Early postpartum Depo Provera and breastfeeding outcomes

What is it about?

Critically evaluate the existing evidence and present the conflicting recommendations related to postpartum Depo Provera (DP) use among breastfeeding women.

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Why is it important?

Current evidence is methodologically weak and provides an inadequate basis for inferences about a possible causal relationship between early postpartum DP use and poor breastfeeding outcomes. However, given the strong biologic model describing the potential deleterious effect of postpartum DP use on lactation, further research is warranted. Meanwhile, we recommend potential breastfeeding risks associated with early DP use be disclosed to allow for a fully informed consent process.