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Subject:
Re: Oral contraceptives
From:
Phyllis Adamson IBCLC <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 30 Sep 2009 01:58:25 -0400
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You might start with the sources cited by the ACOG in it's own Protocol statement. It claims that (paraphrasing as you did, below) once milk supply is well established, it will not be affected by the use of OCPs at 4-6 weeks postpartum.
I have had polite discussions with an OB about this. He is firm in his adherence to the ACOG Protocol. He refused to read info from the NLM's Toxnet (LactMed) on OCPs or estrogen.
He made the (outrageous, IMO) statement that the NLM is too heavily influenced by commercial entities and that ACOG is absolutely NOT under commercial influence. Therefore ACOG is more credible.
So many OBs in my hosp continue to prescribe OCPs (the dual hormone version) for any mom who is willing to take them.
I haven't had the time to do this same research I am recommending to you. It's another thing on my To Do List.
Phyllis

---- Lisa Paladino RNC CNMM <[log in to unmask]> wrote: 

=============
Does anyone have any evidence (research based articles) that I can share with an OB who asked me about use of estrogen in women who have already established a milk supply? At least he asked, right? I am looking for anything written on the subject of combined oral contraceptives and breastfeeding. 
Thanks,
Lisa 
Lisa Paladino RNC, CNM
Breastfeeding Initiative Coordinator
Staten Island University Hospital

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--
Phyllis Adamson, BA, IBCLC
Glendale, AZ.
[log in to unmask]

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