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postpartum
After childbirth (labor & delivery).
Management:
- ovulation can occur as early as 25 days postpartum in women who aren't breast-feeding
- contraception (women not breast-feeding)
- < 21 days postpartum:
- do not use combined hormonal contraceptives due to increased risk for venous thromboembolism
- 21-42 days postpartum:
- if no other risk factors for venous thromboembolism, ok to start combined hormonal contraceptive
- if other risk factors, do not
- > 42 days postpartum: no restrictions
Related
Postpartum Breast Pain
postpartum care
postpartum depression
postpartum hemolytic uremic syndrome (HUS)
postpartum hemorrhage
postpartum infection
postpartum thromboembolism
postpartum thyroiditis
General
physiologic process
References
- Stedman's Medical Dictionary 27th ed, Williams &
Wilkins, Baltimore, 1999
- Centers for Disease Control and Prevention
MMWR. July 8, 2011 / 60(26);878-883
Update to CDC's U.S. Medical Eligibility Criteria for
Contraceptive Use, 2010: Revised Recommendations for the
Use of Contraceptive Methods During the Postpartum Period
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6026a3.htm
- Physician's First Watch, Feb 14, 2014
David G. Fairchild, MD, MPH, Editor-in-Chief
Massachusetts Medical Society
http://www.jwatch.org
- Kamel H et al.
Risk of a thrombotic event after the 6-week postpartum
period.
N Engl J Med 2014 Feb 13;
PMID: 24524551