Effectiveness of individualized breastfeeding counseling during the dyad’s stay in rooming-in: a randomized, multicenter, open and parallel study

Mariana Torreglosa Ruiz; Elisa da Conceição Rodrigues; Marialda Moreira Christoffel; Cynthya Viana de Resende; Michele Curcino Cavalcanti; Marianne Guterres Ferreira; Jéssica Aparecida da Silva; Karine Emanuelle Peixoto Oliveira da Silva; Monika Wernet; Ana Letícia Monteiro Gomes; Maria Beatriz Guimarães Raponi; Jacqueline Faria de Oliveira; Divanice Contim; Ana Maria Linares

doi:10.1186/s13006-025-00710-y

Effectiveness of individualized breastfeeding counseling during the dyad’s stay in rooming-in: a randomized, multicenter, open and parallel study

Mariana Torreglosa Ruiz, Elisa da Conceição Rodrigues, Marialda Moreira Christoffel, Cynthya Viana de Resende, Michele Curcino Cavalcanti, Marianne Guterres Ferreira, Jéssica Aparecida da Silva, Karine Emanuelle Peixoto Oliveira da Silva, Monika Wernet, Ana Letícia Monteiro Gomes, Maria Beatriz Guimarães Raponi, Jacqueline Faria de Oliveira, Divanice Contim, Ana Maria Linares

Research output: Contribution to journal › Article › peer-review

Abstract

Background: Breastfeeding counseling is a proven strategy to protect and promote breastfeeding, as evidenced by numerous studies. However, there is limited research on its application during the dyad’s stay in rooming-in and its impact on the duration of exclusive breastfeeding. This study aims to evaluate the effectiveness of individualized counseling during the dyad’s rooming-in period and its role in maintaining exclusive breastfeeding until the sixth month of life, compared to standard care. Methods: This randomized, multicenter, parallel, and open clinical trial was conducted at two Brazilian university hospitals. A total of 102 primiparous women, who had conditions and intentions favorable to breastfeeding, were enrolled between December 2023 and April 2024. Following hospital discharge, participants were followed up via telephone until the child reached six months of age, with the study concluding in October 2024. Participants were randomly assigned to one of two groups. The intervention group received two to four breastfeeding counseling sessions during their hospital stay, while the control group received standard institutional care. Both groups were provided with educational materials on the benefits of breastfeeding and information on where to seek help if complications arose. During the telephone follow-ups, outcomes were measured without any additional interventions. The primary outcome measured was the exclusive breastfeeding rate since birth to the sixth month. Results: A total of 97 breastfeeding women completed the follow-up, forming the sample for analysis. Compared to the control group, women who received counseling were more likely to maintain exclusive breastfeeding at the fourth month (27/48 (56.2%) vs. 15/50 (30.0%), Prevalence Ratio = 1.88 (Confidence Interval 95% 1.15, 3.07) and the sixth month of the child’s life (27/47 (57.4%) vs. 12/50 (24.0%), Prevalence Ratio = 2.40 (Confidence Interval 95% 1.38, 4.16). Conclusion: Breastfeeding counseling during the dyad’s stay in rooming-in was effective in maintaining exclusive breastfeeding until the child’s sixth month of life. Trial registration: UTN: U1111-1284-3559 / RBR-4w9v5rq (2023-03-20).

Original language	English
Article number	41
Journal	International Breastfeeding Journal
Volume	20
Issue number	1
DOIs	https://doi.org/10.1186/s13006-025-00710-y
State	Published - Dec 2025

Bibliographical note

Publisher Copyright:
© The Author(s) 2025.

Funding

This work was funded with the support of the National Council for Scientific and Technological Development - Process n\u00BA 402851/2021-8.

Funders	Funder number
Conselho Nacional de Desenvolvimento Científico e Tecnológico

Keywords

Breast feeding
Counseling
Weaning

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Obstetrics and Gynecology

Access to Document

10.1186/s13006-025-00710-y

Cite this

Ruiz, M. T., da Conceição Rodrigues, E., Christoffel, M. M., de Resende, C. V., Cavalcanti, M. C., Ferreira, M. G., da Silva, J. A., da Silva, K. E. P. O., Wernet, M., Gomes, A. L. M., Raponi, M. B. G., de Oliveira, J. F., Contim, D., & Linares, A. M. (2025). Effectiveness of individualized breastfeeding counseling during the dyad’s stay in rooming-in: a randomized, multicenter, open and parallel study. International Breastfeeding Journal, 20(1), Article 41. https://doi.org/10.1186/s13006-025-00710-y

