The high rate of use of second-line strategies identified in this study and high rate of breastfeeding
at day seven despite lower BFSE indicate that such practices should not be overlooked by health professionals. The
design of this study does not enable determination of cause-effect relationships to identify factors which contribute
to use of second-line strategies. Nevertheless, the significantly lower BSES-SF score of women using a second-line
strategy highlights this group of women have particular needs that require attention.