Have any of you read this proposal.  Dr. Hatcher of the CDC is no going 
to approve of early contraceptive usage.
We are talking about depo, micronor, etc at delivery!  There rationale: 
  women can ovulate in the first month postpartum and don't breastfeed 
exclusively!

Dr. Sperloff did some article in contraception 2008 that convinced Dr. 
Hatcher that this was OK!

I am incensed.  There are no studies that I am aware of that looks at 
preterm outcomes.  There is no study that I am aware of that 
specifically asks wether or not the
mother noticed a significant drop within a couple weeks of initiation.  
There are no acceptable randomized controlled double blinded trials to 
support that there is no
affect on lactation.

I want the USBC to write a letter.  I want the ABM to write and I am 
definitely going to write. Here is the article:    
http://www.obgynnews.com/article/PIIS0029743709701375/fulltext

I have taken care of mothers (as many of you have) that have lost their 
supply with 2 doses of micronor or how about the mother who's infant 
started losing weight 2 weeks after the initiation or how about the 
mother of a 27 weeker who was given (without any explanation or 
discussion with her MD) a shot of depo.  She initiated pumping got in a 
normal supply and mysteriously lost  her milk despite continued pumping 
and a trial of Reglan!


Christine M. Betzold NP CLC MSN

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