From your post it sounds as if the public health nurse is upset 


because she believes that moms who are not exclusively breastfeeding they should be on combination birth control.


A mother who is only using 1-2 bottles of formula a day is probably not very fertile and with the 


progestin-only pill she is pretty well protected  (nothing but abstinence is 100% and come on how many people do you know who got 


pregnant on the combination pill even when the say they took it correctly).


Giving mothers combination pills speeds the weaning process by lowering milk supply and when even progestin-only pills


can lower milk supply this is very problematic.  I am upset that these mothers are on any progestin-only pill at less than 6 months postpartum if


there is another method  they can use.


I am concerned that If they are having supply problems then why are they not being treated with galactagogues (prescriptive and herbal).  After all 


exclusive breastfeeding in amenorrheic mothers of infants under 6 months is more protected by LAM than progestin-only pills. Of course if they 


are working  then the protection level is affected.  However, the other issue is that now that these women are doubly protect by federal 


and state breastfeeding laws--"why don't they have time to pump?"  





Christine Betzold NP CLC MSN
www.theBFclinic.com
714-269-9879

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