Early Term Delivery and Breastfeeding Outcomes

Keenan-Devlin, Lauren; Awosemusi, Yetunde F.; Grobman, William A.; Simhan, Hyagriv N.; Adam, Emma K.; Culhane, Jennifer F.; Miller, Gregory E.; Borders, Ann

doi:10.1007/s10995-019-02787-4

Cited by 3 publications

(2 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although other studies show that the breastfeeding initiation rate was comparable between mothers with preterm infants and those with full term infants, continuing breast feeding in the following weeks was higher for term infants. 11 Mothers of preterm infants often fear about their ability to breastfeed considering vulnerable health of their baby. 12 It is important to recognise the difficulty of breast feeding an infant in the hospital for a prolonged period and overly emphasising breast feeding can be perceived as insensitive to an already-stressed new mother.…”

Section: Lupus Science and Medicinementioning

confidence: 99%

“…12 It is important to recognise the difficulty of breast feeding an infant in the hospital for a prolonged period and overly emphasising breast feeding can be perceived as insensitive to an already-stressed new mother. 11 This subset of women experiences the challenges of pumping milk, limited milk supply due to exclusively pumping and the stress of having an ill infant. Additionally, her own health may preclude her from pumping enough milk or she might be administered medications that are either not compatible with breastfeeding or limit her milk supply.…”

Section: Lupus Science and Medicinementioning

confidence: 99%

See 1 more Smart Citation

Breastfeeding in women with rheumatic diseases

2021

View full text Add to dashboard Cite

ObjectiveMany rheumatologists and women with rheumatic disease worry that the disease or treatment will prevent breast feeding. International guidelines establish, however, that most antirheumatic medications are compatible with breast feeding. We sought to identify the frequency and predictors of desire to and actually breast feeding in women with rheumatic diseases.MethodsPregnant women with rheumatic disease were enrolled prospectively. Demographics and breastfeeding intention were collected at study entry, while actual breastfeeding decision was recorded postpartum. Maternal diagnosis, demographics and medication use was collected throughout the study. Predictors of breast feeding and intention were identified using stepwise logistic regression.ResultsA total of 265 pregnancies were included in the study, 88 with SLE, 33 with undifferentiated connective tissue disease, 100 with arthritis and 44 with other rare rheumatic diagnoses. Of these, 79% intended to breastfeed, 84% of women ever breast fed and 65% were still breast feeding at an average of 7.6 weeks postpartum. Medication concern was the most commonly cited reason not to breastfeed though only 5% of women were taking or planning to start a non-lactation compatible medication at their postpartum visit. In multivariate analysis, women with a college degree were more likely and women with SLE were less likely to intend to breastfeed. Actual breast feeding was most strongly predicted by the woman’s intention to breastfeed, but also increased with maternal age, decreased if the baby was born preterm and decreased the further the postpartum appointment occurred from delivery.ConclusionThis study demonstrates that the majority of women with rheumatic disease want to and can breastfeed successfully. Additionally, very few women required a medication that was not compatible with breast feeding to control their rheumatic disease in the postpartum period. Despite this, an important minority of patients did not continue breast feeding due to their personal concerns about the risks of antirheumatic medications to their infant.

show abstract

Section: Lupus Science and Medicinementioning

confidence: 99%

Section: Lupus Science and Medicinementioning

confidence: 99%