Intrauterine contraception after cesarean section and during lactation: a systematic review

International Journal of Women's Health
Norman D Goldstuck, Petrus S Steyn

Abstract

All postpartum women, including those who are breastfeeding or have had a cesarean section, appear potentially suited to intrauterine contraception, a long acting reversible contraceptive (LARC). Like any other method used after delivery, it should not interfere with lactation or be affected by cesarean section. We searched the MEDLINE, PubMed, Popline, Google Scholar, and Clinicaltrials.gov databases from January 1968 through to December 2012. Studies were included if they reported event rates in women who had a cesarean section and event rates and clinical outcomes in lactating women or their infants in the breastfeeding group. Summary odds ratios were not calculated because of the diverse methods of reporting event rates in the cesarean section group and the heterogeneity of the results in the breastfeeding group. We found 26 articles on event rates in interval and post-placental intrauterine device (IUD) use, and 18 on event rates and clinical outcomes in breastfeeding IUD users. Four prospective studies and one retrospective study showed an increased expulsion rate in interval insertion. There were 19 studies, of which five were controlled in post-placental IUD insertion after cesarean section. Four studies had expulsion r...Continue Reading

Citations

Jan 1, 2015·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Pamela BerensUNKNOWN Academy of Breastfeeding Medicine
May 29, 2016·The Medical Clinics of North America·Caitlin AllenEliza L Sutton
Apr 5, 2017·Expert Opinion on Pharmacotherapy·Rebecca L Taub, Jeffrey T Jensen
Jun 8, 2017·Acta Obstetricia Et Gynecologica Scandinavica·Rebecca HellerSharon T Cameron
Oct 13, 2015·Clinical Obstetrics and Gynecology·Kelly Lynne Pieh Holder
May 22, 2016·The Journal of Family Planning and Reproductive Health Care·Rupali DewanMansi Kaim

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cesarean section
contraception

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