n
f
o
r
m
an
t A
3
)
So
m
e
in
f
o
r
m
an
ts
r
ep
o
r
ted
a
d
ec
r
ea
s
e
in
s
elf
-
ef
f
icac
y
wh
en
co
n
f
r
o
n
ted
with
is
s
u
es
s
u
ch
a
s
:
th
e
b
ab
y
was
r
elu
ctan
t
to
b
r
ea
s
tf
ee
d
,
th
e
b
ab
y
was
u
n
d
er
weig
h
t,
a
n
d
th
e
wif
e
h
ad
to
r
etu
r
n
to
wo
r
k
af
ter
th
e
m
ater
n
ity
leav
e
p
er
i
o
d
en
d
e
d
.
H
o
wev
er
,
th
ese
d
o
u
b
ts
ca
n
b
e
c
o
n
tr
o
lled
d
u
e
to
s
u
p
p
o
r
t
f
r
o
m
f
am
ily
an
d
h
ea
lth
w
o
r
k
er
s
,
as st
ated
:
“I
w
a
s
a
litt
le
h
esit
a
n
t
w
h
en
my
w
ife
s
ta
r
ted
w
o
r
kin
g
a
g
a
i
n
,
I
w
a
s
a
litt
le
w
o
r
r
ied
th
a
t
h
er
(
b
a
b
y'
s
)
milk
w
a
s
n
o
t fu
lfil
led
.
”
(
I
n
f
o
r
m
an
t A
3
)
“T
h
e
d
o
u
b
t
a
r
o
s
e
w
h
en
th
e
ch
ild
's
w
eig
h
t
w
a
s
le
s
s
o
r
n
o
t
a
cc
o
r
d
in
g
to
th
e
h
e
a
lth
ch
a
r
t,
b
u
t
th
e
d
o
u
b
t
t
u
r
n
s
in
to
mo
tiva
tio
n
fo
r
me,
b
ec
a
u
s
e
th
ere
is
s
u
p
p
o
r
t
fr
o
m
fa
mily
a
n
d
p
ed
i
a
tr
icia
n
s
.
”
(
I
n
f
o
r
m
an
t A
5
)
“I
w
a
s
u
n
s
u
r
e
w
h
en
th
e
b
a
b
y
d
id
n
't
w
a
n
t to
b
e
b
r
ea
s
tfed
.
”
(
I
n
f
o
r
m
a
n
t A
3
)
3.
1.
2
.
M
a
s
t
er
y
ex
perience
T
h
e
ex
p
er
ien
ce
s
o
f
f
ath
er
s
in
s
u
p
p
o
r
tin
g
ex
clu
s
iv
e
b
r
ea
s
tf
ee
d
in
g
ar
e
n
o
t
alwa
y
s
g
o
o
d
.
All
o
f
t
h
e
f
ath
er
s
h
ad
tr
ied
,
b
u
t
o
n
e
h
a
d
f
ailed
to
e
x
clu
s
iv
ely
b
r
ea
s
tf
ee
d
h
is
p
r
ev
io
u
s
ch
ild
b
ec
au
s
e
th
e
m
ilk
d
id
n
o
t
co
m
e
o
u
t.
Mo
s
t
o
f
t
h
e
f
ath
er
s
s
tated
th
at
th
e
f
ir
s
t
ch
ild
'
s
ex
p
er
ien
ce
was
m
o
r
e
d
if
f
ic
u
lt
an
d
co
n
f
u
s
in
g
.
T
h
er
e
wer
e
ev
en
two
in
f
o
r
m
a
n
ts
(
A1
an
d
A5
)
wh
o
s
e
wiv
es
ex
p
e
r
ien
ce
d
b
ab
y
b
lu
es
d
u
r
in
g
th
e
b
ir
th
o
f
th
eir
f
ir
s
t
ch
ild
.
T
h
ey
f
elt
th
at
th
eir
p
r
e
v
io
u
s
ch
ild
'
s
ex
p
er
ien
ce
tau
g
h
t
th
em
a
less
o
n
an
d
m
ad
e
i
t
ea
s
ier
to
s
u
p
p
o
r
t
ex
clu
s
iv
e
b
r
ea
s
tf
ee
d
in
g
f
o
r
th
eir
n
ex
t c
h
ild
.
Her
e
ar
e
s
o
m
e
s
tatem
en
ts
f
r
o
m
in
f
o
r
m
an
ts
:
“T
h
e
fir
s
t
ch
ild
’
s
ex
p
erien
c
e
w
a
s
s
till
a
lo
t
o
f
o
b
s
ta
cles.
We
w
ere
co
n
fu
s
ed
to
g
ive
g
o
o
d
b
r
ea
s
tfeed
in
g
to
th
e
c
h
ild
.
E
ve
n
d
u
r
in
g
t
h
e
fir
s
t c
h
ild
,
my
w
if
e
h
a
d
t
h
e
b
a
b
y
b
lu
es.
”
(
I
n
f
o
r
m
an
t A
5
)
“Ou
r
fir
s
t
ch
ild
w
a
s
n
o
t
ex
clu
s
ively
b
r
ea
s
tfed
,
b
ec
a
u
s
e
th
ere
w
ere
o
b
s
ta
cles,
esp
ec
ia
ll
y
fr
o
m
my
w
ife.
A
t th
a
t time
th
e
milk
d
id
n
o
t c
o
me
o
u
t
.”
(
I
n
f
o
r
m
a
n
t A
4
)
“Fo
r
th
e
th
ir
d
ch
ild
,
b
ec
a
u
s
e
w
e
h
a
ve
ex
p
erien
ce
fr
o
m
th
e
fir
s
t
a
n
d
s
ec
o
n
d
ch
ild
,
s
o
it
is
ea
s
ier.
”
(
I
n
f
o
r
m
an
t A
2
)
B
as
e
d
o
n
t
r
ia
n
g
u
l
a
t
i
o
n
w
i
t
h
t
h
e
w
i
v
es
,
it
wa
s
f
o
u
n
d
t
h
a
t
e
x
clu
s
i
v
e
b
r
e
as
t
f
e
e
d
i
n
g
e
f
f
o
r
t
s
f
o
r
t
h
e
s
ec
o
n
d
o
r
t
h
i
r
d
c
h
i
l
d
b
e
c
a
m
e
e
as
i
e
r
b
ec
a
u
s
e
t
h
e
y
h
a
d
l
ea
r
n
t
f
r
o
m
t
h
e
e
x
p
e
r
i
e
n
c
e
o
f
t
h
e
f
i
r
s
t
c
h
i
l
d
,
as
q
u
o
t
e
d
b
e
l
o
w
:
“
A
lh
a
md
u
lill
a
h
,
it's
ea
s
ier,
b
e
ca
u
s
e
my
s
u
p
p
o
r
t
s
ystem
a
n
d
I
h
a
v
e
a
ls
o
lea
r
n
t
fr
o
m
t
h
e
ex
p
erien
ce
o
f
th
e
fir
s
t c
h
ild
.
