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[Breast feeding: which contraceptive method?]

X Codaccioni1, F Puech, J L Leroy

  • 1Clinique de Gynécologie-Obstétrique et de Pathologie de la Reproduction, Maternité Henri-Salengro, Lille.

Revue Francaise De Gynecologie Et D'Obstetrique
|May 1, 1995
PubMed
Summary
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Breastfeeding mothers can use hormonal contraception safely after six weeks postpartum. Drug transfer to milk is minimal, similar to natural hormones, with barrier methods as an alternative.

Area of Science:

  • Reproductive Endocrinology
  • Pharmacology
  • Lactation Physiology

Context:

  • Breastfeeding (lactation) involves physiological changes affecting fertility.
  • Maternal medication use during breastfeeding requires careful consideration due to drug transfer into breast milk.
  • Postpartum recovery includes normalization of physiological parameters like lipid profiles and thromboembolic risk.

Purpose:

  • To evaluate the safety and efficacy of contraceptive methods during breastfeeding.
  • To assess the pharmacokinetic transfer of hormonal contraceptives into breast milk.
  • To provide guidance on the optimal timing and administration of contraception for breastfeeding mothers.

Summary:

  • Physiological contraception via anovulation is temporary, lasting approximately nine weeks postpartum.
Keywords:
Barrier MethodsBiologyBreast FeedingCondomContraceptionContraceptive MethodsCritiqueDemographic FactorsDeveloped CountriesEuropeFamily PlanningFranceHealthInfant NutritionLactationLipid Metabolic EffectsLipidsMaternal PhysiologyMediterranean CountriesNutritionPhysiologyPopulationPopulation DynamicsTime FactorsVaginal SpermicidesWestern Europe

Related Experiment Videos

  • Pharmacokinetic studies demonstrate minimal transfer of progesterone and estrogen from oral contraceptives to breast milk, comparable to endogenous hormone levels.
  • Hormonal contraception initiation is recommended after six weeks postpartum, coinciding with normalized lipid profiles and baseline thromboembolic risk. Dosing should be timed between feedings.

    • Impact:

    • Informed decision-making for breastfeeding mothers regarding contraceptive choices.
    • Minimizing potential risks associated with medication use during lactation.
    • Ensuring effective family planning for postpartum women who are breastfeeding.