FFPRHC Guidance (July 2004): Contraceptive choices for breastfeeding women

doi:10.1783/1471189041261429

Cited by 53 publications

(3 citation statements)

References 36 publications

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“…In choosing contraceptive methods other than LAM, the non-hormonal methods of contraception such as reversible barrier methods or the copper intrauterine device (IUD), or permanent surgical methods, are usually preferred for breastfeeding mothers. This is because they avoid transfer of hormones into milk which poses a theoretical risk to the infant [9] [10].…”

Section: Introductionmentioning

confidence: 99%

“…A single study of a desogestrel pill, however reported two cases of gynecomastia in exposed infants [11]. Overall, systematic reviews investigating the effects of hormonal contraception (COC, POPs and injectables) on breast milk concluded that there is insufficient evidence to establish if hormonal contraception indeed has any effect on breast milk quantity or quality, and provide some reassurance that hormonal contraception does not have an adverse effect on infant growth or development [10].…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Contraceptive Methods Chosen by Breastfeeding, and Non-Breastfeeding, Women at a Family Planning Clinic in Northern Nigeria

Mohammed‐Durosinlorun¹,

Abubakar²,

Adze³

et al. 2016

Health

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Introduction: Breast feeding may pose a further challenge to uptake of contraception by possibly restricting use of certain methods for real or perceived risks of side effects. Methodology: A retrospective study was done at the Barau Dikko Teaching Hospital, Kaduna. Available family planning clinic client cards from January 1 st , 2000 to March 31 st , 2014 were retrieved and information collected on demographics, reproductive and menstrual history, contraceptive choices and breast feeding status. Data were analyzed using the statistical package for social sciences (SPSS) version 15. Missing responses were stated and excluded from analysis. Chi square was used as a test of association with significance level established at p value, 0.05. Results: A total number of 5992 client cards were retrieved. All clients were female and married, and majority of clients aged between 25-34 years (53.1%), had either completed their secondary education or gone further (56%) and were Muslims (52.3%). Only 2924 women stated that they were currently breastfeeding (48.8%), 1828 women were not breastfeeding (30.5%) and 1240 women (20.7%) did not state their breastfeeding status. Younger and more educated women were more likely to be breastfeeding than older women and less educated ones (p < 0.05). Only 4636 cards (77%) had correctly filled data on the choice of contraceptives chosen by breastfeeding status with 2854 women breast feeding and 1302 (45.6%) chose injectable hormonal contraception, 888 (31.1%) chose intrauterine contraceptive devices, 484 (17%) chose oral contraceptive pills and 180 (6.3%) chose contraceptive implants. There was no record of condom use or use of permanent methods of contra-* Corresponding author. A. Mohammed-Durosinlorun et al. 192 ception. Conclusion: Breastfeeding rates were high among women seeking contraception. The pattern of contraception is similar among both breastfeeding and non-breastfeeding women, with injectable contraception being the preferred choice. Awareness should be raised on the safety of a wider variety of contraception available for breastfeeding women.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparison of Contraceptive Methods Chosen by Breastfeeding, and Non-Breastfeeding, Women at a Family Planning Clinic in Northern Nigeria

Mohammed‐Durosinlorun¹,

Abubakar²,

Adze³

et al. 2016

Health

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“…Placement of the etonogestrel contraceptive implant in the early postpartum period (1–3 days) has been shown to be noninferior to standard insertion time (4–8 weeks) for time to lactogenesis stage II, breastfeeding rates and infant growth [ 7 ]. Depot medroxyprogesterone acetate (DMPA) can be given as an intramuscular injection and does not adversely affect milk supply or infant growth and development [ 4 , 15 – 17 ]. There are conflicting clinical recommendations on early postpartum initiation of DMPA and breastfeeding outcomes, however a systematic review concluded that current evidence is too methodologically weak to show this [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

Breastfeeding and contraception counseling: a qualitative study

Shapiro

Ávila

Levi

2022

BMC Pregnancy Childbirth

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Background The objectives of this qualitative study were to better understand women’s experiences regarding contraceptive choice, breastfeeding intentions and the relationship between the two. Women are routinely presented with counseling on breastfeeding and contraception throughout their prenatal and postpartum care, but little is published on patients’ own priorities, desires and experiences of this peripartum counseling. This article aims to address this gap in the literature. Methods Semi-structured interviews were conducted with patients in the immediate postpartum period. The interview guide explored: 1) timing and content of contraceptive counseling; 2) breastfeeding goals and expectations; 3) reasons for contraceptive choices; and 4) recommendations for counseling. Interview transcripts were coded to identify themes and analyzed. Results Twenty interviews were conducted. The participants were reflective of our patient population in the Bronx, with ninety percent using Medicaid for insurance and fifteen percent concerned about food security in the past month, well-validated questions reflective of poverty and socioeconomic status. Three themes emerged from the interviews: (1) using contraception was described as a selfish decision by the mother without benefit to the newborn; (2) women felt pressure to breastfeed and saw the inability to breastfeed as a personal failure; and (3) medical providers were viewed as more trustworthy when it came to information regarding breastfeeding as opposed to contraceptive options, where decisions relied on anecdotes from friends or family. Conclusions Most decision-making regarding breastfeeding and contraception relied on the personal experiences of the participants and their friends and family. A clear need for support for women who are unable to breastfeed and education about the benefits of contraception for the newborn was identified.

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