Dear Ruthy,

Six years ago I contacted the manufacturers of Depo who told me that the
recommendation to wait until the milk supply is well established (6 wks) was
based on the fact that when they did their research they never investigated
the use of depo as early as 1-3 days pp, only after the 6 wk marker. I do not
believe in the theory of lets give the poor woman protection right from the
starting gate. There is no data to suggest that a woman who is committed to
birthcontrol will not return for her 4 week check up to get it, or that those
they give it to will more likely return in 3 months for the next shot.  Again
its risk benefit and the b/f takes a back seat. I would be great to have
someone look at this b/c when the residents ask me if it affects the milk
supply I can't point to hard data that it does. I have seen mothers dry up in
the first 6 weeks of pumping for a premie and some who do quite well, both of
whom who got the depo.  But I have never tracked it in a way to show evidence
either way.

Warmly,
Chris

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