Breastfeeding and contraception counseling: a qualitative study
Marit Pearlman Shapiro1, Karina Avila2, Erika E Levi2
1Division of Family Planning, Department of Obstetrics and Gynecology and Women's Health, Albert Einstein College of Medicine, Bronx, NY, USA. maritps@hawaii.edu.
BMC Pregnancy and Childbirth
|February 26, 2022
Summary
Women often view contraception as selfish, not beneficial for newborns. They feel pressure to breastfeed, and rely on personal anecdotes over medical advice for birth control choices.
Area of Science:
- Reproductive Health
- Maternal Health
- Qualitative Research
Background:
- Limited understanding of women's peripartum experiences with contraceptive choice and breastfeeding intentions.
- Gap in literature regarding patient priorities in prenatal and postpartum counseling on these topics.
Purpose of the Study:
- To explore women's experiences with contraceptive choice and breastfeeding.
- To understand the relationship between breastfeeding intentions and contraceptive decisions.
- To identify patient perspectives on peripartum counseling.
Main Methods:
- Qualitative study using semi-structured interviews with postpartum patients.
- Explored timing/content of contraceptive counseling, breastfeeding goals, reasons for choices, and counseling recommendations.
- Interview transcripts were coded and analyzed for emergent themes.
Main Results:
- Contraception perceived as selfish, lacking newborn benefit.
- Pressure to breastfeed led to feelings of personal failure if unable.
- Medical providers trusted more for breastfeeding info than contraception; anecdotal evidence preferred for birth control.
Conclusions:
- Decision-making for breastfeeding and contraception heavily influenced by personal and social anecdotes.
- Identified need for support for women unable to breastfeed.
- Highlighted need for education on contraceptive benefits for newborns.
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