ArticleEuropean journal of midwifery2026
High breastfeeding continuation at two months after birth in women receiving home-based postnatal midwifery care and factors associated with breastfeeding cessation: A prospective cohort study.
Article in European journal of midwifery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionExclusive breastfeeding (EB) is globally recommended due to health benefits for women and their infants. Home-based postnatal midwifery care (HBPMC) is a model of care where midwives give in-home care during the first postnatal week. The study objectives were to investigate breastfeeding outcomes at two months after birth, in women and newborns receiving HBPMC, and to identify risk factors and describe women's reported reasons associated with EB cessation.
methodsA prospective cohort study including 219 women in Sweden, conducted between November 2023 and March 2024. Background and breastfeeding variables were collected from medical records. Telephone interviews two months after birth contained open-ended questions about breastfeeding duration and reasons for EB cessation. Multivariable logistic regression was used to calculate adjusted odds ratios (AORs) with 95% confidence intervals (CIs).
resultsIn total, 211 women (96%) completed the follow-up. The prevalence of exclusive breastfeeding was 86% at discharge from HBPMC, and 84% at two months after birth. Factors associated with EB cessation included early formula supplementation (AOR=5.89; 95% CI: 2.31-15.02), a pre-pregnancy body mass index ≥ 30 kg/m
conclusionsA high continuation of exclusive breastfeeding was reported at two months after receiving HBPMC, suggesting that in-home breastfeeding support during the first week after birth may play an important role. Future interventions with in-home breastfeeding support targeting women with identified risk factors may further improve breastfeeding duration.
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