Abstract：
:Postpartum contraceptive decision making is complex, and recommendations may be influenced by breastfeeding intentions. While biologically plausible, concerns about the adverse impact of hormonal contraception on breast milk production have not been supported by the clinical evidence to date. However, the data have limitations, which can lead providers with different priorities around contraception and breastfeeding to interpret the data in a way that advances their personal priorities. Discrepancies in interpretations can lead to divergent recommendations for individual women and may cause conflict. Furthermore, providers must recognize that decision making about contraception and breastfeeding takes place in complex cultural, historical and socioeconomic contexts. Implicit bias may influence a provider's counseling. Unrecognized biases toward one patient or another, or one practice or another, may influence a provider's counseling. It is crucial for providers to strive to recognize their own biases. Providers need to respectfully recognize each patient's values and preferences regarding hormonal contraception and breastfeeding. Developing a patient-centered decision tool or implementing patient-centered interview techniques specifically around breastfeeding and contraception could help to minimize provider-driven variability in care.
journal_name
Contraceptionjournal_title
Contraceptionauthors
Bryant AG,Lyerly AD,DeVane-Johnson S,Kistler CE,Stuebe AMdoi
10.1016/j.contraception.2018.10.011subject
Has Abstractpub_date
2019-02-01 00:00:00pages
73-76issue
2eissn
0010-7824issn
1879-0518pii
S0010-7824(18)30484-0journal_volume
99pub_type
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