Breastfeeding with Rheumatoid Arthritis

Breastfeeding while managing Rheumatoid Arthritis (RA), a chronic autoimmune disease that primarily affects the joints, can bring about specific challenges. RA is characterized by periods of flare-ups and remission, with symptoms like joint pain, stiffness, and swelling. Understanding how RA can impact your breastfeeding journey and knowing strategies to manage these effects can support a positive breastfeeding experience for you and your baby.

Understanding Rheumatoid Arthritis and Breastfeeding

RA doesn't affect your ability to produce milk, but it can make breastfeeding more challenging because of discomfort and physical limitations. It's important to know that RA symptoms may worsen after childbirth and during breastfeeding. Managing your RA well at this time is key to both your and your baby's health.

Breastfeeding Challenges for Mamas with Rheumatoid Arthritis

• Joint Pain and Stiffness: Pain in the hands and wrists can make holding your baby for extended periods challenging, affecting your ability to breastfeed comfortably.
• Fatigue: RA can lead to significant fatigue, making the frequent demands of breastfeeding more difficult to manage.
• Medication: Some medications used to treat RA may not be compatible with breastfeeding, requiring adjustments to your treatment plan.

What Mamas Should Watch For

Managing Joint Pain and Stiffness

• Use supportive devices: Nursing pillows can help reduce the strain on your joints by supporting your baby's weight during breastfeeding. Consider using ergonomic chairs or stools to support your posture and reduce joint stress.
• Adopt comfortable positions: Experiment with different breastfeeding positions to find those that minimize stress on your joints. An IBCLC can offer personalized recommendations.

Addressing Fatigue

• Rest and sleep when you can: Align your rest times with your baby's sleep schedule as much as possible to manage fatigue.
• Ask for help: Don't hesitate to seek assistance from family and friends with baby care and household tasks to conserve your energy for breastfeeding.

Navigating Medication Use

• Consult with your healthcare provider: Discuss all your medications with your rheumatologist and a lactation consultant to identify which are safe during breastfeeding and if any adjustments are needed.
• Stay informed: Keep up-to-date with the latest guidelines and research on RA medications and breastfeeding.

When to Seek Medical Advice

• If you experience a flare-up of RA symptoms that significantly impacts your ability to care for your baby or yourself.
• If you have concerns about how your RA medications might affect breastfeeding or your baby's health.
• If you're struggling with managing the physical demands of breastfeeding due to RA.

Closely Related Issues

Breastfeeding with RA may also highlight related conditions such as osteoporosis, which can be exacerbated by the chronic inflammation associated with RA. It's important to manage your overall health and ensure that your nutritional needs are met to support both breastfeeding and your condition.

IBCLC-Specific Advice for Mamas with Rheumatoid Arthritis

• Work closely with an IBCLC: They can offer strategies to minimize physical discomfort during breastfeeding, such as suggesting specific positions that are easier on your joints.
• Integrated care approach: Ensure that your rheumatologist and IBCLC are communicating about your RA management, especially regarding safe breastfeeding practices while on medication.
• Be flexible: Your ability to breastfeed and your comfort levels may change, especially during flare-ups. Being open to adjustments, such as incorporating expressed breast milk feeding when necessary, can help maintain breastfeeding as part of your routine.

Breastfeeding with Rheumatoid Arthritis may require additional considerations, but with the right strategies and support, it is achievable. Remember, the goal is to ensure both mama and baby are healthy and comfortable. With careful planning and support, breastfeeding can be a fulfilling part of your journey with RA.

Sources

• https://www.urmc.rochester.edu/childrens-hospital/breastfeeding-lactation-medicine/your-feeding-concerns/breastfeeding-and-rheumatoid-arthritis.aspx
• https://www.arthritis.org/health-wellness/healthy-living/family-relationships/family-planning/breastfeeding-concerns-with-arthritis