Re: postpartum intercourse

From: Richard Chudacoff, MD (richardc@bcm.tmc.edu)
Wed Jun 25 15:21:55 1997


>
>Now that I have your attention!
>
>Does anyone know where the proscription against postpartum intercourse
>for 6 weeks came from? Why 6 weeks? It's one of those dogmatic things
>we were taught that does not seem to be based on scientific evidence
>(unless, of course, I just can't find the darn citation)!
>
>Thanks,
>
>Ashley

My understanding is that it pertained to women who were going to use OCPs. Since there is a higher risk of thombosis for two weeks post-partum, starting the OCPs 2 weeks post-partum did not 'prevent' pregnancy until 6 weeks post partum, with the second pill pack, around the same time the uterus is of normal size, and the lochia has decreased enough that a pap smear would not come back with 'RBCs TMTC, recommended repeat' and one-stop shopping could be attained.

Rick

--
Richard Chudacoff, MD
Assistant Professor, OB/GYN
Baylor College of Medicine

Practice Medical Director BaylorMedCare 1601 Main St., STE 505 Richmond, TX 77469 tel 281-344-0277 fax 281-344-0288

Advisory Board-OBGYN.net http://www.obgyn.net/board/chudacoff.htm





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