I've noted that some obstetricians prescribe contraceptives starting 
immediately postpartum and/or at 1 week postpartum. It is the progestin-only 
pill. Have also seen a couple obstetricians prescribe 2 days of reglan 
(metaclopramide) immediately postpartum to "help the milk supply" in mothers 
with no identified risk factors. I take issue with both of these practices.

Also had a low milk supply case and when I questioned about medications, 
mother reports none. When specifically questioned about contraceptives, 
mother reports yes she's on micronor already at 1 wk postpartum. Just a hint 
to be specific in asking this question, also ask about the birth control 
shot. I also ask about "cold, allergy, sinus medicines" and the like.

Laurie Wheeler, IBCLC, MN, RN
NE Mississippi, s.e. USA

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