Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Contraceptive Use in Women with PDS

Contraception; ePub 2017 Sep 25; Lawley, et al

A large percentage of US women reporting postpartum depressive symptoms (PDS) are either not using contraception or using less effective user-dependent methods, a recent study found. Data were evaluated from the Pregnancy Risk Assessment Monitoring System, 2009-2011, and included 16,357 postpartum women. Contraceptive use was categorized as permanent, long-acting reversible contraception (LARC), user-dependent hormonal, and user-dependent non-hormonal. Researchers found:

  • 12.3% of women with a recent live birth reported PDS.
  • Large percentages of women with (69.4%) and without (76.1%) PDS used user-dependent or no contraceptive method.
  • There were no associations between PDS and use of any postpartum contraception or permanent contraception.
  • LARC use was evaluated, but not significantly, among women with PDS vs those without.
Citation:

Lawley ME, Haddad L, Burley K, Farr SL. Use of contraception among U.S. women reporting postpartum depressive symptoms, Pregnancy Risk Assessment Monitoring System 2009-2011. [Published online ahead of print September 25, 2017]. Contraception. doi:10.1016/j.contraception.2017.09.009.

This Week's Must Reads

Smoking Cessation During Pregnancy, Obstet Gynecol; ePub 2017 Oct; ACOG

Contraceptive Choices After Medication Abortion, Am J Obstet Gynecol; ePub 2017 Oct 3; Rocca, et al

Maternal Beverage Intake and IVF Outcomes, Fertil Steril; ePub 2017 Oct 4; Machtinger, et al

What Effect Does HT Have on Pelvic Organ Support?, Menopause; 2017 Oct; Wasenda, Kamisan, et al

Labor Induction in Outpatient Settings, Cochrane; ePub 2017 Sep 13; Vogel, et al

Must Reads in Contraception

Contraceptive Choices After Medication Abortion, Am J Obstet Gynecol; ePub 2017 Oct 3; Rocca, et al

Contraceptive Use in Women with PDS, Contraception; ePub 2017 Sep 25; Lawley, et al

Condom Use & Incident STI After LARC Initiation, Am J Obstet Gynecol; ePub 2017 Sep 15; Mcnicholas, et al

Increased LARC Initiation & Postpartum Visits , Obstet Gynecol; ePub 2017 Sep 5; Chen, et al

Contraceptive Use Among HIV-Infected Women, Am J Obstet Gynecol; ePub 2017 Aug 30; Haddad, et al