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title = "Effectiveness of individualized breastfeeding counseling during the dyad{\textquoteright}s stay in rooming-in: a randomized, multicenter, open and parallel study",

abstract = "Background: Breastfeeding counseling is a proven strategy to protect and promote breastfeeding, as evidenced by numerous studies. However, there is limited research on its application during the dyad{\textquoteright}s stay in rooming-in and its impact on the duration of exclusive breastfeeding. This study aims to evaluate the effectiveness of individualized counseling during the dyad{\textquoteright}s rooming-in period and its role in maintaining exclusive breastfeeding until the sixth month of life, compared to standard care. Methods: This randomized, multicenter, parallel, and open clinical trial was conducted at two Brazilian university hospitals. A total of 102 primiparous women, who had conditions and intentions favorable to breastfeeding, were enrolled between December 2023 and April 2024. Following hospital discharge, participants were followed up via telephone until the child reached six months of age, with the study concluding in October 2024. Participants were randomly assigned to one of two groups. The intervention group received two to four breastfeeding counseling sessions during their hospital stay, while the control group received standard institutional care. Both groups were provided with educational materials on the benefits of breastfeeding and information on where to seek help if complications arose. During the telephone follow-ups, outcomes were measured without any additional interventions. The primary outcome measured was the exclusive breastfeeding rate since birth to the sixth month. Results: A total of 97 breastfeeding women completed the follow-up, forming the sample for analysis. Compared to the control group, women who received counseling were more likely to maintain exclusive breastfeeding at the fourth month (27/48 (56.2\%) vs. 15/50 (30.0\%), Prevalence Ratio = 1.88 (Confidence Interval 95\% 1.15, 3.07) and the sixth month of the child{\textquoteright}s life (27/47 (57.4\%) vs. 12/50 (24.0\%), Prevalence Ratio = 2.40 (Confidence Interval 95\% 1.38, 4.16). Conclusion: Breastfeeding counseling during the dyad{\textquoteright}s stay in rooming-in was effective in maintaining exclusive breastfeeding until the child{\textquoteright}s sixth month of life. Trial registration: UTN: U1111-1284-3559 / RBR-4w9v5rq (2023-03-20).",

keywords = "Breast feeding, Counseling, Weaning",

author = "Ruiz, \{Mariana Torreglosa\} and \{da Concei{\c c}{\~a}o Rodrigues\}, Elisa and Christoffel, \{Marialda Moreira\} and \{de Resende\}, \{Cynthya Viana\} and Cavalcanti, \{Michele Curcino\} and Ferreira, \{Marianne Guterres\} and \{da Silva\}, \{J{\'e}ssica Aparecida\} and \{da Silva\}, \{Karine Emanuelle Peixoto Oliveira\} and Monika Wernet and Gomes, \{Ana Let{\'i}cia Monteiro\} and Raponi, \{Maria Beatriz Guimar{\~a}es\} and \{de Oliveira\}, \{Jacqueline Faria\} and Divanice Contim and Linares, \{Ana Maria\}",

note = "Publisher Copyright: {\textcopyright} The Author(s) 2025.",

year = "2025",

month = dec,

doi = "10.1186/s13006-025-00710-y",

language = "English",

volume = "20",

journal = "International Breastfeeding Journal",

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Ruiz, MT, da Conceição Rodrigues, E, Christoffel, MM, de Resende, CV, Cavalcanti, MC, Ferreira, MG, da Silva, JA, da Silva, KEPO, Wernet, M, Gomes, ALM, Raponi, MBG, de Oliveira, JF, Contim, D & Linares, AM 2025, 'Effectiveness of individualized breastfeeding counseling during the dyad’s stay in rooming-in: a randomized, multicenter, open and parallel study', International Breastfeeding Journal, vol. 20, no. 1, 41. https://doi.org/10.1186/s13006-025-00710-y

Effectiveness of individualized breastfeeding counseling during the dyad’s stay in rooming-in: a randomized, multicenter, open and parallel study. / Ruiz, Mariana Torreglosa; da Conceição Rodrigues, Elisa; Christoffel, Marialda Moreira et al.
In: International Breastfeeding Journal, Vol. 20, No. 1, 41, 12.2025.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Effectiveness of individualized breastfeeding counseling during the dyad’s stay in rooming-in

