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Premature introduction of progestin-only contraceptive methods during lactation

K I Kennedy1, R V Short, M R Tully

  • 1Department of Perinatal Medicine, Royal Women's Hospital, Carlton, Victoria, Australia.

Contraception
|June 1, 1997
PubMed

Experts on contraceptive technology concur that progestin-only methods can be used safely during lactation. However, very few studies exist of the effects on lactation of the introduction of progestin-only methods prior to the sixth postpartum week. Since progesterone withdrawal is the likely stimulus that initiates lactogenesis, it appears necessary for natural progesterone levels to decline to baseline before a progestin-only contraceptive is initiated. Therefore, the use of such contraceptive methods should be delayed for at least 3 days after the birth. Non-hormonal methods remain the first choice category of contraceptive methods for breastfeeding women, since there is no possibility that they will interfere with lactation. Progestin-only methods comprise a viable and often desirable next choice category, although the timing of their commencement must be determined with care in order to support lactation.

Keywords:
BiologyBreast FeedingContraceptionContraceptive AgentsContraceptive Agents, FemaleContraceptive Agents, ProgestinContraceptive MethodsDemographic FactorsFamily PlanningHealthInfant NutritionLactationLiterature ReviewMaternal PhysiologyNutritionOral ContraceptivesPhysiologyPopulationPopulation DynamicsPostpartum WomenProgestins, Low-dosePuerperiumRecommendationsReproductionTime Factors

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