Conformity with current guidelines on oral contraceptive prescribing for breastfeeding women: a New Mexico survey

National and international contraceptive guidelines reflect expert opinion that recommends against the use of estrogen-containing hormonal contraception in the early postpartum period. This study was undertaken to estimate providers' practices in prescribing hormonal contraception to breastfeed...

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Bibliographic Details
Published in:Contraception (Stoneham) 2006-11, Vol.74 (5), p.389-393
Main Authors: Espey, Eve, Ogburn, Tony, Leeman, Larry, Reddy, Shilpa, Lee, Carisa, Qualls, Clifford
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Birth control
Breast Feeding
Breastfeeding
Contraceptive Agents, Female - administration & dosage
Female
Genital system. Reproduction
Guideline Adherence
Gynecology. Andrology. Obstetrics
Health Personnel
Hormonal contraception
Hormonal contraceptives
Humans
Male
Medical sciences
Middle Aged
New Mexico
Pharmacology. Drug treatments
Postpartum Period
Prescribing
Progestins - administration & dosage
Surveys and Questionnaires
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Summary:National and international contraceptive guidelines reflect expert opinion that recommends against the use of estrogen-containing hormonal contraception in the early postpartum period. This study was undertaken to estimate providers' practices in prescribing hormonal contraception to breastfeeding women. A 19-item survey was mailed to 397 obstetrician gynecologists, midwives and family physicians in the state of New Mexico. The survey included items covering attitudes about the impact of hormonal contraception on breastfeeding and prescribing practices. One hundred ninety-nine (50%) providers completed the survey. The majority (70%) of providers prescribe progestin-only contraceptive methods to breastfeeding women within the first 6 weeks. Despite these recommendations, a sizable minority of providers prescribe combined pills in the early postpartum period: 27% of providers have prescribed combined pills and 13% of providers, mostly those in a university setting, routinely recommend them within the first 6 weeks postpartum. Most providers follow expert recommendations regarding the initiation of hormonal contraception for breastfeeding women.
ISSN:0010-7824
1879-0518
DOI:10.1016/j.contraception.2006.06.007