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Contraceptive use during lactation in developing countries.

A R Pebley, H I Goldberg, J Menken

    Studies in Family Planning
    |January 1, 1985
    PubMed
    Summary
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    Steroid contraceptive use among breastfeeding women in developing nations is a concern. Research shows younger, educated urban women with more children are more likely to use the pill.

    Area of Science:

    • Reproductive Health
    • Maternal and Child Health
    • Pharmacology

    Background:

    • Breastfeeding women in developing countries are a key demographic for family planning.
    • Concerns exist regarding potential adverse effects of hormonal contraceptives on infant health.
    • Steroid contraceptives, including the pill and injections, are commonly considered.

    Purpose of the Study:

    • To investigate the patterns of contraceptive use, specifically oral contraceptive pills and hormonal injections, among breastfeeding women in developing countries.
    • To identify demographic and socioeconomic factors associated with the adoption of these contraceptive methods by lactating women.

    Main Methods:

    • Utilized survey data collected from 17 countries across Latin America, Asia, and Africa.
    • Analyzed contraceptive usage patterns in relation to demographic variables such as age, education, number of live births, and geographic location (urban/rural).
    Keywords:
    Acceptor CharacteristicsAfricaAge FactorsAmericasAsiaBiologyBreast FeedingCentral AmericaComparative StudiesContraceptionContraceptive AgentsContraceptive Agents, FemaleContraceptive DistributionContraceptive MethodsContraceptive Usage--womenCosta RicaData AnalysisDeveloped CountriesDeveloping CountriesFamily PlanningFertility SurveysHealthIndonesiaInfant NutritionInjectablesIudKnowledge SourcesLactationLatin AmericaMaternal PhysiologyNorth AmericaNutritionOral ContraceptivesPhysiologyResearch MethodologyResearch ReportSampling StudiesSouth AmericaSoutheastern AsiaStudiesSurveysTime FactorsWorld Fertility Surveys

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    Main Results:

    • While overall contraceptive use among breastfeeding women was low in most surveyed countries, the uptake of oral contraceptive pills was notable.
    • Younger breastfeeding women, those with higher educational attainment, more previous live births, and residing in urban areas demonstrated a higher likelihood of using oral contraceptive pills.

    Conclusions:

    • The study highlights specific subgroups of breastfeeding women who are more inclined to use oral contraceptive pills.
    • Findings underscore the need for targeted family planning strategies and further research into the safety and efficacy of steroid contraceptives in this population.