Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
10-11
pubmed:dateCreated
2000-12-18
pubmed:abstractText
Contraceptive methods for breastfeeding women should be safe for the mother and infant and should not interfere with lactation. Progestin-only methods meet these conditions and can be used from the sixth week postpartum. Because all progestins are excreted in milk, those that are insufficiently active by the oral route are preferable to avoid any possible effect on the baby. These steroids, however, must be administered to the mother by a non-oral route. Initially, progesterone was administered subdermally to test this concept. Subsequently, a progesterone vaginal ring was developed to be used continuously for 3 to 4 months and replaced with a new device, as needed, until weaning. Clinical trials have shown a high contraceptive efficacy (over 98.5%) and safety. The gross continuation rate of this method is approximately 40% at 12 months of use, with use-related problems being the main reason for discontinuation (26.8%). Currently, a Nestorone vaginal ring is under development, delivering 50 microg of Nestorone per day. It may be used continuously for up to one year, even if weaning occurs earlier. Both of these progestin-only rings prolong lactational amenorrhea to 10 to 12 months, which represents a health benefit and convenience for many women. The registration of the progesterone vaginal ring, developed as a contraceptive method to be used exclusively during lactation, has been approved in Chile and Perú. The fact that it is a user-controlled long-term contraceptive that delivers a natural hormone makes it an attractive option for many women.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
0039-128X
pubmed:author
pubmed:issnType
Print
pubmed:volume
65
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
703-7
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:11108880-Administration, Intravaginal, pubmed-meshheading:11108880-Adult, pubmed-meshheading:11108880-Amenorrhea, pubmed-meshheading:11108880-Breast Feeding, pubmed-meshheading:11108880-Contraceptive Agents, Female, pubmed-meshheading:11108880-Delayed-Action Preparations, pubmed-meshheading:11108880-Drug Evaluation, pubmed-meshheading:11108880-Drug Implants, pubmed-meshheading:11108880-Female, pubmed-meshheading:11108880-Follow-Up Studies, pubmed-meshheading:11108880-Humans, pubmed-meshheading:11108880-Infant, pubmed-meshheading:11108880-Infant, Newborn, pubmed-meshheading:11108880-Lactation, pubmed-meshheading:11108880-Male, pubmed-meshheading:11108880-Menstrual Cycle, pubmed-meshheading:11108880-Norprogesterones, pubmed-meshheading:11108880-Pilot Projects, pubmed-meshheading:11108880-Pregnancy, pubmed-meshheading:11108880-Pregnancy Rate
pubmed:articleTitle
Vaginal rings for contraception in lactating women.
pubmed:affiliation
Instituto Chileno de Medicina Reproductiva, J. V. Lastarria 29, Depto 101, Santiago, Chile. icmer@huelen.reuna.cl
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't