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August 16, 2026Acta PaediatricaOpen Access

Early Hospital Practices Were Associated With Exclusive Breastfeeding Among Late Preterm and Early Term Infants

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Authors

SDSarah DibJWJonathan C. K. WellsMFMary Fewtrell

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Overview

Randomized trial reveals early in-hospital formula supplementation reduces exclusive breastfeeding at 2-3 weeks in late preterm and early term infants, highlighting the role of modifiable practices.

Key Points

  • To determine how maternal and infant characteristics along with early hospital care practices influence exclusive breastfeeding rates at 2–3 weeks postpartum among late preterm and early term infants.
  • Secondary analysis of randomized controlled trial data (NCT03791749) involving 72 mothers of late preterm (34+0 to 36+6 weeks) and early term (37+0 to 38+6 weeks) infants.
  • Hospital practices and infant feeding data were recorded prior to the start of a breastfeeding intervention versus control assignment.
  • Exclusive breastfeeding at 2–3 weeks postpartum was 62% overall, comprising 57% in late preterm and 75% in early term infants.
  • In-hospital formula supplementation occurred in 76% of infants, with higher volumes (30–60 mL per feed) strongly associated with lower exclusive breastfeeding (p < 0.001).
  • Receiving hospital support for breastfeeding difficulties was associated with reduced odds of exclusive breastfeeding at follow-up (OR 0.17, 95% CI 0.04–0.84).

Cite This Study

Dib et al. (2026) studied this question.

synapsesocial.com/papers/6a8179abf2fb91fc834acebdhttps://doi.org/10.1111/apa.70723
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Early initiation and exclusive breastfeeding: Factors influencing the attitudes of mothers who gave birth in a baby-friendly hospital2017 · 109 citations
  2. 2Factors Influencing Exclusive Breastfeeding During the Postpartum Period: A Mixed-Methods Study2025 · 6 citations
  3. 3Exclusive Breastfeeding in Late Preterm Infants: Rates and Risk Factors for Non-Exclusivity at One Month of Age in a Vietnamese Tertiary Hospital2026
  4. 4The Effect of Baby Friendly Neonatal Intensive Care Initiative on Exclusive Breastfeeding Rates following Discharge in Very Preterm Infants2024
  5. 5Effect of structured breastfeeding early intervention package for babies born at less than 34 weeks gestation on exclusive breastfeeding at 6 months—a quasi-experimental study2026