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Although lactational amenorrhea offers modest protection from pregnancy soon after childbirth, its effects wane within 6 months of delivery. In addition, many new mothers do not return for postpartum care. Thus, provision of long-acting reversible contraception before hospital discharge can be advantageous (JW Womens Health Dec 2 2010). The etonogestrel contraceptive implant provides 3 years of highly effective contraception with rapid return of fertility on removal. To evaluate the effects of early postpartum placement of the etonogestrel implant on lactogenesis stage II (milk “coming in”), 69 peripartum women who requested the etonogestrel implant were randomly assigned to early (1–3 days) or standard (4–8 weeks) postpartum placement. A n…