Breastfeeding practices and challenges in women with breast implants in Saudi Arabia: a descriptive study

Breast augmentation is increasingly common in Saudi Arabia, yet little is known about its effect on breastfeeding. Given cultural norms favoring breastfeeding, understanding lactation outcomes in women with breast implants is vital for informed clinical counseling. This study aims to describe breastfeeding practices and challenges among women in Saudi Arabia with breast implants.

A cross-sectional, descriptive study was conducted using an online survey distributed via social media. The sample included 240 women with a history of breast implants who had given birth in the past five years and were currently breastfeeding. The survey collected data on demographics, surgical history, feeding practices, and perceived breastfeeding challenges. Data were analyzed using descriptive and inferential statistics to assess associations with breastfeeding experiences.

Participants had a mean age of 28.5 years; 50.4% initiated breastfeeding immediately postpartum and 46.3% practiced exclusive breastfeeding. Commonly reported challenges included breastfeeding-related pain (55.0%), perceived insufficient milk supply (48.3%), and nipple or breast issues (48.3%). Supplementary feeding was reported by 49.6% of respondents. Sociodemographic factors such as maternal age, marital status, and number of children were significantly associated with breastfeeding duration (p = 0.041, p = 0.027 and p = 0.026, respectively). Regression analysis revealed that married women had 62% lower odds of breastfeeding beyond six months compared to divorced women (OR=0.38, 95% CI: 0.17-0.87, p = 0.022).

Breastfeeding is feasible for many women with breast implants in Saudi Arabia; however, some face notable challenges. These findings highlight the need for individualized preoperative counseling and specialized postpartum lactation support to improve outcomes.