Reasons for Breastfeeding Avoidance: A Multicenter Insight in Mothers With Systemic Lupus Erythematosus

Background: Limited research exists on breastfeeding among women with systemic lupus erythematosus, despite known benefits of human milk. Research Aim: To investigate reasons for breastfeeding avoidance among postpartum women with systemic lupus erythematosus. Methods: This is a descriptive study, conducted in January 2023, combining retrospective pregnancy outcome data collection with a structured telephone questionnaire. Results: Almost half of respondents (n = 22; 54.5%) experienced a disease flare within 24 months post-delivery. Reasons given by participants for breastfeeding avoidance included healthcare professional advice (n = 8; 36.4%), fear of medication harm (n = 5; 22.7%), and maternal/neonatal complications (n = 10; 45%). Most participants (n = 21; 95.5%) expressed a willingness to breastfeed if possible. Conclusion: Breastfeeding rates and breastfeeding specific care could be enhanced for patients with systemic lupus erythematosus through patient networks and appropriate practitioner education.