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Progestin-only pill use over 6 months postpartum.
Published Web Locationhttps://doi.org/10.1016/j.contraception.2020.06.004
ObjectivesTo determine progestin-only pill (POP) use at 3 and 6 months postpartum among women who chose POPs at the postpartum visit.
Study designSecondary data analysis of a prospective observational study with telephone interviews at 3 and 6 months postpartum to assess contraceptive use.
ResultsOf 440 women who attended the postpartum visit, 92 (20.9%) chose POPs. Current POP use was 44/84 (52.4%) at 3 months, 33/76 (43.4%) at 6 months, and 32/76 (42.1%) at both 3- and 6-month follow-up assessments.
ConclusionAbout half of women who plan POP use at the postpartum visit are not using this method at 3 months after delivery.
ImplicationsAbout half of women with a prescription for progestin-only pills will be not using this method at 3 months postpartum; further understanding of continued sexual activity and breastfeeding may clarify pregnancy risk for those not reporting modern contraception use during the postpartum period.
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