”
(
I
n
f
o
r
m
a
n
t I
1
)
Alm
o
s
t
all
f
ath
er
s
h
ad
ex
p
er
ien
ce
p
h
y
s
ically
an
d
e
m
o
tio
n
ally
s
u
p
p
o
r
tin
g
b
r
ea
s
tf
ee
d
in
g
m
o
th
er
s
,
s
u
ch
as
p
r
o
v
id
in
g
n
u
tr
itio
u
s
f
o
o
d
,
e
n
s
u
r
in
g
m
o
th
e
r
s
ar
e
co
m
f
o
r
tab
le
wh
ile
b
r
ea
s
tf
ee
d
in
g
,
h
elp
in
g
with
b
ab
y
ca
r
e,
p
a
y
in
g
atten
tio
n
to
th
e
wif
e,
ass
is
tin
g
th
e
wif
e
with
tas
k
s
at
h
o
m
e,
an
d
m
ain
tain
i
n
g
th
e
wif
e'
s
m
o
o
d
.
A
n
ex
ce
r
p
t f
r
o
m
th
eir
s
tatem
en
t f
o
llo
ws:
Evaluation Warning : The document was created with Spire.PDF for Python.
I
n
t J Pu
b
lic
Hea
lth
Sci
I
SS
N:
2252
-
8
8
0
6
P
a
tern
a
l b
r
ea
s
tfeed
in
g
s
elf
-
ef
fica
cy
in
S
o
u
th
Ta
n
g
era
n
g
,
I
n
d
o
n
esia
:
a
q
u
a
lita
tive
s
tu
d
y
(
Miz
n
a
S
a
b
illa
)
59
“
I
fu
lfil
l
w
h
a
teve
r
is
n
ee
d
e
d
f
o
r
b
r
ea
s
t
milk
p
r
o
d
u
ctio
n
,
fo
r
ex
a
mp
le,
n
u
tr
itio
u
s
fo
o
d
,
th
e
n
I
h
elp
my
w
ife
w
i
th
h
er w
o
r
k
a
t h
o
me
s
o
th
a
t sh
e
is
n
o
t b
o
th
ered
.
”
(
I
n
f
o
r
m
an
t A
3
)
“
I
p
a
y
a
tten
tio
n
to
my
w
ife,
h
elp
h
er
a
t
h
o
me
a
s
mu
c
h
a
s
p
o
s
s
ib
le
s
o
th
a
t
s
h
e
d
o
esn
't
g
et
tir
ed
,
h
elp
lo
o
k
a
fter
th
e
ch
ild
r
en
,
a
n
d
ke
ep
h
er
mo
o
d
,
a
n
d
ma
ke
h
er
co
mfo
r
ta
b
le
fo
r
b
r
ea
s
t
feed
in
g
.
”
(I
n
f
o
r
m
an
t A
4
)
T
h
e
f
ath
er
s
'
s
tatem
en
ts
wer
e
co
n
s
is
ten
t
with
th
e
in
f
o
r
m
atio
n
o
b
tain
e
d
f
r
o
m
t
h
e
wiv
es,
i.
e.
m
o
s
t
o
f
th
e
f
ath
er
s
h
a
d
e
x
p
er
ien
ce
d
s
u
p
p
o
r
tin
g
e
x
clu
s
iv
e
b
r
e
astfe
ed
in
g
b
y
h
elp
in
g
th
eir
wiv
es
a
t
h
o
m
e,
h
elp
in
g
to
ca
r
e
f
o
r
th
e
ch
ild
,
cr
ea
tin
g
a
co
m
f
o
r
ta
b
le
s
itu
atio
n
f
o
r
b
r
ea
s
tf
ee
d
in
g
,
p
ay
in
g
atten
tio
n
to
th
eir
m
en
tal
h
ea
lth
an
d
f
u
l
f
illi
n
g
th
eir
wiv
es'
n
u
tr
itio
n
al
n
ee
d
s
.
“
My
h
u
s
b
a
n
d
's
r
o
le
in
s
u
p
p
o
r
tin
g
o
u
r
ch
ild
's
ex
clu
s
ive
b
r
ea
s
tfeed
in
g
w
a
s
to
crea
te
a
s
a
fe
a
n
d
co
mfo
r
ta
b
le
s
itu
a
tio
n
f
o
r
me
to
b
r
ea
s
tfeed
.
I
n
a
d
d
itio
n
to
n
u
tr
itio
n
a
l
in
ta
ke
fo
r
me,
o
f
co
u
r
s
e
my
h
u
s
b
a
n
d
a
ls
o
h
elp
ed
w
ith
s
o
me
o
f
th
e
h
o
u
s
e
c
h
o
r
es
th
a
t
I
h
a
ve
n
o
t
h
a
d
time
to
d
o
,
m
y
h
u
s
b
a
n
d
a
lw
a
ys tr
ied
to
ma
in
ta
in
my
mo
o
d
w
h
en
it st
a
r
ted
to
lo
o
k
b
a
d
.
”
(
I
n
f
o
r
m
an
t
I
2
)
“He
a
cc
o
mp
a
n
ied
m
e
d
u
r
in
g
b
r
ea
s
tfeed
in
g
co
n
s
u
lta
tio
n
s
w
ith
th
e
d
o
cto
r
,
p
r
ep
a
r
ed
fo
o
d
fo
r
me,
w
a
n
ted
to
h
elp
t
a
ke
ca
r
e
o
f th
e
b
a
b
y,
s
o
I
co
u
ld
r
est.”
(
I
n
f
o
r
m
an
t I
1
)
3
.
1
.
3
.
Vica
rio
us
ex
perience
All
in
f
o
r
m
an
ts
h
ad
n
ev
er
o
b
s
er
v
ed
o
th
er
f
at
h
er
s
s
er
v
e
as
r
o
le
m
o
d
els
f
o
r
ex
clu
s
i
v
e
b
r
ea
s
tf
ee
d
in
g
.
T
h
ey
also
n
ev
er
s
aw
f
ath
er
s
s
u
p
p
o
r
t
ex
clu
s
iv
e
b
r
ea
s
tf
ee
d
in
g
in
v
id
eo
s
.
Sin
ce
th
ey
we
r
e
s
in
g
le,
m
o
s
t
f
ath
e
r
s
h
av
e
b
ee
n
awa
r
e
o
f
t
h
e
im
p
o
r
tan
ce
o
f
e
x
clu
s
iv
e
b
r
ea
s
tf
ee
d
i
n
g
.
On
ly
o
n
e
f
ath
e
r
(
I
n
f
o
r
m
an
t
A3
)
s
tated
th
at
h
e
s
aw
th
e
ex
p
er
ien
ce
o
f
h
is
s
is
ter
-
in
-
law,
wh
o
d
id
n
o
t
b
r
ea
s
tf
ee
d
h
er
b
ab
y
,
lea
v
in
g
h
er
c
h
ild
v
u
ln
e
r
ab
le
to
d
is
ea
s
e.