T2 - a randomized, multicenter, open and parallel study

AU - Ruiz, Mariana Torreglosa

AU - da Conceição Rodrigues, Elisa

AU - Christoffel, Marialda Moreira

AU - de Resende, Cynthya Viana

AU - Cavalcanti, Michele Curcino

AU - Ferreira, Marianne Guterres

AU - da Silva, Jéssica Aparecida

AU - da Silva, Karine Emanuelle Peixoto Oliveira

AU - Wernet, Monika

AU - Gomes, Ana Letícia Monteiro

AU - Raponi, Maria Beatriz Guimarães

AU - de Oliveira, Jacqueline Faria

AU - Contim, Divanice

AU - Linares, Ana Maria

PY - 2025/12

Y1 - 2025/12

N2 - Background: Breastfeeding counseling is a proven strategy to protect and promote breastfeeding, as evidenced by numerous studies. However, there is limited research on its application during the dyad’s stay in rooming-in and its impact on the duration of exclusive breastfeeding. This study aims to evaluate the effectiveness of individualized counseling during the dyad’s rooming-in period and its role in maintaining exclusive breastfeeding until the sixth month of life, compared to standard care. Methods: This randomized, multicenter, parallel, and open clinical trial was conducted at two Brazilian university hospitals. A total of 102 primiparous women, who had conditions and intentions favorable to breastfeeding, were enrolled between December 2023 and April 2024. Following hospital discharge, participants were followed up via telephone until the child reached six months of age, with the study concluding in October 2024. Participants were randomly assigned to one of two groups. The intervention group received two to four breastfeeding counseling sessions during their hospital stay, while the control group received standard institutional care. Both groups were provided with educational materials on the benefits of breastfeeding and information on where to seek help if complications arose. During the telephone follow-ups, outcomes were measured without any additional interventions. The primary outcome measured was the exclusive breastfeeding rate since birth to the sixth month. Results: A total of 97 breastfeeding women completed the follow-up, forming the sample for analysis. Compared to the control group, women who received counseling were more likely to maintain exclusive breastfeeding at the fourth month (27/48 (56.2%) vs. 15/50 (30.0%), Prevalence Ratio = 1.88 (Confidence Interval 95% 1.15, 3.07) and the sixth month of the child’s life (27/47 (57.4%) vs. 12/50 (24.0%), Prevalence Ratio = 2.40 (Confidence Interval 95% 1.38, 4.16). Conclusion: Breastfeeding counseling during the dyad’s stay in rooming-in was effective in maintaining exclusive breastfeeding until the child’s sixth month of life. Trial registration: UTN: U1111-1284-3559 / RBR-4w9v5rq (2023-03-20).

AB - Background: Breastfeeding counseling is a proven strategy to protect and promote breastfeeding, as evidenced by numerous studies. However, there is limited research on its application during the dyad’s stay in rooming-in and its impact on the duration of exclusive breastfeeding. This study aims to evaluate the effectiveness of individualized counseling during the dyad’s rooming-in period and its role in maintaining exclusive breastfeeding until the sixth month of life, compared to standard care. Methods: This randomized, multicenter, parallel, and open clinical trial was conducted at two Brazilian university hospitals. A total of 102 primiparous women, who had conditions and intentions favorable to breastfeeding, were enrolled between December 2023 and April 2024. Following hospital discharge, participants were followed up via telephone until the child reached six months of age, with the study concluding in October 2024. Participants were randomly assigned to one of two groups. The intervention group received two to four breastfeeding counseling sessions during their hospital stay, while the control group received standard institutional care. Both groups were provided with educational materials on the benefits of breastfeeding and information on where to seek help if complications arose. During the telephone follow-ups, outcomes were measured without any additional interventions. The primary outcome measured was the exclusive breastfeeding rate since birth to the sixth month. Results: A total of 97 breastfeeding women completed the follow-up, forming the sample for analysis. Compared to the control group, women who received counseling were more likely to maintain exclusive breastfeeding at the fourth month (27/48 (56.2%) vs. 15/50 (30.0%), Prevalence Ratio = 1.88 (Confidence Interval 95% 1.15, 3.07) and the sixth month of the child’s life (27/47 (57.4%) vs. 12/50 (24.0%), Prevalence Ratio = 2.40 (Confidence Interval 95% 1.38, 4.16). Conclusion: Breastfeeding counseling during the dyad’s stay in rooming-in was effective in maintaining exclusive breastfeeding until the child’s sixth month of life. Trial registration: UTN: U1111-1284-3559 / RBR-4w9v5rq (2023-03-20).

KW - Breast feeding

KW - Counseling

KW - Weaning

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ER -

Effectiveness of individualized breastfeeding counseling during the dyad’s stay in rooming-in: a randomized, multicenter, open and parallel study

Abstract

Bibliographical note

Funding

Keywords

ASJC Scopus subject areas

Access to Document

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