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Re: Depo provera and lactation From: Steve & Eryl Raymond (eryl@intekom.co.za) Wed Mar 28 11:35:00 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Jeffrey W. Clemens: "Re: FRI Old-timer (was - RE: Savonarola)" Previous message: G. P. Rodriguez: "Re: Savonarola" Maybe in reply to: Jim Cahill: "Depo provera and lactation" Next in thread: Dean Huffman: "Re: Depo provera and lactation" The problem with Depo-Provera is not any decrease in milk production, or in relation to the length of lactation. The milk constituents change. There may in fact be an increase in milk supply, but the changes in protein to fat ratio and even in carbohydrate content are idiosyncratic. A small proportion of babies with failure to thrive are cured by mum coming off Depo. In clinical application the problem is not large enough to warrant taking the line that no breastfeeding mum should have Depo, but if people want to make an informed decision this rather small concern needs to be mentioned, and where possible the best advice is not to use it until five to six weeks as the package insert and much of the literature says. Steve Raymond igomach8@aol.com wrote: > I remember reading about this and pulled ACOG Bulletin #258 > "Breastfeeding: Maternal & Infant Aspects" (7/00). BOTTOM LINE: ACOG > recommendation is waiting 6wks if breastfeeding (as stated in package > insert) because of "theoretical" risk. However, they qualify this > recommendation with the statement that "there are certain clinical > situations in which earlier initiation might be considered", "while in > the hospital or shortly after" (since the few studies that exist do not > demonstrate any adverse effect). By the way, I thought decreased milk > production is due to estrogen component of OC's, not progestin. -- Dr.S.H. Raymond Head of Department of O & G Empangeni Hospital South Africa 3880 Phone: (+27) 35-7721111 Fax: (+27) 35-7922596 Next message: Jeffrey W. Clemens: "Re: FRI Old-timer (was - RE: Savonarola)" Previous message: G. P. Rodriguez: "Re: Savonarola" Maybe in reply to: Jim Cahill: "Depo provera and lactation" Next in thread: Dean Huffman: "Re: Depo provera and lactation"

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