His
s
tatem
en
t is as f
o
llo
ws:
“
A
ctu
a
lly,
w
e
a
lr
ea
d
y
kn
ew
a
b
o
u
t
ex
clu
s
ive
b
r
ea
s
tfeed
in
g
,
s
in
ce
b
efo
r
e
w
e
g
o
t
ma
r
r
ie
d
,
w
e
b
o
th
kn
ew a
b
o
u
t it.
”
(
I
n
f
o
r
m
an
t A
2
)
“
.
.
.
.
it
w
a
s
g
en
era
l
in
fo
r
ma
tio
n
,
s
in
ce
co
lleg
e,
I
h
a
d
r
ec
eive
d
in
fo
r
ma
tio
n
o
n
th
e
b
e
n
efits
a
n
d
u
r
g
en
cy
o
f
ex
clu
s
ive
b
r
ea
s
tfeed
in
g
,
s
o
it
w
a
s
like
I
a
lr
ea
d
y
h
a
d
a
n
id
e
a
th
a
t
la
ter
w
h
e
n
I
h
a
d
a
fa
mily,
my
ch
ild
mu
s
t b
e
ex
clu
s
ively
b
r
ea
s
tfed
.
”
(
I
n
f
o
r
m
an
t
A1
)
“
I
s
a
w
my
s
is
te
r
-
in
-
la
w
's
ex
p
erien
ce
,
th
a
t
h
er
ch
ild
w
a
s
n
o
t
b
r
ea
s
tfed
,
a
n
d
th
e
ch
ild
b
ec
a
me
ea
s
ily
s
ick,
h
er b
o
d
y
w
a
s
w
ea
k.
”
(
I
n
f
o
r
m
an
t A
3
)
3
.
1
.
4
.
Ver
ba
l per
s
ua
s
io
n
T
h
e
m
ajo
r
ity
o
f
f
ath
er
s
r
ec
eiv
ed
en
co
u
r
ag
em
en
t,
i
n
f
o
r
m
atio
n
,
an
d
ad
v
ice
o
n
ex
cl
u
s
iv
e
b
r
e
a
s
tf
ee
d
in
g
f
r
o
m
th
eir
p
a
r
en
ts
an
d
in
-
law
s
,
p
ar
ticu
lar
ly
th
eir
m
o
th
er
s
.
I
n
ad
d
itio
n
,
h
ea
lth
wo
r
k
er
s
s
u
ch
as
o
b
s
tetr
ician
s
,
p
ed
iatr
ician
s
,
an
d
m
i
d
wiv
es
p
r
o
v
id
e
d
th
em
with
m
o
r
e
d
et
ailed
in
f
o
r
m
atio
n
ab
o
u
t
ex
clu
s
iv
e
b
r
ea
s
tf
ee
d
in
g
.
W
h
en
th
e
wif
e
g
av
e
b
ir
th
,
th
e
o
b
s
tetr
ician
g
a
v
e
h
e
r
ad
v
ic
e.
T
h
e
p
ed
iatr
ician
also
ex
p
la
in
ed
wh
en
th
e
wif
e
g
av
e
b
ir
th
,
b
u
t
th
e
p
ed
iatr
icia
n
was
also
a
s
o
u
r
ce
o
f
in
f
o
r
m
atio
n
f
o
r
i
n
f
o
r
m
an
ts
an
d
th
eir
s
p
o
u
s
es
ab
o
u
t
th
eir
ch
ild
r
en
'
s
g
r
o
wth
a
n
d
d
ev
elo
p
m
en
t.
Me
an
wh
ile,
wh
en
t
h
e
i
n
f
o
r
m
a
n
t
an
d
h
is
wif
e
v
is
ited
th
e
lacta
tio
n
clin
ic,
th
e
m
id
wif
e
p
r
o
v
id
e
d
in
f
o
r
m
a
tio
n
.
T
h
e
f
o
llo
win
g
a
r
e
ex
ce
r
p
ts
f
r
o
m
th
eir
s
tatem
en
ts
:
“
F
o
r
me,
it
w
a
s
fr
o
m
my
mo
th
er,
p
a
r
en
ts
a
n
d
in
-
l
a
w
s
,
g
ivin
g
a
d
vice
o
n
w
h
a
t
in
ta
ke
to
g
ive
to
th
e
b
a
b
y.
”
(
I
n
f
o
r
m
an
t A
4
)
“
I
g
o
t
in
fo
r
m
a
tio
n
a
b
o
u
t b
r
ea
s
tfeed
in
g
fr
o
m
my
p
a
r
en
ts
a
n
d
in
-
la
w
s
,
b
u
t
I
a
ls
o
r
ec
eive
d
in
fo
r
ma
tio
n
fr
o
m
th
e
p
ed
ia
tr
icia
n
w
h
en
my
w
ife
g
a
ve
b
ir
th
a
t th
e
h
o
s
p
ita
l.
”
(
I
n
f
o
r
m
an
t A
5
)
“
E
s
p
ec
ia
lly
my
mo
th
er,
s
h
e
s
u
p
p
o
r
ted
ex
clu
s
ive
b
r
ea
s
tfeed
in
g
.
"
(
I
n
f
o
r
m
a
n
t A
3
)
“
I
t
ca
me
fr
o
m
a
h
ea
lth
w
o
r
ke
r
r
ig
h
t
a
fter
my
ch
ild
w
a
s
b
o
r
n
.
'D
o
n
't
fo
r
g
et
a
b
o
u
t
ex
clu
s
ive
b
r
ea
s
tfeed
in
g
,
'
s
a
id
th
e
o
b
s
tetr
icia
n
,
a
n
d
t
h
en
th
e
mid
w
ife
in
th
e
la
cta
tio
n
clin
ic.
”
(
I
n
f
o
r
m
an
t A
2
)
3
.
1
.
5
.
P
hy
s
io
lo
g
ic
re
s
po
ns
es
All
f
ath
er
s
ex
p
r
ess
ed
h
a
p
p
in
e
s
s
,
s
ati
s
f
ac
tio
n
,
p
r
id
e,
an
d
th
e
ab
ilit
y
to
f
u
lf
ill
th
eir
r
o
les
as
h
u
s
b
an
d
s
an
d
f
ath
e
r
s
wh
en
th
e
y
s
u
p
p
o
r
ted
ex
cl
u
s
iv
e
b
r
ea
s
tf
ee
d
in
g
.
T
h
ese
f
ee
lin
g
s
p
er
s
is
ted
u
n
til
th
e
ex
clu
s
iv
e
b
r
ea
s
tf
ee
d
in
g
p
e
r
io
d
e
n
d
ed
.
