Department of Neurology, University of Erlangen-Nuremberg, Erlangen, Germany.
NeuroPoint Patientenakademie, Ulm, Germany.
Breastfeed Med. 2023 Mar;18(3):241-245. doi: 10.1089/bfm.2022.0279. Epub 2023 Feb 16.
Many female people with multiple sclerosis (pwMS) are in childbearing age; however, only few data exist about the situation of breastfeeding in pwMS. Our study analyzed breastfeeding rate and duration, reasons for weaning, and the impact of disease severity on successful breastfeeding in pwMS. The study included pwMS giving birth within 3 years before study participation. Data were collected by structured questionnaire. Compared to published data, we found a significant difference ( = 0.0007) between the nursing rate in the general population (96.6%) and females with MS (85.9%). However, a higher rate of exclusive breastfeeding could be observed in our study population for 5-6 months in 40.6% of pwMS versus 9% for 6 months in the general population. In contrast, total breastfeeding duration in our study population was shorter (18.8% for 11-12 months) than in the general population (41.1% for 12 months). Reasons for weaning were predominantly (68.7%) related to breastfeeding barriers based on MS. No significant impact of prepartum or postpartum education on the breastfeeding rate could be observed. Prepartum relapse rate and prepartum disease-modifying drugs had no effect on breastfeeding success. Our survey provides an insight into the situation of breastfeeding in pwMS in Germany.
许多患有多发性硬化症（pwMS）的女性处于生育年龄；然而，仅有少量数据涉及 pwMS 的母乳喂养情况。我们的研究分析了 pwMS 的母乳喂养率和持续时间、断奶原因，以及疾病严重程度对 pwMS 成功母乳喂养的影响。该研究纳入了在研究参与前 3 年内分娩的 pwMS。数据通过结构化问卷收集。与已发表的数据相比，我们发现一般人群（96.6%）和多发性硬化症女性（85.9%）的母乳喂养率存在显著差异（= 0.0007）。然而，我们的研究人群中，40.6%的 pwMS 可以观察到 5-6 个月的纯母乳喂养率，而一般人群中 6 个月的纯母乳喂养率为 9%。相比之下，我们研究人群的总母乳喂养持续时间较短（18.8%为 11-12 个月），而一般人群为 12 个月（41.1%）。断奶的主要原因（68.7%）与基于 MS 的母乳喂养障碍有关。产前或产后教育对母乳喂养率没有显著影响。产前复发率和产前疾病修饰药物对母乳喂养的成功没有影响。我们的调查提供了德国 pwMS 母乳喂养情况的深入了解。
