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medRxiv PreprintsInternational3 November 2026

Maternal ADHD and exclusive breastfeeding: A prospective community-based cohort study

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Importance: Maternal attention-deficit disorder with or without hyperactivity (ADHD) is an established risk factor for adverse perinatal outcomes that remains understudied to breastfeeding. Objective: To estimate the effect of maternal ADHD on 6-month exclusive breastfeeding. Design: A prospective longitudinal community-based cohort study. Setting: Canada, 2014-2020. Participants: We included 3217 English-literate mother-father dyads with internet or telephone access, comprising women with singleton birth within 3 weeks postpartum (study baseline) and were cohabiting with the biological father
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