Breastfeeding with Myasthenia Gravis

Breastfeeding while managing Myasthenia Gravis (MG), a chronic autoimmune neuromuscular disorder characterized by varying degrees of muscle weakness, presents a distinct set of challenges. MG affects voluntary muscles, particularly those controlling the eyes, mouth, throat, and limbs, which can impact various aspects of caring for a newborn, including breastfeeding. Understanding these challenges and how to navigate them can help ensure a positive breastfeeding experience for both mama and baby.

Understanding Myasthenia Gravis and Breastfeeding

Despite the fluctuating nature of Myasthenia Gravis (MG) which can affect your ability to hold your baby, maintain breastfeeding positions, and even the act of breastfeeding itself if facial muscles are significantly impacted, it is recommended for mamas with MG to breastfeed. With the right strategies and support, many mamas with MG can successfully breastfeed.

Breastfeeding Challenges for Mamas with Myasthenia Gravis

• Physical Weakness: Holding your baby in a breastfeeding position may be difficult due to muscle weakness.
• Fatigue: MG can lead to increased fatigue, making frequent feedings more challenging.
• Medication: Some medications used to manage MG may have implications for breastfeeding, so it's essential to discuss these with your healthcare provider.

What Mamas Should Watch For

Adapting Breastfeeding Practices

• Use supportive devices: Nursing pillows and other aids can help support your baby in the correct position, reducing the strain on your muscles.
• Explore different positions: Finding a breastfeeding position that minimizes muscle strain is key. An IBCLC can help identify the best positions for you and your baby.
• Plan for rest: Allow extra time for rest before and after feedings to manage fatigue.

Monitoring Medication Effects

• Consult with your healthcare provider: Discuss the safety of your MG medications in relation to breastfeeding. Some medications may require timing adjustments or monitoring of the baby for side effects.
• Stay informed: Keep up-to-date with the latest guidelines regarding MG medications and breastfeeding by consulting reputable sources or your healthcare team.

Managing Fatigue and Muscle Weakness

• Seek help: Don't hesitate to ask for assistance with baby care to conserve your energy for breastfeeding.
• Prioritize tasks: Focus your energy on essential tasks, like feeding your baby, and seek help with other tasks when possible.

When to Seek Medical Advice

• If you notice significant side effects in your baby that might be related to medication.
• If your muscle weakness significantly impacts your ability to care for your baby or yourself.
• If you experience an exacerbation of MG symptoms that makes breastfeeding too challenging.

Closely Related Issues

Breastfeeding with MG may also highlight related conditions such as postpartum depression, exacerbated by the challenges of managing a chronic illness while caring for a newborn. It's important to monitor your mental health and seek support when needed.

IBCLC-Specific Advice for Mamas with Myasthenia Gravis

• Collaborate closely with an IBCLC: They can offer personalized advice to manage the physical challenges of breastfeeding with MG and suggest modifications to support your breastfeeding goals.
• Integrated care approach: Ensure that your neurologist and IBCLC communicate about your condition and its management, particularly regarding medications, to provide cohesive care.
• Stay flexible and open to adjustments: Your ability to breastfeed and your breastfeeding routine may need to adapt based on the fluctuating nature of MG. An IBCLC can help navigate these changes.

Breastfeeding with Myasthenia Gravis may require some adjustments and additional planning, but with the right support, it is achievable. Remember, the goal is to ensure both mama and baby are healthy and thriving, and there are many paths to successful breastfeeding.

Sources

• https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7304249/