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. 2018 Aug 22;10:467–475. doi: 10.2147/IJWH.S161003
Child demographic Family demographic

Sex: Age of mother (in years) at time of birth:
□ Male □ 19 years and below
□ Female □ 20–29 years
□ 30–39 years
□ 40–49 years
Birth order: Mother education:
□ First □ Primary
□ Second □ Secondary
□ Third □ College and above
□ Fourth □ No schooling
□ Other Mother’s working status:
Type of delivery: □ Working
□ Normal vaginal delivery □ Housewife
□ C-section Does your work support breastfeeding practice?
Gestational age □ Yes
□ Full term □ No
□ Preterm/premature □ I do not know
Birth weight: Father’s age:
Was your baby admitted to the Neonatal Intensive Father education:
Care Unit (NICU)? □ Primary
□ Yes □ Secondary
□ No □ College and above
Nationality
□ Qatari
□ Other Arab Countries
□ African
□ Indian subcontinent
□ Other Nationalities