Breastfeeding in Mothers with Multiple Sclerosis: The German Experience
Stefanie Aigner1, Konstantin Huhn1, Lukas Cepek2
1Department of Neurology, University of Erlangen-Nuremberg, Erlangen, Germany.
Summary
Breastfeeding initiation is lower in women with multiple sclerosis (MS) compared to the general population. However, exclusive breastfeeding rates are higher, though overall duration is shorter due to MS-related barriers.
Area of Science:
- Neurology
- Obstetrics & Gynecology
- Pediatrics
Background:
- Multiple sclerosis (MS) affects women of childbearing age.
- Limited data exists on breastfeeding practices in women with MS.
Purpose of the Study:
- To analyze breastfeeding rates and duration in women with MS.
- To identify reasons for weaning in this population.
- To assess the impact of MS severity on breastfeeding success.
Main Methods:
- A study was conducted on women with MS who gave birth within the last three years.
- Data was collected using a structured questionnaire.
- Breastfeeding rates and duration were compared to the general population.
Main Results:
- The nursing rate in women with MS (85.9%) was significantly lower than in the general population (96.6%).
- Exclusive breastfeeding rates for 5-6 months were higher in women with MS (40.6%) compared to the general population (9%).
- Total breastfeeding duration was shorter in women with MS, with 18.8% breastfeeding for 11-12 months versus 41.1% in the general population.
- The predominant reason for weaning (68.7%) was MS-related breastfeeding barriers.
- Prepartum/postpartum education, prepartum relapse rates, and disease-modifying drugs did not significantly impact breastfeeding success.
Conclusions:
- Breastfeeding in women with MS presents unique challenges.
- MS-related barriers significantly influence weaning decisions.
- Further support strategies are needed to improve breastfeeding duration for women with MS.