F
ee
lin
g
s
o
f
h
ap
p
i
n
ess
,
s
atis
f
ac
t
io
n
,
an
d
p
r
id
e
wer
e
p
r
esen
t
d
u
r
in
g
th
e
m
i
d
d
le
o
f
b
r
ea
s
tf
ee
d
in
g
,
s
u
ch
as
wh
en
th
ey
s
aw
th
eir
wiv
es
h
a
p
p
y
an
d
en
th
u
s
iast
ic
ab
o
u
t
b
r
ea
s
tf
ee
d
in
g
,
t
h
eir
c
h
ild
r
e
n
Evaluation Warning : The document was created with Spire.PDF for Python.
I
SS
N
:
2
2
5
2
-
8
8
0
6
I
n
t J Pu
b
lic
Hea
lth
Sci
,
Vo
l.
1
4
,
No
.
1
,
Ma
r
ch
20
2
5
:
56
-
63
60
ac
tiv
ely
n
u
r
s
in
g
,
a
n
d
w
h
en
th
ey
f
elt
it
h
el
p
ed
s
av
e
f
am
ily
ex
p
e
n
s
es.
On
th
e
last
d
ay
o
f
ex
clu
s
iv
e
b
r
ea
s
tf
ee
d
in
g
,
t
h
ese
f
ee
lin
g
s
wer
e
also
p
r
esen
t.
T
h
e
s
u
cc
e
s
s
o
f
ex
clu
s
iv
e
b
r
ea
s
tf
ee
d
in
g
was
r
eg
ar
d
ed
as
a
f
am
ily
ac
h
iev
em
en
t.
Fath
e
r
s
f
elt
th
ey
h
ad
d
o
n
e
th
eir
p
ar
t
to
en
s
u
r
e
th
eir
ch
ild
r
e
n
'
s
r
ig
h
t
to
ex
clu
s
iv
e
b
r
ea
s
tf
ee
d
in
g
.
T
h
e
f
o
llo
win
g
a
r
e
q
u
o
tes f
r
o
m
th
e
in
f
o
r
m
an
ts
:
“
I
a
lw
a
ys
felt
h
a
p
p
y
s
ee
in
g
o
u
r
ch
ild
r
en
a
ctive
ly
n
u
r
s
in
g
,
e
s
p
ec
ia
lly
u
n
til
th
e
la
s
t
d
a
y,
'Wo
w
,
it
w
a
s
a
lr
ea
d
y
th
e
la
s
t
d
a
y,
'
it
felt
li
ke
a
n
a
ch
ieve
men
t,
s
o
I
w
a
s
ve
r
y
h
a
p
p
y
to
h
a
ve
b
ee
n
a
b
le
to
s
u
p
p
o
r
t
it.
”
(
I
n
f
o
r
m
an
t A
2
)
“
I
felt
like
I
w
a
s
fu
lfil
lin
g
m
y
r
o
le
a
n
d
r
esp
o
n
s
ib
ilit
y
a
s
a
h
u
s
b
a
n
d
a
n
d
fa
t
h
er
to
p
r
o
vi
d
e
fo
r
th
e
r
ig
h
ts
o
f m
y
b
a
b
y
a
n
d
my
w
ife.
”
(
I
n
f
o
r
m
an
t A
4
)
“
I
t
w
a
s
n
't
ju
s
t
p
r
id
e,
b
u
t
a
ls
o
jo
y.
I
w
a
s
p
r
o
u
d
th
a
t
o
u
r
ch
ild
co
u
ld
b
r
ea
s
tfeed
ex
clu
s
ivel
y
fo
r
u
p
to
tw
o
ye
a
r
s
,
a
n
d
I
w
a
s
h
a
p
p
y
b
ec
a
u
s
e
o
u
r
s
h
o
p
p
in
g
mo
n
ey
w
a
s
s
a
fe,
it
w
a
s
mo
r
e
ec
o
n
o
m
ica
l,
a
n
d
it
w
a
s
ch
ea
p
er th
a
n
h
a
vin
g
to
b
u
y
fo
r
mu
la
milk.
”
(
I
n
f
o
r
m
an
t
A5
)
3
.
2
.
Dis
cus
s
io
n
T
h
e
aim
o
f
th
is
s
tu
d
y
was
to
ex
p
l
o
r
e
th
e
s
o
u
r
ce
s
o
f
p
ater
n
al
s
elf
-
ef
f
icac
y
in
s
u
p
p
o
r
tin
g
ex
clu
s
iv
e
b
r
ea
s
tf
ee
d
in
g
.
T
o
o
u
r
k
n
o
wle
d
g
e,
th
is
r
esear
ch
r
e
p
r
esen
ts
t
h
e
f
ir
s
t
q
u
alitativ
e
s
tu
d
y
co
n
d
u
cted
in
I
n
d
o
n
esia
to
in
v
esti
g
ate
th
e
s
o
u
r
ce
s
o
f
p
at
er
n
al
b
r
ea
s
tf
ee
d
in
g
s
elf
-
ef
f
ica
cy
.
T
h
e
s
elf
-
e
f
f
i
ca
cy
o
f
f
ath
e
r
s
in
b
r
ea
s
tf
ee
d
in
g
em
er
g
ed
in
th
is
s
tu
d
y
s
in
ce
s
u
cc
ess
f
u
lly
p
r
o
v
id
i
n
g
ex
clu
s
i
v
e
b
r
ea
s
tf
ee
d
in
g
t
o
th
e
f
ir
s
t
ch
ild
an
d
d
u
r
in
g
th
e
p
r
eg
n
a
n
cy
o
f
th
e
s
ec
o
n
d
ch
il
d
.
Fath
er
s
p
lay
an
im
p
o
r
tan
t
r
o
le
in
th
eir
ch
ild
r
en
'
s
liv
es,
wh
ich
o
f
ten
b
eg
in
s
d
u
r
in
g
p
r
eg
n
an
cy
a
n
d
in
clu
d
e
s
d
ec
is
io
n
s
ab
o
u
t
in
f
an
t
f
ee
d
i
n
g
[
1
8
]
.
T
h
is
co
n
f
id
en
ce
is
an
ass
et
f
o
r
f
ath
er
s
to
s
tr
iv
e
f
o
r
ex
clu
s
iv
e
b
r
ea
s
tf
ee
d
in
g
f
o
r
s
ix
m
o
n
th
s
.
Pre
v
io
u
s
r
esear
ch
h
as
f
o
u
n
d
th
at
f
ath
er
s
wh
o
lack
s
elf
-
co
n
f
id
en
ce
a
n
d
f
ee
l
in
ca
p
ab
l
e
will
b
e
u
n
ab
le
to
s
u
p
p
o
r
t
t
h
eir
wiv
es'
ex
clu
s
iv
e
b
r
ea
s
tf
e
ed
in
g
[
1
0
]
.
I
n
th
is
s
tu
d
y
,
th
e
f
ath
e
r
was
co
n
f
id
e
n
t
en
o
u
g
h
to
as
s
is
t
h
is
wif
e
with
b
r
ea
s
tf
ee
d
in
g
.
