Do Expectant Mothers’ Breastfeeding Plans Influence Provider Prenatal Contraceptive Counseling?

Furman, Lydia; Shaker, Maria; Arora, Kavita Shah

doi:10.1177/0890334419875944

Cited by 2 publications

(1 citation statement)

References 22 publications

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“…Although several studies have shown that contraception affects breastfeeding, few have addressed the effect of intention to breastfeed on contraception [ 24 , 25 ]. We found that intention to breastfeed increased the odds of highly effective contraceptive use.…”

Section: Discussionmentioning

confidence: 99%

Use of contraceptive implants at 12 months in women who intended to undergo immediate versus delayed postpartum insertion following high-risk pregnancy

Waidee¹,

Kaewrudee²,

Wattanakamolchai³

et al. 2023

Obstet Gynecol Sci

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ObjectiveTo assess the correlation between the intention to undergo immediate versus delayed postpartum contraceptive implant insertion following high-risk pregnancy, and the proportion of utilization and adverse effects. MethodsWe conducted a retrospective cohort study of women who gave birth after a high-risk pregnancy (according to the criteria defined by the Society for Maternal-Fetal Medicine) and intended to use contraceptive implants. The participants were classified into two groups based on whether they underwent immediate or delayed insertion. The primary outcome was the proportion of utilization of contraceptive implants at 12 months postpartum. We performed multivariate analyses to determine the relationships between the timing of insertion, characteristics, and methods used. ResultsOf the 482 women classified as having high-risk pregnancies, 103 intended to use contraceptive implants (54 immediate and 49 delayed insertions). Women in the immediate group were more likely to use contraceptive implants than those in the delayed group at six (95.2% vs. 26.2%, P<0.01) and 12 months (92.7% vs. 26.2, P<0.01). A higher proportion of participants in the immediate group reported spotting and prolonged bleeding at 12 months (51.1% vs. 23.8% [P=0.01] and 26.8% vs. 7.1% 2 [P=0.01], respectively). However, satisfaction at 12 months was higher in the immediate group than in the delayed group. ConclusionIntention to undergo implant insertion during the immediate postpartum period appears to improve the utilization of highly effective contraception. Patients who underwent immediate implantation experienced more spotting, prolonged bleeding, and dysmenorrhea. This study supports the recommendation to provide immediate postpartum contraceptive implants to women following highrisk pregnancies.

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Section: Discussionmentioning

confidence: 99%