CONFERENCE PROCEEDING
Breastfeeding at one year, prevalence and associated factors in a prospective study of primiparous women in Sweden
 
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1
Medical Faculty- Lund University, Department of Health Sciences, Lund, Sweden
 
2
Faculty of Human Sciences- Mid University, Department of Health Science HOV, Sundsvall, Sweden
 
3
Clinical Epidemiology Division- Karolinska Institutet, Department of Medicine Solna, Stockholm, Sweden
 
4
Skane University Hospital- Lund University, Department of Obstetrics and Gynecology, Lund, Sweden
 
 
Eur J Midwifery 2026;10(Supplement 1):A551
 
ABSTRACT
BACKGROUND:
Exclusive breastfeeding of infants for the first six months of life is a global public health goal and offers well-established and significant benefits for infant health and development, as well as health benefits for women. Breastfeeding within the first two hours after childbirth greatly increases the likelihood of successful, long-term breastfeeding. However, there is limited knowledge about immediate postnatal care given during the first two hours after birth, initiation of breastfeeding, skin-to-skin care and women’s experience.

OBJECTIVES:
The aim of this study was to investigate breastfeeding duration during the first year and factors associated with breastfeeding at one year after birth.

METHODS:
This is a prospective longitudinal cohort within a follow-up to a randomized controlled trial conducted at five obstetric units in Sweden. Data were derived from questionnaires sent to women at one month and one year postpartum. Multivariable logistic regression analysis was used to analyze factors associated with breastfeeding at one year after birth, and Kaplan-Meier analysis estimated breastfeeding duration.

RESULTS:
The prevalence of breastfeeding at one year after birth was 31 % in this cohort of 1736 women who gave birth to their first child. Exclusive breastfeeding during the first four months (aOR; 3.00; 2.36-3.82), not having Swedish as native language (aOR; 1.92; 1.49-2.49), experiencing a very positive first breastfeeding session (aOR; 1.58; 1.27-1.98) and having a university education (aOR; 1.57 1.20-2.05), were associated with breastfeeding at one year.

CONCLUSIONS:
Immediate postpartum care resulting in a positive first breastfeeding experience and exclusive breastfeeding during the first four months had an impact on breastfeeding duration at one year after birth. Future research should include sociodemographic background and how postpartum care can be improved to support women achieve their breastfeeding goals and thereby promote breastfeeding.

KEY MESSAGE:
This study contributes to the scientific knowledge of key factors that influence breastfeeding duration. Poster session 1 (Group A)
eISSN:2585-2906
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