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©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Obstet Gynecol. Aug 10, 2015; 4(3): 52-57
Published online Aug 10, 2015. doi: 10.5317/wjog.v4.i3.52
Published online Aug 10, 2015. doi: 10.5317/wjog.v4.i3.52
Urgent need to change clinical practices about postpartum contraception
Crystal Goldsmith, Anita L Nelson, Department of Obstetrics and Gynecology, University of Southern California, Los Angeles, CA 90033, United States
Anita L Nelson, Department of Obstetrics and Gynecology, David Geffen School of Medicine at Harbor-UCLA, Manhattan Beach, CA 90266, United States
Author contributions: Both Goldsmith C and Nelson AL contributed substantially to this work.
Conflict-of-interest statement: Goldsmith C has no conflicts of interest to disclose; Nelson AL has the following conflict of interest disclosures: Research grants from Bayer, Agile; Speakers Bureau honoraria from Actavis, Bayer, Merck, Pfizer, Teva; and Consultant/Advisory Board member for Actavis, Agile, Bayer, ContraMed, Merck, Teva, MicroCHIPS Biotech, and PharmaNest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Anita L Nelson, MD, Department of Obstetrics and Gynecology, David Geffen School of Medicine at Harbor-UCLA, 1457 3rd Street, Manhattan Beach, CA 90266, United States. anitanelsonwhc@earthlink.net
Telephone: +1-310-9377226 Fax: +1-310-9371416
Received: January 30, 2015
Peer-review started: January 30, 2015
First decision: March 6, 2015
Revised: March 26, 2015
Accepted: May 8, 2015
Article in press: May 10, 2015
Published online: August 10, 2015
Peer-review started: January 30, 2015
First decision: March 6, 2015
Revised: March 26, 2015
Accepted: May 8, 2015
Article in press: May 10, 2015
Published online: August 10, 2015
Core Tip
Core tip: The postpartum period is an ideal opportunity to initiate highly effective contraception, yet many women leave the hospital without any contraception. Provision of highly effective contraceptives, in particular long acting reversible contraceptives, such as intrauterine devices and contraceptive implants, is safe, desired, effective and cost saving. We review the need for immediate postpartum contraception and recommend changes within the medical system to facilitate this change.