{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T23:51:01Z","timestamp":1777852261821,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2022,7,4]],"date-time":"2022-07-04T00:00:00Z","timestamp":1656892800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Christiana Care Hospital Chair\u2019s Leadership Council Discretionary Fund Grant","award":["10884"],"award-info":[{"award-number":["10884"]}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1 TR001860"],"award-info":[{"award-number":["UL1 TR001860"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hum Lact"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>There continues to be controversy regarding the simultaneous encouragement of both breastfeeding and immediate postpartum contraception.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research Aim:<\/jats:title>\n                    <jats:p>To explore postpartum women\u2019s perspectives about breastfeeding and their breastfeeding behaviors, while using one of three different hormonally systemic contraceptive methods immediately postpartum over a 6 month period of time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This was a retrospective, longitudinal, three group comparative, secondary analysis of a prospective cohort study ( N = 471) of immediate postpartum contraception. Breastfeeding, for this study, was defined as providing any human milk to the infant. Participants who chose one of three different hormonally systemic forms of contraception immediately postpartum (a long-acting hormonal reversible contraceptive ( n = 200), depot medroxyprogesterone acetate 150 mg ( n = 98), or a non-hormonal method ( n = 173)) were compared at hospital discharge, 6 weeks, 3 months, and 6 months postpartum. The primary outcome was any breastfeeding at 6 months. Secondary outcomes included any and exclusive breastfeeding, concerns about breastfeeding while using contraception, and reasons for breastfeeding discontinuation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>There was no significant difference in the rate of any breastfeeding between the two hormonal and the non-hormonal contraceptive groups at 6 months postpartum (long-acting hormonal 20.1%, non-hormonal 21.7%, depot medroxyprogesterone acetate 13.9%, p = .77, 0.28, respectively). The number of participants who reported stopping breastfeeding due to decreased milk supply was not significantly different between any groups at all time points (total number who discontinued at 6 months postpartum was long-acting hormonal 24.7%, non-hormonal 25.1%, depot medroxyprogesterone acetate 19.3%, p = .30).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Breastfeeding perspectives and behavioral outcomes over the first 6 months postpartum were not influenced by participants chosen form of immediate postpartum contraception.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08903344221108384","type":"journal-article","created":{"date-parts":[[2022,7,4]],"date-time":"2022-07-04T05:04:54Z","timestamp":1656911094000},"page":"158-167","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Breastfeeding Perceptions and Behavior Among Postpartum Women Initiating Different Hormonally Systemic Contraceptive Methods"],"prefix":"10.1177","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8896-5653","authenticated-orcid":false,"given":"Susan Frances","family":"Wilson","sequence":"first","affiliation":[{"name":"Capital Ob\/Gyn, Sacramento, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Ponzini","sequence":"additional","affiliation":[{"name":"Clinical and Translational Science Center, University of California, Davis Health, Sacramento, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Machelle","family":"Wilson","sequence":"additional","affiliation":[{"name":"Clinical and Translational Science Center, University of California, Davis Health, Sacramento, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siri","family":"Holton","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Christiana Care Health System, Newark, DE, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Antell","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, Christiana Care Health System, Newark, DE, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6811-5259","authenticated-orcid":false,"given":"Dominique","family":"Medaglio","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Biostatistics and Informatics, University of Pennsylvania, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,7,4]]},"reference":[{"key":"bibr1-08903344221108384","unstructured":"American Academy of Pediatrics. (2021). Where we stand: Breastfeeding. https:\/\/www.healthychildren.org\/English\/ages-stages\/baby\/breastfeeding\/Pages\/Where-We-Stand-Breastfeeding.aspx"},{"key":"bibr2-08903344221108384","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002890"},{"key":"bibr3-08903344221108384","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002633"},{"key":"bibr4-08903344221108384","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001587"},{"key":"bibr5-08903344221108384","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2018.10.008"},{"key":"bibr6-08903344221108384","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2018.01.017"},{"key":"bibr7-08903344221108384","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2015.9999"},{"key":"bibr8-08903344221108384","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2012.08.045"},{"key":"bibr9-08903344221108384","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002092"},{"key":"bibr10-08903344221108384","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.rr6503a1"},{"key":"bibr11-08903344221108384","unstructured":"Delaware Health Statistics Center. (2021). Delaware Vital Statistics Annual Report, 2019. Delaware Health and Social Services, Division of Public Health, 2021. https:\/\/www.dhss.delaware.gov\/dhss\/dph\/hp\/files\/lb19.pdf"},{"key":"bibr12-08903344221108384","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2012.4016"},{"key":"bibr13-08903344221108384","unstructured":"Hale T. W. (2021). Medications & mothers\u2019 milk (21th ed.). Springer. https:\/\/doi.org\/10.1891\/9780826189264"},{"key":"bibr14-08903344221108384","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"bibr15-08903344221108384","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2018.0248"},{"key":"bibr16-08903344221108384","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2018.0165"},{"key":"bibr17-08903344221108384","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2019.11.1282"},{"key":"bibr18-08903344221108384","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2018.0118"},{"key":"bibr19-08903344221108384","unstructured":"National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity. (2020). Breastfeeding Report Card, United States, 2020. Centers for Disease Control and Prevention. https:\/\/www.cdc.gov\/breastfeeding\/data\/reportcard.htm"},{"key":"bibr20-08903344221108384","doi-asserted-by":"publisher","DOI":"10.1186\/1746-4358-7-9"},{"key":"bibr21-08903344221108384","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajogmf.2021.100363"},{"key":"bibr22-08903344221108384","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-323-65399-2.00022-X"},{"key":"bibr23-08903344221108384","doi-asserted-by":"publisher","DOI":"10.1111\/jmwh.12409"},{"key":"bibr24-08903344221108384","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2017.08.003"},{"key":"bibr25-08903344221108384","doi-asserted-by":"publisher","DOI":"10.1097\/GCO.0000000000000571"},{"key":"bibr26-08903344221108384","unstructured":"United States Census Bureau. (2019). QuickFacts: Delaware. https:\/\/www.census.gov\/quickfacts\/DE"},{"key":"bibr27-08903344221108384","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-017-0307-4"},{"key":"bibr28-08903344221108384","unstructured":"World Health Organization. (2018). Implementation guidance: Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services\u2014The revised Baby-Friendly Hospital Initiative. https:\/\/apps.who.int\/iris\/handle\/10665\/272943"}],"container-title":["Journal of Human Lactation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08903344221108384","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/08903344221108384","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08903344221108384","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:33:41Z","timestamp":1777502021000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/08903344221108384"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,4]]},"references-count":28,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,2]]}},"alternative-id":["10.1177\/08903344221108384"],"URL":"https:\/\/doi.org\/10.1177\/08903344221108384","relation":{},"ISSN":["0890-3344","1552-5732"],"issn-type":[{"value":"0890-3344","type":"print"},{"value":"1552-5732","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,4]]}}}