Amy G. Bryant, MD, MSCR, is Assistant Professor in the Division of Family Planning in the Department of Obstetrics and Gynecology at UNC-Chapel Hill, and Assistant Director of the Fellowship in Family Planning. She completed the Fellowship in Family Planning at UNC-Chapel Hill, and a Master’s of Science in Clinical Research at the UNC Gillings School of Global Public Health in 2011. She works as a generalist OB/GYN with a specialty in Family Planning. Her research interests include the provision of long-acting, reversible contraception in the postpartum period, and equitable access to evidence-based abortion information and care. After experiencing a stark decrease in her breastmilk supply in her second pregnancy, she developed an interest in the effects of family planning on breastfeeding. She became part of a working group at UNC evaluating the impacts of hormonal contraception on breastmilk. She also evaluates the ethical and practical intersections of family planning and lactation counseling.
In published studies, hormonal contraception (HC) has not been found to affect breastfeeding outcomes. However, early introduction of exogenous progestins may inhibit or prevent adequate breastfeeding in some women. We sought to
estimate the proportion of women who perceive breastmilk production to be affected by hormonal contraception by conducting an anonymous, Internet-based survey of adult postpartum women regarding their experiences with postpartum events, including initiating contraception, resuming intercourse, and breastfeeding. The survey was introduced via social media, listservs, and websites. From January to May 2016, 2920 women completed the survey and met inclusion criteria. Milk supply concerns occurred in 1044 (37.6%) of participants in the first 12 weeks postpartum and were more common among HC users than non-users (42.5 vs 35.5%, p
In published studies, hormonal contraception (HC) has not been found to affect breastfeeding outcomes. However, early introduction of exogenous progestins may inhibit or prevent adequate breastfeeding in some women. We sought to
estimate the proportion of women who perceive breastmilk production to be affected by hormonal contraception by conducting an anonymous, Internet-based survey of adult postpartum women regarding their experiences with postpartum events, including initiating contraception, resuming intercourse, and breastfeeding. The survey was introduced via social media, listservs, and websites. From January to May 2016, 2920 women completed the survey and met inclusion criteria. Milk supply concerns occurred in 1044 (37.6%) of participants in the first 12 weeks postpartum and were more common among HC users than non-users (42.5 vs 35.5%, p
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