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Does prolonged postpartum insusceptibility undercut the impact of postpartum family planning programming in

Sarah Eustis-Guthrie1, Benjamin Williamson2, Iqbal Shah3

  • 1Maternal Health Initiative, London, United Kingdom. saraheustisguthrie@gmail.com.

Reproductive Health
|July 22, 2025
PubMed

Integrating family planning into postpartum care at health facilities is a well-regarded health intervention recommended by major organizations in the sexual and reproductive health space. However, several recent studies have found limited to no effects on rates of short-spaced pregnancies associated with these interventions. This paper will investigate the role of prolonged postpartum insusceptibility to pregnancy due to abstinence and breastfeeding alongside other factors in reducing the impact of increased postpartum contraceptive use, ultimately concluding that these factors may substantially reduce the efficacy of postpartum family planning programming at reducing unintended short-spaced pregnancies.

Keywords:
Postpartum family planningPostpartum insusceptibilitySub-Saharan AfricaUnmet need

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