Hi Linda,
I am sorry I don't have any specific references to give you for these Drs
other than Tom Hale Medications and Mother's Milk 10th Ed.  However, have
they thought about reading the package insert that says wait 6 weeks??  How
about asking the OB/GYN dept to give the LC dept proof that it is safe to
give at discharge.  And - hmmm - any particular reason they are giving it to
ALL the medicaid patients??  grrr...  In Hale 2002 10th Ed. (pg 444) there
is a lot of information. Hale states that, re: Depo, waiting until 6 wks pp
is preferrable.  It also states:  "With progestins, it has been suggested
that some women may experience a decline in milk production, or arrested
early production, following injection of DMPA <Depo Medroxyprogestrone>,
particularly when the progestin is used in the early postpartum (12-48 hrs).
...snip... No progestin should be used before at least 3 days postpartum and
perhaps longer."

Hope this helps...

Warmly,
Jaye

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