Postpartum Contraception

Abstract

As birth spacing has demonstrated health benefits for a woman and her children, contraception after childbirth is recognized as an important health issue. The potential risk of pregnancy soon after delivery underscores the importance of initiating postpartum contraception in a timely manner. The contraceptive method initiated in the postpartum period depends upon a number of factors including medical history, anatomic and hormonal factors, patient preference, and whether or not the woman is breastfeeding. When electing a contraceptive method, informed choice is paramount. The availability of long-acting reversible contraceptive methods immediately postpartum provides a strategy to achieve reductions in unintended pregnancy.

Postpartum Visit Attendance Increases the Use of Modern Contraceptives

“…Delays in postpartum contraceptive use create a risky environment for women to have unintended or rapid repeat pregnancies [10, 11]. Although ovulation can occur within six weeks after delivery, it can occur as early as four weeks in nonbreastfeeding women [11].…”

“…The fact remains that the PPCV is part of the standards of care for postpartum women and presents a suitable opportunity for contraceptive counseling. Strategies designed to reduce high rates of unintended pregnancies would benefit from targeting the postpartum period since women's opinions of subsequent pregnancies change over time [10]. …”

Parents’ Health Beliefs Influence Breastfeeding Patterns among Iranian Women

“…[1][2][3][4] Studies looking at the rates of breastfeeding were not consistent when looking at socioeconomic status and across cultures. 5-7 Previous studies have shown some of the factors attributed with breastfeeding were social support, 8 prenatal care, 9 birth spacing, 10 support from spouse, 11 and religion.…”

Conhecimento de puérperas acerca do método anticoncepcional da lactação com amenorreia

“…O método contraceptivo iniciado no pós-parto depende de uma série de fatores, o que inclui histórico médico, fatores anatômicos e hormonais, a preferência do paciente, e se a mulher está ou não amamentando. Independentemente do método eleito, ele deve ser orientado por um profissional da saúde (20).…”