Pamela Morrison's 11 point description of her clinical experience with the 
effect of oral contraceptives on breastfeeding correlates exactly with my 
experience over 15 years as a La Leche League leader and 5 years as an 
IBCLC.  I would add:

12. These mothers are universally told that "these won't affect your 
breastfeeding at all" and are furious to find out otherwise.

I also find that some of the mothers who are strongly pro-life in their 
views are told there is "no way" that breakthrough ovulation can occur and 
feel betrayed when in their research about effects on breastfeeding they 
find out otherwise.  Regardless of your views, if a mother specifically asks 
a question, it should be truthfully answered.  All this makes me wonder if 
these doctors have ever read the package insert.

I think particular notice should be taken as Pamela mentions in #7, that 
mothers do not consider oral contraceptives medications and it is important 
to ask them specifically about them.

I would love to see some well-designed, well-carried out research on this.

Melanie Young
IBCLC
LLL of Johnston County, NC USA

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