*Here is an abstract from 2002 that shows no adverse effect on breastfeeding
from depo initiated in the first 3 days postpartum:*
**
*Barb Berges BS, RN, IBCLC*
*near Cleveland, OH*




Am J Obstet Gynecol. <javascript:AL_get(this, 'jour', 'Am J Obstet
Gynecol.');> 2002 Jun;186(6):1250-6; discussion 1256-8.[image: Click here to
read]<http://www.ncbi.nlm.nih.gov/entrez/utils/fref.fcgi?PrId=3048&itool=AbstractPlus-def&uid=12066106&db=pubmed&url=http://linkinghub.elsevier.com/retrieve/pii/S0002937802000285>
Links <javascript:PopUpMenu2_Set(Menu12066106);>
 Impact of early postpartum administration of progestin-only hormonal
contraceptives compared with nonhormonal contraceptives on short-term
breast-feeding patterns. *Halderman
LD*<http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=Search&Term=%22Halderman%20LD%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstractPlusDrugs1>,
*Nelson AL*<http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=Search&Term=%22Nelson%20AL%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstractPlusDrugs1>
.

Department of Obstetrics and Gynecology, Harbor-University of California,
Los Angeles, Medical Center, USA.

OBJECTIVE: The purpose of this study was to identify the impact on
breast-feeding patterns of early postpartum initiation of progestin-only
birth control methods compared with nonhormonal methods. STUDY DESIGN: A
prospective, nonrandomized trial was performed comparing progestin-only
contraceptive methods administered before hospital discharge with
nonhormonal methods on breast-feeding continuation rates, exclusive
breast-feeding, and supplementation at 2, 4, and 6 weeks after delivery.
RESULTS: Three hundred nineteen women provided complete data until hospital
discharge. The hormonal group had higher risk factors for not
breast-feeding, but there was no difference among any of the subgroups in
breast-feeding continuation rates except at week 4. Supplementation or
perception of insufficient milk production did not differ between groups. By
week 6, 23.5% of women discontinued breast-feeding, and 64.5% of those
breast-feeding were supplementing. CONCLUSION: This study demonstrates that
there is no detectable adverse impact on breast-feeding attributable to
progestin-only contraceptive methods initiated within the first 3 days post
partum.

PMID: 12066106 [PubMed - indexed for MEDLINE]

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