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CONFERENCE PROCEEDING
Exclusive breastfeeding two months postpartum in women participating in a Swedish midwifery model of postnatal care including home visits: An observational study
1
Lund University, Department of Health Sciences- Faculty of Medicine, Lund, Sweden
2
Malmö University, Department of Care Science- Faculty of Health and Society, Malmö, Sweden
3
Skåne University Hospital, Department of Obstetrics and Gynaecology, Malmö, Sweden
Eur J Midwifery 2026;10(Supplement 1):A450
ABSTRACT
BACKGROUND:
Home-based postnatal midwifery care (HBPMC) is a midwifery model of care in which mother and newborn receive care at home by midwives during the first week after birth. The postnatal care focuses on the woman’s physical and emotional wellbeing, bodily changes after birth, breastfeeding support and newborn overall health. Mothers have reported high satisfaction with HBPMC, and it was often the preferred model of postpartum care.
OBJECTIVES:
To investigate the prevalence of exclusive breastfeeding (EB) two months after birth and to identify risk factors associated with EB cessation in women participating in an HBPMC program.
METHODS:
This prospective study with an observational design uses data from medical records and telephone interviews with women. The study was conducted in Sweden in 2023-2024 and included women receiving HBPMC. Associated factors for EB cessation before two months after birth were analysed by multivariable logistic regression.
RESULTS:
Out of the 219 women who participated in the study, 211 completed the follow-up interview at two months. At one week postpartum, 86 % of the women reported exclusive breastfeeding, and 84 % at two months. Factors associated with EB cessation were not exclusively breastfeeding at discharge from HBPMC (one week postpartum), having a body mass index ≥30, and being born outside of Sweden. The most reported reasons for EB cessation were breastfeeding barriers and perceived insufficient milk supply.
CONCLUSIONS:
A sustained frequency of high breastfeeding rates was reported in women receiving HBPMC compared to national data, indicating the possible value of the home-based postnatal midwifery care program. The identified risk factors for early cessation need to be addressed with personalized breastfeeding support.
KEY MESSAGE:
Investing in HBPMC may contribute to supporting women in reaching their breastfeeding goals. Poster session 1 (Group A)
Home-based postnatal midwifery care (HBPMC) is a midwifery model of care in which mother and newborn receive care at home by midwives during the first week after birth. The postnatal care focuses on the woman’s physical and emotional wellbeing, bodily changes after birth, breastfeeding support and newborn overall health. Mothers have reported high satisfaction with HBPMC, and it was often the preferred model of postpartum care.
OBJECTIVES:
To investigate the prevalence of exclusive breastfeeding (EB) two months after birth and to identify risk factors associated with EB cessation in women participating in an HBPMC program.
METHODS:
This prospective study with an observational design uses data from medical records and telephone interviews with women. The study was conducted in Sweden in 2023-2024 and included women receiving HBPMC. Associated factors for EB cessation before two months after birth were analysed by multivariable logistic regression.
RESULTS:
Out of the 219 women who participated in the study, 211 completed the follow-up interview at two months. At one week postpartum, 86 % of the women reported exclusive breastfeeding, and 84 % at two months. Factors associated with EB cessation were not exclusively breastfeeding at discharge from HBPMC (one week postpartum), having a body mass index ≥30, and being born outside of Sweden. The most reported reasons for EB cessation were breastfeeding barriers and perceived insufficient milk supply.
CONCLUSIONS:
A sustained frequency of high breastfeeding rates was reported in women receiving HBPMC compared to national data, indicating the possible value of the home-based postnatal midwifery care program. The identified risk factors for early cessation need to be addressed with personalized breastfeeding support.
KEY MESSAGE:
Investing in HBPMC may contribute to supporting women in reaching their breastfeeding goals. Poster session 1 (Group A)
| eISSN: | 2585-2906 |
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