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How does gestational diabetes affect postpartum contraception in nondiabetic primiparous women?
Hind A Beydoun1, May A Beydoun, Hala Tamim
1Graduate Program in Public Health, Eastern Virginia Medical School, Norfolk, VA 23501-1980, USA. baydouha@evms.edu
Background:
The aim of the study is to explore the effect of gestational diabetes mellitus (GDM) on postpartum contraception among nondiabetic primiparous women.
Study Design:
Secondary analyses of 2004-2005 Pregnancy Risk Assessment Monitoring System data from Michigan and Oregon.
Methods:
Analyses were performed on 2332 women, taking complex survey design into consideration. Crude and adjusted odds ratios (cOR; aOR) and their 95% confidence intervals (CI) were obtained using logistic regression analyses.
Results:
Postpartum use of hormonal (aOR=1.12, 95% CI: 0.68-1.83) and nonhormonal (aOR=1.18, 95% CI: 0.73-1.92) contraception were not influenced by GDM after controlling for confounders. Female sterilization was more frequently adopted (cOR=4.99, 95% CI: 1.13-22.17) and depomedroxyprogesterone acetate (DMPA) (cOR=0.53, 95% CI: 0.23-1.18), diaphragm/cervical cap/sponge (cOR=0.13, 95% CI: 0.016-0.95) and cervical ring (cOR=0.13, 95% CI: 0.017-0.98) were less frequently adopted by women reporting GDM diagnosis.
Conclusion:
With few exceptions, GDM does not appear to affect postpartum hormonal and nonhormonal contraception.
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