Fu
r
th
er
m
o
r
e,
b
o
th
f
ath
er
s
a
n
d
m
o
th
er
s
wer
e
ad
am
a
n
t
ab
o
u
t
b
r
ea
s
tf
ee
d
in
g
.
Fath
er
s
'
h
ig
h
co
m
m
itm
en
t
i
n
d
icate
s
th
at
th
ey
b
eliev
e
b
r
ea
s
tf
ee
d
in
g
is
a
s
h
ar
ed
r
esp
o
n
s
ib
ilit
y
as
p
ar
en
ts
,
n
o
t
ju
s
t
th
e
m
o
th
er
s
.
I
n
lin
e
with
an
o
th
er
s
tu
d
y
am
o
n
g
f
ath
er
s
in
W
est
J
av
a,
I
n
d
o
n
e
s
ia,
f
ath
er
s
f
elt
r
esp
o
n
s
ib
ilit
y
f
o
r
f
am
ily
f
u
n
ctio
n
,
th
u
s
p
r
o
v
id
in
g
s
u
p
p
o
r
t
in
b
r
ea
s
tf
ee
d
in
g
[
1
9
]
.
So
m
e
p
ar
ticip
an
ts
e
x
p
er
ie
n
ce
d
a
tem
p
o
r
a
r
y
d
ec
r
ea
s
e
in
s
elf
-
ef
f
icac
y
.
Pre
v
io
u
s
s
tu
d
y
in
T
h
ailan
d
f
o
u
n
d
th
at
f
ath
e
r
s
'
s
elf
-
ef
f
icac
y
in
b
r
ea
s
tf
ee
d
i
n
g
was
d
y
n
am
ic.
I
n
th
e
ea
r
ly
p
o
s
t
-
p
a
r
tu
m
p
er
io
d
,
s
elf
-
ef
f
icac
y
m
ay
d
ec
r
ea
s
e
b
ec
au
s
e
p
ar
e
n
ts
ar
e
s
til
l
ex
p
er
ien
cin
g
b
ar
r
ier
s
[
1
3
]
.
T
h
e
p
r
ess
u
r
e
o
f
f
ath
er
h
o
o
d
,
lack
o
f
in
f
o
r
m
atio
n
an
d
s
p
ec
if
ic
r
es
o
u
r
ce
s
f
o
r
f
ath
er
s
,
ca
n
d
im
i
n
is
h
th
eir
s
elf
-
ef
f
icac
y
[
2
0
]
.
Ho
wev
er
,
th
e
s
elf
-
ef
f
icac
y
b
o
u
n
ce
s
b
ac
k
an
d
c
o
n
tin
u
es
to
in
cr
ea
s
e
as
th
e
c
h
ild
g
r
o
ws
[
1
3
]
.
W
h
en
m
o
th
er
s
p
er
ce
iv
ed
th
a
t
s
p
o
u
s
es
h
av
e
s
im
ilar
p
r
e
f
er
en
ce
s
f
o
r
ex
clu
s
iv
e
b
r
ea
s
tf
ee
d
in
g
,
m
o
th
e
r
s
ten
d
t
o
b
r
ea
s
tf
ee
d
f
o
r
lo
n
g
er
p
er
io
d
s
o
f
tim
e
[
2
1
]
,
[
2
2
]
.
B
o
th
p
o
s
itiv
e
an
d
n
eg
ativ
e
ex
p
er
ien
ce
s
g
r
ea
tly
in
f
lu
e
n
ce
a
p
er
s
o
n
'
s
co
n
f
id
en
ce
in
b
r
ea
s
tf
ee
d
in
g
[
2
3
]
.
Fath
er
s
wh
o
h
av
e
s
u
cc
ess
f
u
lly
s
u
p
p
o
r
ted
ex
clu
s
iv
e
b
r
ea
s
tf
ee
d
in
g
b
e
f
o
r
e,
f
in
d
it
ea
s
ier
t
o
d
o
s
o
a
g
ain
.
T
h
eir
r
ea
lizatio
n
th
at
th
eir
ass
is
tan
c
e
lead
s
to
a
p
o
s
itiv
e
b
r
ea
s
tf
ee
d
in
g
ex
p
e
r
ien
ce
f
o
r
th
e
m
o
th
e
r
m
o
tiv
ates
th
em
to
b
ec
o
m
e
b
etter
f
ath
er
s
[
2
4
]
.
T
h
eir
ex
p
er
ien
ce
s
o
f
s
u
p
p
o
r
tin
g
b
r
ea
s
tf
ee
d
in
g
m
o
th
er
s
in
c
lu
d
ed
p
h
y
s
ical
a
n
d
em
o
tio
n
al
s
u
p
p
o
r
t.
T
h
u
s
,
f
ath
er
s
h
av
e
p
lay
e
d
th
e
r
o
le
o
f
b
r
ea
s
tf
ee
d
in
g
f
ath
er
s
as
r
ec
o
m
m
en
d
ed
b
y
p
r
ev
io
u
s
s
tu
d
ies,
wh
ich
am
o
n
g
o
t
h
er
s
s
tate
th
at
f
ath
er
s
ca
n
p
r
o
v
id
e
p
h
y
s
ical
s
u
p
p
o
r
t
s
u
ch
as
d
o
in
g
h
o
u
s
eh
o
ld
ch
o
r
es,
ca
r
in
g
f
o
r
th
e
b
ab
y
,
an
d
p
r
o
v
id
in
g
n
u
tr
itio
n
al
in
tak
e,
as
well
as
em
o
tio
n
al
s
u
p
p
o
r
t
in
th
e
f
o
r
m
o
f
g
iv
in
g
atten
tio
n
,
en
s
u
r
in
g
th
e
m
en
tal
h
ea
lth
o
f
th
e
m
o
th
er
[
1
9
]
,
[
2
5
]
.
A
n
ew
f
in
d
in
g
f
r
o
m
th
is
s
tu
d
y
was
th
at
f
ath
er
s
wh
o
h
ad
ex
p
e
r
ien
ce
d
f
ailu
r
e
i
n
ex
clu
s
iv
e
b
r
ea
s
tf
ee
d
in
g
u
s
e
d
th
e
ex
p
er
ien
ce
as
a
less
o
n
.
T
h
ey
im
p
r
o
v
e
d
th
eir
b
eh
av
io
r
wit
h
th
e
n
ex
t
ch
ild
u
n
til
th
ey
s
u
cc
ee
d
e
d
in
ex
cl
u
s
iv
e
b
r
ea
s
tf
ee
d
in
g
.
