BACKGROUND: The objective of this study was to assess the effect of timing of postpartum levonorgestrel-releasing intrauterine device (IUD) insertion on breast-feeding continuation. STUDY DESIGN:Women interested in using a levonorgestrel IUD postpartum were randomized to immediate postplacental insertion (postplacental group) or insertion 6-8 weeks after vaginal delivery (delayed group). Duration and exclusivity of breast-feeding were assessed at 6-8 weeks, 3 months, and 6 months postpartum. Only women who received an IUD were included in this analysis. RESULTS: Breast-feeding was initiated by 32 (64%) of 50 of women receiving a postplacental IUD and 27 (58.7%) of 46 of women receiving a delayed IUD (p=.59). More women in the delayed group compared with the postplacental group continued to breast-feed at 6-8 weeks (16/46 vs. 15/50, p=.62), 3 months (13/46 vs. 7/50, p=.13), and 6 months postpartum (11/46 vs. 3/50, p=.02). The results did not differ when only women who initiated breast-feeding or only primiparous women with no prior breast-feeding experience were analyzed. CONCLUSIONS: Immediate postplacental insertion of the levonorgestrel IUD is associated with shorter duration of breast-feeding and less exclusive breast-feeding. Further studies on the effects of early initiation of progestin-only methods on women's lactation experience are needed.
RCT Entities:
BACKGROUND: The objective of this study was to assess the effect of timing of postpartum levonorgestrel-releasing intrauterine device (IUD) insertion on breast-feeding continuation. STUDY DESIGN:Women interested in using a levonorgestrel IUD postpartum were randomized to immediate postplacental insertion (postplacental group) or insertion 6-8 weeks after vaginal delivery (delayed group). Duration and exclusivity of breast-feeding were assessed at 6-8 weeks, 3 months, and 6 months postpartum. Only women who received an IUD were included in this analysis. RESULTS: Breast-feeding was initiated by 32 (64%) of 50 of women receiving a postplacental IUD and 27 (58.7%) of 46 of women receiving a delayed IUD (p=.59). More women in the delayed group compared with the postplacental group continued to breast-feed at 6-8 weeks (16/46 vs. 15/50, p=.62), 3 months (13/46 vs. 7/50, p=.13), and 6 months postpartum (11/46 vs. 3/50, p=.02). The results did not differ when only women who initiated breast-feeding or only primiparous women with no prior breast-feeding experience were analyzed. CONCLUSIONS: Immediate postplacental insertion of the levonorgestrel IUD is associated with shorter duration of breast-feeding and less exclusive breast-feeding. Further studies on the effects of early initiation of progestin-only methods on women's lactation experience are needed.
Authors: E Guiloff; A Ibarra-Polo; J Zañartu; C Toscanini; T W Mischler; C Gómez-Rogers Journal: Am J Obstet Gynecol Date: 1974-01-01 Impact factor: 8.661
Authors: Lawrence M Gartner; Jane Morton; Ruth A Lawrence; Audrey J Naylor; Donna O'Hare; Richard J Schanler; Arthur I Eidelman Journal: Pediatrics Date: 2005-02 Impact factor: 7.124
Authors: David K Turok; Lawrence Leeman; Jessica N Sanders; Lauren Thaxton; Jennifer L Eggebroten; Nicole Yonke; Holly Bullock; Rameet Singh; Lori M Gawron; Eve Espey Journal: Am J Obstet Gynecol Date: 2017-08-23 Impact factor: 8.661
Authors: Abigail R A Aiken; Mitchell D Creinin; Andrew M Kaunitz; Anita L Nelson; James Trussell Journal: Contraception Date: 2014-08-07 Impact factor: 3.375
Authors: Michelle H Moniz; Lee Roosevelt; Halley P Crissman; Emily K Kobernik; Vanessa K Dalton; Michele H Heisler; Lisa Kane Low Journal: J Midwifery Womens Health Date: 2017-09-07 Impact factor: 2.388
Authors: Joseph E Potter; Kristine Hopkins; Abigail R A Aiken; Celia Hubert; Amanda J Stevenson; Kari White; Daniel Grossman Journal: Contraception Date: 2014-07-03 Impact factor: 3.051