{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T15:11:26Z","timestamp":1779117086198,"version":"3.51.4"},"reference-count":47,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T00:00:00Z","timestamp":1779062400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background\/Objectives: Breast Milk Feeding (BMF) benefits mother and infant. However, women with select risk factors report shorter breastfeeding durations. Our previous prospective cohort observational study of a lactation-consultant-led telephone-based support program in the first month postpartum increased BMF rates up to 6 months. This post hoc study further evaluated the program for mothers at increased risk of early breastfeeding cessation. Methods: We performed secondary analysis involving 762 mothers (control, n = 378; intervention, n = 384), recruited between 2018 and 2019. Infant feeding types, including BMF, were recorded at 1, 3 and 6 months. Feeding outcomes were analyzed in association with maternal risk factors. p-values, odds ratios and 95% confidence intervals were reported via both univariate (UVA) and multivariate regression analysis (MVA). Results: Via MVA, the intervention was associated with increased 6-month BMF rates in these groupings [OR (95%CI), p-value]: European [1.80 (1.07\u20132.96), p = 0.027]; South Asian [1.93 (1.19\u20133.13), p = 0.008]; employed [1.47 (1.02\u20132.12), p = 0.038]; unemployed [2.15 (1.33\u20133.50), p = 0.002]; married [1.71 (1.22\u20132.39), p = 0.002]; social support present [1.51 (1.05\u20132.16), p = 0.026]; chronic illness [1.93 (1.35\u20132.75), p = 0.001]; gestational diabetes mellitus [2.17 (1.19\u20133.95), p = 0.11]; overweight and obese [1.48 (1.03\u20132.12), p = 0.034]. A derived success score across the study period indicated via UVA associated increases in BMF rates with history of depression and anxiety (MI) [p = 0.044] and ongoing MI [p = 0.033], but these increases were smaller than that for no history of MI [p &lt; 0.001]. No effect was observed in East\/Southeast Asian mothers, Middle Eastern mothers, single or de facto mothers, older mothers, mothers without social support and mothers of any skill level. Conclusions: Although early postpartum telephone support was associated with a number of positive findings of improved BMF at 6 months and over the course of the study, the results were mixed. This suggests that future breastfeeding telephone-based initiatives need to be multifaceted in order to target mothers at risk of early breastfeeding cessation.<\/jats:p>","DOI":"10.3390\/nu18101601","type":"journal-article","created":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T14:40:31Z","timestamp":1779115231000},"page":"1601","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Post Hoc Analysis of Demographic, Socioeconomic, Health and Mental Health Factors Following a Lactation-Consultant-Led Telephone Breastfeeding Support Program"],"prefix":"10.3390","volume":"18","author":[{"given":"Wei Qi","family":"Fan","sequence":"first","affiliation":[{"name":"Northern Health, Melbourne 3076, Australia"},{"name":"Faculty of Medicine, Dentistry and Health Sciences, Melbourne University, Melbourne 3010, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Zhang","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Dentistry and Health Sciences, Melbourne University, Melbourne 3010, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Debra","family":"Bourne","sequence":"additional","affiliation":[{"name":"Northern Health, Melbourne 3076, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Tran","sequence":"additional","affiliation":[{"name":"Northern Health, Melbourne 3076, Australia"},{"name":"Faculty of Medicine, Dentistry and Health Sciences, Melbourne University, Melbourne 3010, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,5,18]]},"reference":[{"key":"ref_1","unstructured":"Australian Bureau of Statistics (2026, March 01). 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