T
h
e
n
eg
ati
v
e
ex
p
er
ien
ce
s
a
n
d
o
b
s
tacle
s
f
elt
b
y
th
em
d
u
r
in
g
th
e
ex
p
er
ien
ce
with
th
ei
r
f
ir
s
t
ch
ild
m
ad
e
th
e
m
lear
n
to
d
ea
l
with
th
ese
p
r
o
b
lem
s
s
o
th
at
th
ey
co
u
l
d
b
e
b
etter
at
p
ar
en
tin
g
,
esp
ec
i
ally
ex
clu
s
iv
e
b
r
ea
s
tf
ee
d
in
g
.
T
h
is
co
n
tr
asts
with
f
in
d
in
g
s
f
r
o
m
an
o
t
h
er
s
tu
d
y
in
I
n
d
o
n
esia,
wh
er
e
in
d
i
v
id
u
als
wh
o
wer
e
u
n
s
u
cc
es
s
f
u
l
in
ex
clu
s
iv
ely
b
r
ea
s
tf
ee
d
in
g
th
eir
p
r
e
v
io
u
s
ch
ild
ten
d
ed
to
h
ar
b
o
r
n
eg
ativ
e
m
em
o
r
ies,
co
n
s
eq
u
en
tly
ex
h
ib
itin
g
d
im
in
is
h
e
d
s
el
f
-
ef
f
icac
y
to
war
d
s
b
r
ea
s
tf
ee
d
in
g
[
2
3
]
.
Me
an
wh
ile,
f
ath
er
s
d
id
n
’
t
h
a
v
e
r
o
le
m
o
d
els
to
s
u
p
p
o
r
t
ex
clu
s
iv
e
b
r
ea
s
tf
ee
d
in
g
.
A
p
o
ten
tial
r
ea
s
o
n
is
th
at
wh
en
th
ey
wer
e
ch
ild
r
en
,
th
eir
f
ath
er
s
wer
e
less
in
v
o
lv
ed
in
ch
ild
ca
r
e
[
2
6
]
.
T
h
e
l
o
w
in
v
o
lv
em
e
n
t
o
f
f
ath
er
s
in
p
ar
en
tin
g
is
in
f
l
u
e
n
ce
d
b
y
p
atr
iar
ch
al,
an
d
a
m
u
ltifa
ce
ted
n
etwo
r
k
e
n
co
m
p
a
s
s
in
g
s
o
cio
cu
ltu
r
al
d
if
f
er
en
ce
s
,
f
am
ily
d
y
n
am
ics
,
an
d
g
en
d
e
r
r
o
les
[
2
7
]
.
I
n
ad
d
itio
n
,
th
e
f
ath
er
'
s
wo
r
k
in
g
h
o
u
r
s
lim
it
h
i
s
in
v
o
lv
em
e
n
t
in
p
ar
en
ti
n
g
[
2
8
]
.
Ho
wev
er
,
in
t
h
is
s
tu
d
y
,
f
a
th
er
s
r
elied
m
o
r
e
o
n
th
eir
o
wn
k
n
o
wled
g
e
an
d
v
icar
io
u
s
ex
p
er
ie
n
ce
.
T
h
e
n
e
g
ativ
e
ex
p
er
ien
ce
o
f
th
e
p
ar
tici
p
an
t
wh
o
s
e
n
iece
was
n
o
t
ex
clu
s
iv
ely
b
r
ea
s
tf
ed
m
o
tiv
a
ted
h
im
n
o
t to
d
o
th
e
s
a
m
e.
T
h
e
r
esu
lts
o
f
th
is
s
tu
d
y
p
r
o
v
id
e
n
ew
f
in
d
in
g
s
th
at
n
eg
at
iv
e
ex
p
er
ien
ce
s
d
o
Evaluation Warning : The document was created with Spire.PDF for Python.
I
n
t J Pu
b
lic
Hea
lth
Sci
I
SS
N:
2252
-
8
8
0
6
P
a
tern
a
l b
r
ea
s
tfeed
in
g
s
elf
-
ef
fica
cy
in
S
o
u
th
Ta
n
g
era
n
g
,
I
n
d
o
n
esia
:
a
q
u
a
lita
tive
s
tu
d
y
(
Miz
n
a
S
a
b
illa
)
61
n
o
t
n
ec
ess
ar
ily
d
ec
r
ea
s
e
s
elf
-
ef
f
icac
y
,
b
u
t
ca
n
in
cr
ea
s
e
co
n
f
id
en
ce
ab
o
u
t
th
e
im
p
o
r
tan
c
e
o
f
b
r
ea
s
tf
ee
d
in
g
in
f
an
ts
.
T
h
e
p
r
ev
io
u
s
s
tu
d
y
s
h
o
wed
th
at
th
in
k
i
n
g
a
b
o
u
t
o
th
er
p
eo
p
le'
s
ex
p
er
ien
ce
s
ca
n
h
elp
u
s
lear
n
f
r
o
m
f
ailu
r
e
with
o
u
t
h
av
in
g
to
g
o
t
h
r
o
u
g
h
it
o
u
r
s
elv
es.
T
h
o
s
e
les
s
o
n
s
an
d
r
ef
lectio
n
s
ca
n
m
a
k
e
p
eo
p
le
s
tr
o
n
g
er
as
th
ey
m
o
v
e
f
o
r
war
d
in
life
[
2
9
]
.
Fath
er
s
in
th
is
s
tu
d
y
wer
e
en
co
u
r
ag
e
d
b
y
th
eir
m
o
th
er
s
an
d
h
ea
lth
wo
r
k
er
s
(
o
b
s
tetr
ician
s
,
p
ed
iatr
ician
s
,
an
d
m
id
wiv
es).
T
h
is
is
in
lin
e
with
a
s
tu
d
y
in
T
h
ailan
d
th
at
f
ath
er
s
lear
n
ed
a
n
d
r
ec
eiv
e
d
ad
v
ice
ab
o
u
t
ex
clu
s
iv
e
b
r
ea
s
tf
ee
d
in
g
f
r
o
m
th
eir
m
o
th
e
r
s
an
d
m
o
th
er
s
-
in
-
law
[
1
3
]
.
An
o
th
er
s
tu
d
y
s
h
o
wed
th
at
b
r
ea
s
tf
ee
d
in
g
s
elf
-
ef
f
icac
y
wa
s
h
ig
h
er
in
th
o
s
e
wh
o
r
ec
eiv
e
en
co
u
r
a
g
em
en
t
f
r
o
m
f
am
ily
,
p
ar
ticu
lar
ly
m
o
th
er
s
[
2
3
]
.
Acc
o
r
d
in
g
to
a
s
co
p
in
g
r
ev
iew,
f
ath
er
s
f
r
eq
u
e
n
tly
s
ee
k
b
r
ea
s
tf
ee
d
in
g
in
f
o
r
m
atio
n
f
r
o
m
h
ea
lth
wo
r
k
er
s
[
1
0
]
.
