One of the Public Health Nurses in our area is very upset with the local midwives who are prescribing progestin-only contraceptives even when breastfeeding mothers are giving 1 - 2 bottles of formula / day (they are unable to pump adequately at work).  

What would be your recommendation/thought - when is this not appropriate.

My thought was that some women are unable to tolerate Estrogens and therefore use the mini-pill exclusively even when NOT breastfeeding...but what has been your experience/studies?

Jeanette Panchula, BSW, RN, PHN, IBCLC
Vacaville, CA 
"Retired" - but teaching breastfeeding to African American Peer Counselors - and LOVING IT!

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