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Subject:	Re: Depo study - No adverse impact on BF
From:	julie taylor <[log in to unmask]>
Reply To:	Lactation Information and Discussion <[log in to unmask]>
Date:	Mon, 3 Mar 2008 09:50:09 -0800
Content-Type:	text/plain
Parts/Attachments:	text/plain (75 lines)

Three hundred and nineteen does not seem a very large cohort!
Julie Taylor
RN IBCLC

Barbara Berges <[log in to unmask]> wrote:
*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. 2002 Jun;186(6):1250-6; discussion 1256-8.[image: Click here to
read]
Links
Impact of early postpartum administration of progestin-only hormonal
contraceptives compared with nonhormonal contraceptives on short-term
breast-feeding patterns. *Halderman
LD*,
*Nelson AL*
.

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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