T
h
ey
r
eq
u
ir
e
ad
d
itio
n
al
d
etailed
g
u
id
an
ce
r
eg
a
r
d
in
g
b
r
ea
s
tf
ee
d
in
g
,
in
clu
d
i
n
g
h
o
w
to
s
o
lv
e
p
r
o
b
lem
,
p
r
o
p
er
p
o
s
itio
n
in
g
a
n
d
latch
i
n
g
tech
n
iq
u
es,
an
d
s
tr
ateg
ies
to
s
u
p
p
o
r
t
th
eir
p
ar
tn
e
r
s
d
u
r
in
g
b
r
ea
s
tf
ee
d
in
g
[
1
1
]
.
T
alk
in
g
with
h
ea
lth
p
r
o
f
ess
io
n
als
m
ay
b
o
o
s
t
f
ath
er
s
'
co
n
f
id
e
n
ce
in
ex
cl
u
s
iv
e
b
r
ea
s
tf
ee
d
in
g
[
1
0
]
.
B
r
ea
s
tf
ee
d
in
g
ed
u
ca
tio
n
s
h
o
u
l
d
b
eg
in
d
u
r
in
g
p
r
en
atal
ca
r
e
a
n
d
co
n
tin
u
e
th
r
o
u
g
h
t
h
e
lacta
tio
n
p
er
io
d
.
I
n
th
is
s
tu
d
y
,
all
o
f
th
e
f
ath
er
s
h
av
e
a
h
ig
h
lev
el
o
f
ed
u
ca
tio
n
.
Fath
er
s
wh
o
ar
e
m
o
r
e
ed
u
ca
ted
m
ig
h
t
h
a
v
e
a
g
r
ea
ter
ca
p
ab
ilit
y
to
c
o
m
p
r
eh
en
d
b
r
ea
s
tf
ee
d
in
g
in
f
o
r
m
atio
n
,
wh
i
ch
co
u
l
d
in
cr
ea
s
e
t
h
eir
co
n
f
i
d
en
ce
in
p
r
o
v
id
in
g
b
r
ea
s
tf
ee
d
in
g
s
u
p
p
o
r
t
[
1
2
]
.
All
f
ath
er
s
f
elt
h
a
p
p
y
,
p
r
o
u
d
,
an
d
s
atis
f
ied
th
at
th
ey
h
ad
f
u
lf
illed
th
eir
p
ar
en
tal
r
esp
o
n
s
ib
ilit
ies
b
y
s
u
p
p
o
r
tin
g
b
r
ea
s
tf
ee
d
i
n
g
.
T
h
e
s
tu
d
y
in
T
h
ailan
d
f
o
u
n
d
th
at
f
ath
er
s
wer
e
p
leased
wh
en
t
h
eir
ch
ild
r
e
n
co
u
ld
r
ec
eiv
e
ex
clu
s
iv
e
b
r
ea
s
tf
ee
d
in
g
[
1
3
]
.
A
n
o
th
er
s
tu
d
y
in
E
th
i
o
p
ia
f
o
u
n
d
th
at
f
ath
e
r
s
wer
e
al
s
o
f
elt
h
ap
p
y
s
in
ce
th
e
b
ab
y
was
b
o
r
n
,
an
d
wh
en
th
e
m
o
th
er
an
d
b
ab
y
wer
e
i
n
g
o
o
d
h
ea
lth
.
T
h
at
p
o
s
itiv
e
f
ee
lin
g
en
co
u
r
ag
e
d
f
ath
er
s
to
s
u
p
p
o
r
t th
eir
s
p
o
u
s
es
[
3
0
]
.
I
t
is
im
p
o
r
tan
t
to
n
o
te
th
at
th
is
s
tu
d
y
o
n
l
y
in
cl
u
d
ed
f
a
th
er
s
wh
o
s
e
c
h
ild
r
en
wer
e
e
x
clu
s
iv
ely
b
r
ea
s
tf
ed
.
Fu
r
th
er
m
o
r
e,
th
e
p
a
r
ticip
an
ts
in
th
is
s
tu
d
y
wer
e
w
ell
-
ed
u
ca
ted
an
d
liv
e
d
in
u
r
b
a
n
ar
ea
s
.
T
h
e
r
esu
lts
co
u
ld
d
if
f
e
r
in
a
lar
g
er
s
am
p
le
o
f
f
ath
er
s
with
a
b
r
o
ad
er
r
an
g
e
o
f
ed
u
ca
tio
n
al
b
ac
k
g
r
o
u
n
d
s
.
An
o
th
er
s
o
u
r
ce
o
f
co
n
ce
r
n
was
th
e
ch
ild
'
s
ag
e,
wh
ich
r
an
g
ed
f
r
o
m
6
to
2
4
m
o
n
th
s
,
an
d
h
o
w
th
ey
r
ec
all
th
e
ir
b
elief
s
d
u
r
in
g
th
e
ex
clu
s
iv
e
b
r
ea
s
tf
ee
d
in
g
p
er
i
o
d
.
T
h
is
h
as
th
e
p
o
ten
tial
to
c
au
s
e
r
ec
all
b
ias.
Fu
tu
r
e
r
esea
r
ch
s
h
o
u
l
d
in
clu
d
e
p
ar
ticip
an
ts
with
m
o
r
e
d
iv
e
r
s
e
ch
ar
ac
ter
is
tics
,
s
u
ch
as
ed
u
ca
tio
n
lev
el,
ec
o
n
o
m
y
,
p
lace
o
f
r
esid
en
ce
,
an
d
ch
ild
r
en
u
n
d
er
6
m
o
n
th
s
o
f
ag
e.
4.
CO
NCLU
SI
O
N
T
h
e
r
etu
r
n
o
f
th
e
m
o
th
er
to
wo
r
k
an
d
o
b
s
er
v
in
g
a
b
ab
y
wh
o
r
ef
u
s
es
to
b
r
ea
s
tf
ee
d
ca
n
lead
to
a
d
ec
r
ea
s
e
in
p
ater
n
al
b
r
ea
s
tf
ee
d
in
g
s
elf
-
ef
f
icac
y
.
Ho
we
v
er
,
ex
p
er
ien
ce
s
o
f
f
ailin
g
at
ex
cl
u
s
iv
e
b
r
ea
s
tf
ee
d
in
g
,
wh
eth
er
p
er
s
o
n
al
o
r
o
b
s
er
v
e
d
in
o
th
er
s
,
d
o
n
o
t
alwa
y
s
h
av
e
a
n
eg
ativ
e
im
p
ac
t
o
n
f
at
h
er
s
;
in
s
tead
,
th
ey
ca
n
b
ec
o
m
e
a
s
o
u
r
ce
o
f
g
r
ea
ter
s
elf
-
co
n
f
id
e
n
ce
.
C
o
m
m
itm
e
n
t
to
th
eir
p
ar
tn
er
an
d
en
co
u
r
ag
em
en
t
f
r
o
m
f
a
m
ily
an
d
h
ea
lth
wo
r
k
e
r
s
s
tr
en
g
th
en
th
em
,
e
n
ab
lin
g
th
em
to
co
n
ti
n
u
e
s
u
p
p
o
r
tin
g
ex
clu
s
iv
e
b
r
ea
s
tf
ee
d
in
g
f
o
r
th
ei
r
b
ab
ies.
