{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T06:12:47Z","timestamp":1789539167392,"version":"build-2803163510"},"reference-count":34,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T00:00:00Z","timestamp":1786665600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T00:00:00Z","timestamp":1786665600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"abstract":"ABSTRACT<\/jats:title>\n \n Aim<\/jats:title>\n To assess how maternal\/infant characteristics and early hospital practices influenced exclusive breastfeeding at 2\u20133\u2009weeks postpartum among mothers intending to breastfeed their late preterm and early term infants.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This secondary analysis used data from a randomised controlled trial of 72 mothers of late preterm (34\u2009+\u20090\u201336\u2009+\u20096) and early term infants (37\u2009+\u20090\u201338\u2009+\u20096), assigned to either a breastfeeding intervention or control group. Information on hospital practices and infant feeding was collected prior to intervention start.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Overall, 62% of infants were exclusively breastfed (57% of late preterm, 75% of early term infants) at 2\u20133\u2009weeks postpartum. In\u2010hospital formula supplementation was highly prevalent (76%), and particularly larger volumes (30\u201360\u2009mL per feed) were strongly associated with reduced exclusive breastfeeding (\n p<\/jats:italic>\n \u2009<\u20090.001). Being offered support for breastfeeding problems at hospital was also associated with reduced odds of exclusive breastfeeding (OR 0.17, 95% CI 0.04\u20130.84). Early hospital practices, such as skin\u2010to\u2010skin contact and early breastfeeding initiation, differed between early term and late preterm infants.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The findings highlight the potential impact of modifiable hospital practices, particularly formula supplementation, on exclusive breastfeeding in this group. Strategies to improve these practices warrant further investigation.<\/jats:p>\n <\/jats:sec>\n \n Trial Registration<\/jats:title>\n \n ClinicalTrials.gov<\/jats:ext-link>\n identifier: NCT03791749\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/apa.70723","type":"journal-article","created":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T11:26:32Z","timestamp":1786706792000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Early Hospital Practices Were Associated With Exclusive Breastfeeding Among Late Preterm and Early Term Infants"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8603-1833","authenticated-orcid":false,"given":"S.","family":"Dib","sequence":"first","affiliation":[{"name":"UCL Great Ormond Street Institute of Child Health University College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0411-8025","authenticated-orcid":false,"given":"J. C. K.","family":"Wells","sequence":"additional","affiliation":[{"name":"UCL Great Ormond Street Institute of Child Health University College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9783-3444","authenticated-orcid":false,"given":"M. S.","family":"Fewtrell","sequence":"additional","affiliation":[{"name":"UCL Great Ormond Street Institute of Child Health University College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,14]]},"reference":[{"issue":"6","key":"e_1_2_11_2_1","doi-asserted-by":"crossref","first-page":"1564","DOI":"10.1016\/j.siny.2024.101564","article-title":"Late Preterm and Early Term Birth: Challenges and Dilemmas in Clinical Practice","volume":"29","author":"Boyle E. M.","year":"2024","journal-title":"Seminars in Fetal and Neonatal Medicine"},{"issue":"1","key":"e_1_2_11_3_1","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1053\/j.semperi.2006.01.005","article-title":"Short\u2010Term Outcomes of Infants Born at 35 and 36\u2009Weeks Gestation: We Need to Ask More Questions","volume":"30","author":"Escobar G. J.","year":"2006","journal-title":"Seminars in Perinatology"},{"issue":"6","key":"e_1_2_11_4_1","doi-asserted-by":"crossref","first-page":"1390","DOI":"10.1542\/peds.2007-2952","article-title":"\u201cLate\u2010Preterm\u201d Infants: A Population at Risk","volume":"120","author":"Engle W. A.","year":"2007","journal-title":"Pediatrics"},{"issue":"2","key":"e_1_2_11_5_1","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1017\/S0965539512000071","article-title":"Neonatal Outcomes Following Late Preterm Birth","volume":"23","author":"Boyle E. M.","year":"2012","journal-title":"Fetal and Maternal Medicine Review"},{"issue":"3","key":"e_1_2_11_6_1","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1016\/j.ajog.2014.03.021","article-title":"Neonatal Outcomes in Early Term Birth","volume":"211","author":"Parikh L. I.","year":"2014","journal-title":"American Journal of Obstetrics and Gynecology"},{"issue":"11","key":"e_1_2_11_7_1","doi-asserted-by":"crossref","first-page":"1053","DOI":"10.1001\/jamapediatrics.2013.2581","article-title":"Adverse Neonatal Outcomes Associated With Early\u2010Term Birth","volume":"167","author":"Sengupta S.","year":"2013","journal-title":"JAMA Pediatrics"},{"issue":"6","key":"e_1_2_11_8_1","doi-asserted-by":"crossref","first-page":"F451","DOI":"10.1136\/archdischild-2014-306124","article-title":"School Performance at Age 7\u2009Years in Late Preterm and Early Term Birth: A Cohort Study","volume":"99","author":"Chan E.","year":"2014","journal-title":"Archives of Disease in Childhood. Fetal and Neonatal Edition"},{"key":"e_1_2_11_9_1","unstructured":"Office of National Statistics \u201cBirths in England and Wales: 2024 (Refreshed Populations) \u201d(2024) https:\/\/www.ons.gov.uk\/releases\/birthsinenglandandwales2024refreshedpopulations."