The Research Recap: 26- Telelactation, SLE and Breastfeeding, Gut Microbiota, and IBCLC Support

Episode Title: Telelactation, SLE and Breastfeeding, Gut Microbiota, and IBCLC SupportIn this episode of Behind the Latch Margaret Salty reviews four recent studies that impact lactation consultants. From the effectiveness of telelactation services to breastfeeding experiences among mothers with systemic lupus erythematosus (SLE), the influence of gut microbiota on infant weight gain, and the impact of IBCLC support on breastfeeding success, Margaret translates the latest research into actionable insights for IBCLCs.Key Points Covered:1. The Impact of Telelactation Services on Breastfeeding RatesMargaret reviews a large randomized clinical trial conducted across 39 states in the U.S. involving over 2,100 participants. The study assessed whether providing 24/7 on-demand video access to IBCLCs through a smartphone app increased breastfeeding rates at 24 weeks postpartum, particularly among racially and ethnically diverse populations.Reference:Uscher-Pines, L., Kapinos, K., Waymouth, M., Howell, K., Alvarado, G., Ray, K., Demirci, J., Mehrotra, A., Rogers, R., Floyd James, K., & DeYoreo, M. (2025). Telelactation services and breastfeeding by race and ethnicity: A randomized clinical trial. JAMA Network Open, 8(2), e2461958. https://doi.org/10.1001/jamanetworkopen.2024.61958Practical Takeaways:✅ Telelactation increased breastfeeding rates among Black participants by 7.5 percentage points.✅ Exclusive breastfeeding rates among Black participants improved by 9.2 percentage points.✅ High engagement with the app was linked to better breastfeeding outcomes.✅ Telelactation may help reduce racial breastfeeding disparities by improving access to IBCLC support.2. Breastfeeding Experiences Among Mothers with Systemic Lupus Erythematosus (SLE)Margaret examines a qualitative study exploring the lived experiences of mothers with SLE and how their condition, medications, and flares impacted their breastfeeding decisions. The study highlights both medical and emotional challenges faced by this population.Reference:Lieber, S. B., Stamm, B. C., Young, S. R., Rose-Smith, J., Kleinman, J., Smole, A., Vega, J., Siegel, C. H., Barbhaiya, M., Mandl, L. A., Lockshin, M. D., & Sammaritano, L. R. (2025). Infant feeding experiences of women with systemic lupus erythematosus: A qualitative study. Lupus, 0(0), 1-9. https://doi.org/10.1177/09612033251324493Practical Takeaways:✅ Fatigue, flares, and medication use directly affect breastfeeding success for mothers with SLE.✅ Reassurance from healthcare providers about medication compatibility increases breastfeeding confidence.✅ IBCLCs should anticipate and address physical and emotional challenges unique to SLE patients.✅ Providing non-judgmental support and flexibility in feeding choices is essential for this population.3. How Breastfeeding Shapes the Gut Microbiota and Infant Weight GainMargaret explores a study from Mexico that links breastfeeding with the development of beneficial gut bacteria and healthier weight gain patterns in infants. The study emphasizes the role of breast milk composition and gut health in shaping long-term metabolic outcomes.Reference:Arguelles-Lopez, A., Aguayo-Patrón, S. V., & Calderón de la Barca, A. M. (2025). Breastfeeding shapes the gut microbiota and its structure is associated with weight gain trajectories in Mexican infants. Nutrients, 17(826).

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