Support, Relaxation May Make Breastfeeding Easier, Study Suggests
Breastfeeding may sound like the most natural thing in the world, but many women find it harder than expected. Mothers with fibromyalgia often have an especially tough time with breastfeeding, according to a new study.
Fibromyalgia is a chronic disorder characterized by widespread pain and fatigue. Its cause is not known, and it affects more women than men.
There is no cure for fibromyalgia. Patients often try physical therapy, counseling, and medication (including antidepressants, ibuprofen, and in some cases, morphine) for symptom relief.
Karen Schaefer, DNSc, RN, assistant professor of nursing at Temple University's College of Health Professions, studied nine mothers aged 26-36 with fibromyalgia.
All of the women wanted to breastfeed and had birthed at least one baby before being diagnosed with fibromyalgia. Most had taken medication for their fibromyalgia before pregnancy.
Problems Reported
Breastfeeding was not easy for any of the mothers in the study.
"All nine women felt that they were not successful in their attempts to breastfeed, and felt frustrated," Schaefer writes.
Difficulties included muscle soreness, pain, and stiffness; fatigue; a perceived shortage of breast milk; and sore nipples.
Those problems are not uncommon among breastfeeding women. However, mothers with fibromyalgia may be particularly affected since they already face pain and fatigue.
The problems were bad enough that some participants felt they needed to resume medication, which meant giving up breastfeeding to avoid passing the drugs to the babies through breast milk.
Others stopped breastfeeding after being diagnosed with other health problems, such as hypothyroidism or hepatitis B.
Feeling "forced" to wean their babies earlier than planned, the mothers were sad and depressed, Schaefer writes.
Supportive Strategies
Mothers with fibromyalgia may want to try breastfeeding tips noted in the study:
Schaefer also encourages health-care providers to proactively support moms with fibromyalgia who want to breastfeed.
Her study appears in the July/August issue of The American Journal of Maternal/Child Nursing.
Miranda Hitti - WebMD