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Postpartum contraception: An exploratory study of lactation consultants' knowledge and practices
Kathleen Dunn1, Lisa L Bayer1, Sheila K Mody1
1Section of Family Planning, Department of Reproductive Medicine, University of California San Diego, 200 W. Arbor Drive 8433, San Diego, CA, 92103, USA.
Contraception
|March 22, 2016
Summary
Lactation consultants need more education on postpartum contraception, as their knowledge often conflicts with established safety guidelines. Most want further training to better advise breastfeeding mothers on contraceptive options.
Area of Science:
- Reproductive Health
- Maternal Health
- Public Health
Background:
- Lactation consultants play a key role in postpartum care but may lack comprehensive education on postpartum contraception.
- Understanding their knowledge and practices is crucial for improving maternal health outcomes and supporting breastfeeding mothers.
Purpose of the Study:
- To assess lactation consultants' knowledge and practices regarding postpartum contraception and its impact on breastfeeding.
- To determine lactation consultants' interest in receiving additional education on this topic.
Main Methods:
- A 30-question survey was distributed to 194 self-identified lactation consultants.
- Participants were recruited via email, social media, and at the 2015 California Breastfeeding Summit.
Main Results:
- 77% of surveyed lactation consultants offer advice on postpartum contraception.
- A majority expressed concerns about the safety of progestin-only contraceptives within 21 days postpartum, contradicting USMEC guidance.
- 82% desired more education, particularly through webinars, with only 30% aware of the USMEC guidelines.
Conclusions:
- A significant gap exists between current lactation consultant knowledge and evidence-based guidelines (USMEC) on immediate postpartum contraception safety.
- There is a clear need for enhanced, evidence-based educational initiatives for lactation consultants on postpartum contraception.
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