Hea
lth
p
r
o
f
ess
io
n
als
m
u
s
t
en
co
u
r
ag
e
p
ar
e
n
ts
ab
o
u
t
th
e
im
p
o
r
ta
n
ce
o
f
e
x
clu
s
iv
e
b
r
ea
s
tf
ee
d
in
g
f
r
o
m
p
r
eg
n
a
n
cy
th
r
o
u
g
h
th
e
lacta
t
io
n
p
er
io
d
,
s
o
th
at
s
elf
-
e
f
f
ic
ac
y
ca
n
b
e
n
u
r
tu
r
ed
as
ea
r
ly
as
p
o
s
s
ib
le
an
d
m
ain
tain
ed
ef
f
ec
tiv
el
y
.
ACK
NO
WL
E
DG
E
M
E
NT
S
We
ex
ten
d
o
u
r
s
in
ce
r
e
g
r
atitu
d
e
to
all
p
a
r
ticip
an
ts
f
o
r
th
eir
v
alu
ab
le
c
o
n
tr
ib
u
tio
n
s
to
th
is
r
esear
ch
,
an
d
to
th
e
f
u
n
d
i
n
g
o
r
g
an
izati
o
n
s
,
C
en
ter
f
o
r
E
d
u
ca
tio
n
Fi
n
an
cial
Ser
v
ices,
Min
is
tr
y
o
f
E
d
u
ca
tio
n
,
C
u
ltu
r
e
,
R
esear
ch
,
an
d
T
ec
h
n
o
lo
g
y
o
f
th
e
R
ep
u
b
lic
o
f
I
n
d
o
n
esia
an
d
I
n
d
o
n
esia
E
n
d
o
wm
e
n
t
Fu
n
d
s
f
o
r
E
d
u
ca
tio
n
,
Min
is
tr
y
o
f
Fin
an
ce
o
f
th
e
R
e
p
u
b
lic
o
f
I
n
d
o
n
esia.
T
h
e
a
u
th
o
r
s
ar
e
also
g
r
atef
u
l
to
Pro
f
.
Dr
.
d
r
a.
E
v
i
Ma
r
th
a,
M.
Kes f
o
r
h
er
v
alu
ab
le
in
p
u
t.
RE
F
E
R
E
NC
E
S
[
1
]
O
.
B
.
S
a
e
e
d
,
Z
.
T.
H
a
i
l
e
,
a
n
d
I
.
A
.
C
h
e
r
t
o
k
,
“
A
ss
o
c
i
a
t
i
o
n
b
e
t
w
e
e
n
e
x
c
l
u
si
v
e
b
r
e
a
s
t
f
e
e
d
i
n
g
a
n
d
i
n
f
a
n
t
h
e
a
l
t
h
o
u
t
c
o
mes
i
n
P
a
k
i
st
a
n
,
”
J
o
u
r
n
a
l
o
f
Pe
d
i
a
t
ri
c
N
u
rs
i
n
g
,
v
o
l
.
5
0
,
p
p
.
e
6
2
–
e
6
8
,
J
a
n
.
2
0
2
0
,
d
o
i
:
1
0
.
1
0
1
6
/
j
.
p
e
d
n
.
2
0
1
9
.
1
2
.
0
0
4
.
[
2
]
R
e
p
u
b
l
i
c
o
f
I
n
d
o
n
e
s
i
a
,
“
G
o
v
e
r
n
me
n
t
r
e
g
u
l
a
t
i
o
n
o
f
t
h
e
R
e
p
u
b
l
i
c
o
f
I
n
d
o
n
e
s
i
a
n
u
mb
e
r
3
3
o
f
2
0
1
2
c
o
n
c
e
r
n
i
n
g
e
x
c
l
u
si
v
e
b
r
e
a
s
t
f
e
e
d
i
n
g
.
”
R
e
p
u
b
l
i
c
o
f
I
n
d
o
n
e
s
i
a
,
Ja
k
a
r
t
a
,
I
n
d
o
n
e
s
i
a
,
2
0
1
2
.
[
3
]
W
o
r
l
d
H
e
a
l
t
h
O
r
g
a
n
i
z
a
t
i
o
n
,
I
n
d
i
c
a
t
o
rs
f
o
r
a
ss
e
ssi
n
g
i
n
f
a
n
t
a
n
d
y
o
u
n
g
c
h
i
l
d
f
e
e
d
i
n
g
p
ra
c
t
i
c
e
s:
d
e
f
i
n
i
t
i
o
n
s
a
n
d
m
e
a
s
u
rem
e
n
t
m
e
t
h
o
d
s
.
G
e
n
e
v
a
:
W
H
O
,
2
0
2
1
.
[
4
]
W
o
r
l
d
H
e
a
l
t
h
O
r
g
a
n
i
z
a
t
i
o
n
,
G
l
o
b
a
l
s
t
ra
t
e
g
y
f
o
r
i
n
f
a
n
t
a
n
d
y
o
u
n
g
c
h
i
l
d
f
e
e
d
i
n
g
,
n
o
.
1
.
G
e
n
e
v
a
:
W
o
r
l
d
H
e
a
l
t
h
O
r
g
a
n
i
z
a
t
i
o
n
,
2
0
0
3
.
[
5
]
R
.
A
l
i
mi
,
E.
A
z
m
o
u
d
e
,
M
.
M
o
r
a
d
i
,
a
n
d
M
.
Za
m
a
n
i
,
“
Th
e
a
ss
o
c
i
a
t
i
o
n
o
f
b
r
e
a
st
f
e
e
d
i
n
g
w
i
t
h
a
r
e
d
u
c
e
d
r
i
s
k
o
f
p
o
s
t
p
a
r
t
u
m
d
e
p
r
e
ss
i
o
n
:
a
sy
s
t
e
m
a
t
i
c
r
e
v
i
e
w
a
n
d
met
a
-
a
n
a
l
y
si
s
,
”
Br
e
a
s
t
f
e
e
d
i
n
g
Me
d
i
c
i
n
e
,
v
o
l
.
1
7
,
n
o
.
4
,
p
p
.
2
9
0
–
2
9
6
,
D
e
c
.
2
0
2
2
,
d
o
i
:
1
0
.
1
0
8
9
/
b
f
m
.
2
0
2
1
.
0
1
8
3
.
[
6
]
I
n
d
o
n
e
si
a
n
M
i
n
i
s
t
r
y
o
f
H
e
a
l
t
h
,
“
I
n
d
o
n
e
s
i
a
h
e
a
l
t
h
p
r
o
f
i
l
e
2
0
1
3
,
”
J
a
k
a
r
t
a
,
J
u
l
.
2
0
1
4
.
[
7
]
H
e
a
l
t
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