The sample in this study described high rates of positive obstetric practice, such as skin-to-skin contact at birth
and positive breastfeeding experiences. A notable proportion of women also reported use of second-line strategies. Importantly, the women using second-line strategies had significantly lower BFSE than those who did not use these strategies. The complex matrix of factors contributing to BFSE requires the implementation of woman-centred principles to breastfeeding and postpartum care which include the informed choice and control of second-line strategies, and continuity of care. Further research investigating woman-centred care for breastfeeding women would be valuable.