CDC Updates Its Guidelines on Postpartum Contraceptive Use

The U.S. Medical Eligibility Criteria for Contraceptive Use, first published in 2010 by the CDC (JW Womens Health Jun 24 2010), continue to evolve as new data are incorporated. Now, a new update provides guidance about postpartum contraceptive use. The immediate postpartum period — defined as the first 42 days following delivery — is associated with 22- to 84-fold higher risk for venous thromboembolism (VTE) than that in nonpregnant or nonpostpartum reproductive-age women. The modest excess risk for VTE associated with estrogen-containing contraceptives has prompted a recommendation that use of these contraceptive options be restricted during the postpartum period. Fertile ovulation is unlikely until at least 42 days postpartum, lending sup…