{
  "abstract": "Objective Breastfeeding prevalence and challenges among women of systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA) is under-researched especially in the Middle East-North Africa region. This study aimed to assess breastfeeding initiation, duration and predictors of early discontinuation (<6 months post partum) among Egyptian mothers with SLE or RA.Methods This multicentre retrospective cohort study included 320 pregnancies: 62 SLE (105 pregnancies), 71 RA (110 pregnancies) and 59 healthy mothers (105 pregnancies). Data on pregnancy history, breastfeeding intent, initiation, duration and weaning reasons were collected.Results Exclusive breastfeeding was lowest in SLE (29.9%) vs RA (50.6%) and controls (60%, p<0.001). Continuation beyond 6 months was significantly lower in SLE (36.2%) and RA (33.6%) vs controls (81%, p<0.001). Postpartum depression independently predicted discontinuation in SLE (adjusted OR (aOR)=0.06, 95% CI 0.01 to 0.6) and RA (aOR=0.34, 95% CI 0.13 to 0.9). Multivariable generalised estimating equation confirmed SLE reduced breastfeeding odds versus controls (aOR=0.41, p=0.040).Conclusion Breastfeeding is significantly less prevalent among Egyptian mothers with SLE and RA when compared with control group. Targeted educational programme and support may help improve breastfeeding rates in SLE/RA mothers.",
  "authors": [
    {
      "affiliations": [
        "Department of Rheumatology, Rehabilitation and Physical Medicine, Faculty of Medicine, Minia University, Minia, Egypt"
      ],
      "name": "Omima Ahmed El-Farra"
    },
    {
      "affiliations": [
        "Department of Rheumatology and Rehabilitation, Faculty of Medicine, Al-Azhar University, Nasr City, Egypt"
      ],
      "name": "Amal Mohamed Elmesiry"
    },
    {
      "affiliations": [
        "Faculty of Medicine, Fayoum University, Faiyum, Egypt"
      ],
      "name": "Hager Adel Yehia Abdelfattah"
    },
    {
      "affiliations": [
        "Department of Rheumatology, Rehabilitation and Physical Medicine, Faculty of Medicine, Mansoura University, Mansoura, Egypt"
      ],
      "name": "Nermeen Mohammed Elmenayar"
    },
    {
      "affiliations": [
        "Faculty of Medicine, Assiut University, Asyut, Egypt"
      ],
      "name": "Ahmed Adel Abdel Azim"
    },
    {
      "affiliations": [
        "Faculty of Medicine, Cairo University, Cairo, Egypt"
      ],
      "name": "Ahmed Ibrahim Ewais"
    },
    {
      "affiliations": [
        "Faculty of Medicine, Zagazig University, Zagazig, Egypt"
      ],
      "name": "Gamal Saeed Gamal"
    },
    {
      "affiliations": [
        "Faculty of Medicine, Al-Quds University, Jerusalem, State of Palestine"
      ],
      "name": "Abrar Ghassan Mousa Balousha"
    },
    {
      "affiliations": [
        "Department of Rheumatology, Rehabilitation and Physical Medicine, Faculty of Medicine, Mansoura University, Mansoura, Egypt"
      ],
      "name": "Alaa Ali Awad"
    }
  ],
  "title": "Breastfeeding determinants in Egyptian mothers with systemic lupus erythematosus or rheumatoid arthritis: a retrospective cohort study",
  "uid": "7600a6a7-2b7b-5d89-b0dd-8d5133365f46"
}