Abstract:
BACKGROUND:National and international contraceptive guidelines reflect expert opinion that recommends against the use of estrogen-containing hormonal contraception in the early postpartum period. This study was undertaken to estimate providers' practices in prescribing hormonal contraception to breastfeeding women. METHODS:A 19-item survey was mailed to 397 obstetrician gynecologists, midwives and family physicians in the state of New Mexico. The survey included items covering attitudes about the impact of hormonal contraception on breastfeeding and prescribing practices. One hundred ninety-nine (50%) providers completed the survey. RESULTS:The majority (70%) of providers prescribe progestin-only contraceptive methods to breastfeeding women within the first 6 weeks. Despite these recommendations, a sizable minority of providers prescribe combined pills in the early postpartum period: 27% of providers have prescribed combined pills and 13% of providers, mostly those in a university setting, routinely recommend them within the first 6 weeks postpartum. CONCLUSION:Most providers follow expert recommendations regarding the initiation of hormonal contraception for breastfeeding women.
journal_name
Contraceptionjournal_title
Contraceptionauthors
Espey E,Ogburn T,Leeman L,Reddy S,Lee C,Qualls Cdoi
10.1016/j.contraception.2006.06.007subject
Has Abstractpub_date
2006-11-01 00:00:00pages
389-93issue
5eissn
0010-7824issn
1879-0518pii
S0010-7824(06)00286-1journal_volume
74pub_type
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