| Full text | |
| Author(s): |
Costa, Maria Laura
[1]
;
Cecatti, Jose Guilherme
[1]
;
Krupa, Fabiana G.
[1]
;
Rehder, Patricia Moretti
[1]
;
Sousa, Maria Helena
[1]
;
Costa-Paiva, Lucia
[1]
Total Authors: 6
|
| Affiliation: | [1] Univ Estadual Campinas, Sch Med Sci, Dept Obstet & Gynecol, BR-13083881 Sao Paulo - Brazil
Total Affiliations: 1
|
| Document type: | Journal article |
| Source: | Contraception; v. 85, n. 4, p. 374-380, APR 2012. |
| Web of Science Citations: | 8 |
| Abstract | |
Background: There are an increase in bone loss during the first 6 months postpartum and a complete recovery postweaning. A few studies of steroid contraceptive use during this period provide some evidence towards protection of bone loss with progestin-only contraceptive methods. Objective: The study was conducted to evaluate forearm bone mineral density (BMD) of breastfeeding postpartum women using nonhormonal and progestin-only contraceptive methods. Study Design: A prospective cohort study of postpartum women had an analysis performed at 6 months postpartum correlating BMD with contraceptive use. Forearm BMD was measured 7-10 days, 3 months and 6 months postpartum. Eighty-two women were analyzed, comparing nonhormonal (54) and progestin-only (28) contraceptive methods. Information about breastfeeding duration, amenorrhea and body mass index was collected. Results: Baseline characteristics of the study population showed no statistical differences between the groups. The median duration of breastfeeding for both groups was 183 days. A significant BMD decrease was observed for the nonhormonal group (p<.001); however, no statistical difference was detected for the progestin-only group. Body mass index, BMD at 7-10 days postpartum and total duration of breastfeeding were positively correlated with BMD at 6 months. Conclusions: Our findings suggest a preventive effect towards postpartum bone loss with progestin-only contraception in breastfeeding women. (C) 2012 Elsevier Inc. All rights reserved. (AU) | |