},{"issue":"10017","key":"e_1_2_11_10_1","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1016\/S0140-6736(15)01024-7","article-title":"Breastfeeding in the 21st Century: Epidemiology, Mechanisms, and Lifelong Effect","volume":"387","author":"Victora C. G.","year":"2016","journal-title":"Lancet"},{"issue":"6","key":"e_1_2_11_11_1","doi-asserted-by":"crossref","first-page":"F479","DOI":"10.1136\/archdischild-2014-307347","article-title":"Neonatal Outcomes and Delivery of Care for Infants Born Late Preterm or Moderately Preterm: A Prospective Population\u2010Based Study","volume":"100","author":"Boyle E. M.","year":"2015","journal-title":"Archives of Disease in Childhood. Fetal and Neonatal Edition"},{"issue":"4","key":"e_1_2_11_12_1","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1111\/birt.12135","article-title":"Hospital Care and Early Breastfeeding Outcomes Among Late Preterm, Early\u2010Term, and Term Infants","volume":"41","author":"Goyal N. K.","year":"2014","journal-title":"Birth"},{"issue":"1","key":"e_1_2_11_13_1","doi-asserted-by":"crossref","DOI":"10.1186\/1746-4358-7-16","article-title":"Factors Associated With Initiation and Exclusive Breastfeeding at Hospital Discharge: Late Preterm Compared to 37 Week Gestation Mother and Infant Cohort","volume":"7","author":"Ayton J.","year":"2012","journal-title":"International Breastfeeding Journal"},{"issue":"1","key":"e_1_2_11_14_1","doi-asserted-by":"crossref","DOI":"10.1136\/bmjpo-2024-002912","article-title":"Breastfeeding Trajectories for Preterm Infants Over the First 6 Months of Life in England 2010\u20132020: Surveys Using Large Representative Birth Samples","volume":"8","author":"Levene I.","year":"2024","journal-title":"BMJ Paediatrics Open"},{"issue":"2","key":"e_1_2_11_15_1","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1097\/MPG.0000000000002397","article-title":"Feeding the Late and Moderately Preterm Infant: A Position Paper of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition Committee on Nutrition","volume":"69","author":"ESPGHAN Committee on Nutrition","year":"2019","journal-title":"Journal of Pediatric Gastroenterology and Nutrition"},{"issue":"5","key":"e_1_2_11_16_1","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1542\/hpeds.2015-0172","article-title":"Breastfeeding Continuation Among Late Preterm Infants: Barriers, Facilitators, and Any Association With NICU Admission?","volume":"6","author":"Kair L. R.","year":"2016","journal-title":"Hospital Pediatrics"},{"issue":"2","key":"e_1_2_11_17_1","doi-asserted-by":"crossref","first-page":"312","DOI":"10.3390\/nu11020312","article-title":"Do a Few Weeks Matter? Late Preterm Infants and Breastfeeding Issues","volume":"11","author":"Crippa B. L.","year":"2019","journal-title":"Nutrients"},{"issue":"1","key":"e_1_2_11_18_1","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1111\/birt.12380","article-title":"Association Between Early\u2010Term Birth and Breastfeeding Initiation, Duration, and Exclusivity: A Systematic Review","volume":"46","author":"Fan H. S. L.","year":"2019","journal-title":"Birth"},{"issue":"10","key":"e_1_2_11_19_1","doi-asserted-by":"crossref","first-page":"781","DOI":"10.1089\/bfm.2022.0118","article-title":"Interventions to Improve Breastfeeding Outcomes in Late Preterm and Early Term Infants","volume":"17","author":"Dib S.","year":"2022","journal-title":"Breastfeeding Medicine"},{"key":"e_1_2_11_20_1","article-title":"Immediate or Early Skin\u2010to\u2010Skin Contact for Mothers and Their Healthy Newborn Infants","volume":"10","author":"Moore E. R.","year":"2025","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_11_21_1","unstructured":"British Association of Perinatal Medicine \u201cFramework: Early Postnatal Care of the Moderate\u2010Late Preterm Infant \u201d(2023) https:\/\/www.bapm.org\/resources\/framework\u2010early\u2010postnatal\u2010care\u2010of\u2010the\u2010moderate\u2010late\u2010preterm\u2010infant."