My name is Travis; currently I’m a junior nursing student at the University of
North Dakota. After browsing through the archives, I found the issue of
contraceptives and breastfeeding being discussed off and on through the past
decade. This topic interests me because it is a controversial issue that is
being practiced differently in many healthcare settings. In conclusion to
reviewing literature, I have found the following information:
According to Espey, Lee, Leeman, Ogburn, Qualls & Reddy (2006),
oral contraceptives during breastfeeding diminish the quantity of breast milk
and decreases the duration of lactation that may adversely affect the growth
of the infant. In addition, Queenan supports the issue stating in his article; if
possible, the nursing mother should be advised not to use oral contraceptives,
but to use other forms of contraception until she has completely weaned her
child (Queenan, 2004). The two articles basically say oral contraceptives and
breastfeeding would affect the growth of your child due to a decrease in
quality as well as quantity in the breast milk. On the other hand, according to
Bang, Guthmann, & Nashelsky (2005), oral contraceptives may reduce the
volume of breast milk, but not affect the growth of infants. Furthermore, the
literature doesn’t bring conclusive answers to our practice, so what is being
practiced in your healthcare setting and what advice are they giving. Any
thoughts or knowledge you would like to share with me would be appreciated.
Bang, J., Guthmann, R., & Nashelsky, J. (2005). Combined Oral Contraceptives
for Mothers Who Are Breastfeeding. American Family Physician, 72, Retrieved
January 29, 2007, from American academy of Family Physicians.
Espey, E., Lee, C., Leeman, L., Ogburn, T., Qualls, C., & Reddy, S., (2006).
Conformity with Current Guidelines on Oral Contraception Prescribing for
Breastfeeding Women. Elsevier, 74, 389-393. Retrieved January 29, 2007, from
Department of Obstetrics and Gynecology.
Queenan, J. T. (2004). Contraception and Breastfeeding. Clinical Obstetrics,
47, 734-739. Retrieved January 29, 2007, from Lippincott Williams & Wilkins,
Inc.
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