Re: Depoprovera

From: dahmd@gate.net
Wed Mar 20 18:31:07 1996


>The Lactation Consultants at my hospital are expressing some concern
>regarding the administration of Depoprovera prior to 6 weeks postpartum
>citing that it significantly effects (decreases) breastmilk supply. Does
>anyone have any information that will prove/disprove this?
>Thanks!
>Deena L. Purdy, RNC
>Placerville, Ca.

I have not seen this particular problem, and have read in multiple reviews of Depo-provera that it actually INCREASES the amount of breastmilk (the only reference I have at hand on purporting this is the latest edition of Speroff et al).

The problem I see very often with Depo is that if you give it immediately postpartum there is a very high propensity to spot every day. The patients show up in the clinic for their 6 week checkup and want the Depo discontinued. I know many others who "report" this anecdotally, and I now am discouraged from giving it immediately postpartum.

Thanks,

Ashley Hill D. Ashley Hill, M.D. dahmd@gate.net Orlando, FL





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