},{"issue":"3","key":"e_1_2_11_22_1","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1542\/hpeds.2012-0063","article-title":"Hospitalization of Early Preterm, Late Preterm, and Term Infants During the First Year of Life by Gestational Age","volume":"3","author":"Ray K. N.","year":"2013","journal-title":"Hospital Pediatrics"},{"issue":"23","key":"e_1_2_11_23_1","doi-asserted-by":"crossref","DOI":"10.3390\/nu14235041","article-title":"A Breastfeeding Relaxation Intervention Promotes Growth in Late Preterm and Early Term Infants: Results From a Randomized Controlled Trial","volume":"14","author":"Dib S.","year":"2022","journal-title":"Nutrients"},{"issue":"1","key":"e_1_2_11_24_1","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1186\/s13063-020-4225-3","article-title":"Mother and Late Preterm Lactation Study (MAPLeS): A Randomised Controlled Trial Testing the Use of a Breastfeeding Meditation by Mothers of Late Preterm Infants on Maternal Psychological State, Breast Milk Composition and Volume, and Infant Behaviour and Growth","volume":"21","author":"Dib S.","year":"2020","journal-title":"Trials"},{"key":"e_1_2_11_25_1","unstructured":"U.S. Centers for Disease Control and Prevention (CDC) \u201cInfant Feeding Practices Study (IFPS) II \u201dhttps:\/\/www.cdc.gov\/breastfeeding\u2010data\/studies\/questionnaires.html."},{"issue":"8","key":"e_1_2_11_26_1","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0272583","article-title":"Breastfeeding Outcomes in Late Preterm Infants: A Multi\u2010Centre Prospective Cohort Study","volume":"17","author":"Keir A.","year":"2022","journal-title":"PLoS One"},{"issue":"7","key":"e_1_2_11_27_1","doi-asserted-by":"crossref","first-page":"530","DOI":"10.1089\/bfm.2020.0194","article-title":"Estimating the Impact of In\u2010Hospital Infant Formula Supplementation on Breastfeeding Success","volume":"16","author":"Whipps M. D.","year":"2021","journal-title":"Breastfeeding Medicine"},{"issue":"6","key":"e_1_2_11_28_1","doi-asserted-by":"crossref","first-page":"1339","DOI":"10.1016\/j.jpeds.2013.12.035","article-title":"In\u2010Hospital Formula Use Increases Early Breastfeeding Cessation Among First\u2010Time Mothers Intending to Exclusively Breastfeed","volume":"164","author":"Chantry C. J.","year":"2014","journal-title":"Journal of Pediatrics"},{"issue":"8","key":"e_1_2_11_29_1","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1089\/bfm.2019.0055","article-title":"Minimizing the Relationship Between Early Formula Use and Breastfeeding Cessation by Limiting Formula Volume","volume":"14","author":"Flaherman V. J.","year":"2019","journal-title":"Breastfeeding Medicine"},{"issue":"8","key":"e_1_2_11_30_1","doi-asserted-by":"crossref","first-page":"729","DOI":"10.1001\/jamapediatrics.2019.1424","article-title":"Effect of Early Limited Formula on Breastfeeding Duration in the First Year of Life: A Randomized Clinical Trial","volume":"173","author":"Flaherman V. J.","year":"2019","journal-title":"JAMA Pediatrics"},{"issue":"11","key":"e_1_2_11_31_1","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2015-009144","article-title":"Association Between Breastfeeding Support and Breastfeeding Rates in the UK: A Comparison of Late Preterm and Term Infants","volume":"5","author":"Rayfield S.","year":"2015","journal-title":"BMJ Open"},{"issue":"2","key":"e_1_2_11_32_1","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0089077","article-title":"Factors Associated With Exclusive Breastfeeding of Preterm Infants. Results From a Prospective National Cohort Study","volume":"9","author":"Maastrup R.","year":"2014","journal-title":"PLoS One"},{"issue":"3","key":"e_1_2_11_33_1","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1089\/bfm.2015.0122","article-title":"Reduced Breastfeeding Rates in Firstborn Late Preterm and Early Term Infants","volume":"11","author":"HackmanNicole M.","year":"2016","journal-title":"Breastfeeding Medicine"},{"issue":"3","key":"e_1_2_11_34_1","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1007\/s10995-014-1526-8","article-title":"Timing of Breastfeeding Initiation and Exclusivity of Breastfeeding During the First Month of Life: Effects on Neonatal Mortality and Morbidity\u2014A Systematic Review and Meta\u2010Analysis","volume":"19","author":"Khan J.","year":"2015","journal-title":"Maternal and Child Health Journal"},{"issue":"3","key":"e_1_2_11_35_1","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1016\/j.clp.2011.06.009","article-title":"Morbidity and Mortality in Late Preterm and Early Term Newborns: A Continuum","volume":"38","author":"Engle W. A.","year":"2011","journal-title":"Clinics in Perinatology"}],"container-title":["Acta Paediatrica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/apa.70723","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/apa.70723","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/apa.70723","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T11:26:37Z","timestamp":1786706797000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/apa.70723"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,14]]},"references-count":34,"alternative-id":["10.1111\/apa.70723"],"URL":"https:\/\/doi.org\/10.1111\/apa.70723","archive":["Portico"],"relation":{},"ISSN":["0803-5253","1651-2227"],"issn-type":[{"value":"0803-5253","type":"print"},{"value":"1651-2227","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,14]]},"assertion":[{"value":"2026-03-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-04","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"apa.70723"}}