The literature examination of the study's foundation is thorough and detailed building a step-by-step foundation to the need and purpose of this current study and its importance to society.

The flaws that were evident included the fact that many of the milestones reported were anecdotal by the parents. In addition the parents were not held to a standard of home care and stimulation tactics of the babies so it is possible that many of the higher achieving children were assisted by support by their parents outside of the breastfeeding arena.

The strengths of the study include the fact that it was so comprehensive in nature and that it provided a long-term examination so that the possibility of a coincidental time correlation could be ruled out.

In addition, the study allowed for error as it was a 16-year examination and provided many opportunities over those 16 years for milestones to develop...
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