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Lactation Information and Discussion

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Subject:
From:
Lisa Marasco IBCLC <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sun, 23 Nov 1997 13:25:33 -0800
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>I feel that if a woman wants a pill (usually because that is what she is used
>to), the progestin-only pill can be started at 6 weeks postpartum when the
>milk supply is well established......V. Nichols-Johnson, MD

This seems to be the standard compromise between the medical and
lactation communities. In light of the autocrine theory, however, I would
like to propose that perhaps it might be more appropriate to forestall
hormonal birthcontrol of any type until about three months postpartum.
If hormones are most important during the first approximately three
months, wouldn't such a policy seem more consistent if you want to slant
the odds in favor of a mother not losing her milk supply? I have had some
women with decreased milk supplies once they started on the mini-pill,
and this was after the 6 week mark.

In proposing this, I would like to have lactnetters examine this from the
standpoint of the ideal physiological approach, and not from the
viewpoint of mothers who might be at risk of inappropriate and early
conception again. Let's try to nail things down from the physiological
perspective first, then discuss risks vs benefits for individual maternal
situations.

-Lisa Marasco, BA, IBCLC

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