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What Is the Genitourinary Syndrome of Lactation?

In this systematic review of 65 studies, the prevalence of vaginal atrophy among postpartum breastfeeding patients was 63.9% (95% confidence interval [CI], 55.3% to 71.6%) and vaginal dryness symptoms occurred in 53.6% (95% CI, 33.6% to 72.5%). Dyspareunia also was elevated, with a prevalence of 60.0% at three months, (95% CI, 45.1% to 73.3%), 39.7% at six months, (95% CI, 28.9% to 51.5%), and 28.5% at 12 months (95% CI, 26.3% to 30.9%).

Breastfeeding and Postpartum Contraception

Adequate birth spacing is an important way to reduce the risk of preterm births. For it to succeed, providers need to include contraception counseling when meeting with pregnant patients and also discuss patients’ contraception plans after delivery.

Multicomponent Breastfeeding Interventions in Women with a Body Mass Index > 25

The study found no statistically significant differences in breastfeeding outcomes between the intervention and control groups at various postpartum time points, although the intervention group received more hospital-based support, while the control group sought more private lactation support.

Comparing Medications Used for Lactation Inhibition

A randomized controlled trial demonstrated superior efficacy of cabergoline compared to pyridoxine (78% vs. 35%; P < 0.001) at suppression of lactation seven days after delivery.

Progestin-Only Birth Control Is Safe for Breastfeeding Mothers

Reproductive health organizations should consider updating contraceptive counseling guidelines for patients who are breastfeeding to reflect that it is safe for them to use progestin-only contraceptive methods, according to the authors of a recent paper.

IUD Perforations Are Rare, but Risk Is Slightly Higher for Nursing Mothers

New research shows that perforation from IUDs is incredibly rare, although the risk is slightly higher with breastfeeding at the time of insertion. Overall, the rate of any perforation was fewer than two per 1,000 person-years.

Galactagogues in Breastfeeding: A Review of the Available Evidence

This is a review of the research that has gone into nearly a dozen common galactagogues. An examination of the available randomized, controlled trials and review papers reveals a lack of high-quality research but also offers recommendations to help breastfeeding parents.

Articles Tagged With: breastfeeding