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Initiation of contraception postpartum

B Rojnik1, K Kosmelj, L Andolsek-Jeras

  • 1Department of Obstetrics and Gynecology, Ljubljana Medical Centre, Slovenia.

Contraception
|February 1, 1995
PubMed
Summary
This summary is machine-generated.

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The lactational amenorrhoea method is effective for family planning up to 32 weeks postpartum for breastfeeding women. After 32 weeks, reliable contraception is recommended regardless of breastfeeding status.

Area of Science:

  • Reproductive Health
  • Family Planning
  • Postpartum Care

Background:

  • Unwanted pregnancies can occur postpartum, necessitating effective family planning methods.
  • The lactational amenorrhoea method (LAM) is a natural family planning method relying on breastfeeding and amenorrhoea.

Purpose of the Study:

  • To identify risk factors for early postpartum pregnancy.
  • To evaluate the effectiveness and duration of the lactational amenorrhoea method's protective effect.

Main Methods:

  • A case-control study comparing 97 women with early postpartum pregnancies (cases) to 97 non-pregnant controls.
  • Logistic regression analysis to identify risk factors for unwanted postpartum pregnancy.

Main Results:

Keywords:
Breast FeedingCase Control StudiesDemographic FactorsDeveloped CountriesEuropeFertilityHealthInfant NutritionMenstrual CycleMenstruationNutritionPopulationPopulation DynamicsPostpartum AmenorrheaPostpartum WomenPregnancy, UnwantedPuerperiumReproductionReproductive BehaviorSloveniaSouthern EuropeStudiesTime Factors

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  • Key risk factors included time since menses resumption, number of menstrual cycles, contraception use, parity, and education.
  • Breastfeeding and amenorrhoea provided strong protection for the first 24 weeks postpartum.
  • Amenorrhoea's effect persisted from 25-32 weeks, after which neither breastfeeding nor amenorrhoea had a significant effect.
  • Time since menses resumption was a primary risk factor in early postpartum periods.
  • Contraceptive use and parity became significant risk factors after 32 weeks postpartum.

    • Conclusions:

    • The lactational amenorrhoea method can be reliably used for family planning up to 32 weeks postpartum for breastfeeding and amenorrhoeic women.
    • Postpartum women should transition to reliable contraceptive methods after 32 weeks, irrespective of breastfeeding or amenorrhoea status.