How does gestational diabetes affect postpartum contraception in nondiabetic primiparous women?
BACKGROUND
The aim of the study is to explore the effect of gestational diabetes mellitus (GDM) on postpartum contraception among nondiabetic primiparous women.


METHODS
Secondary analyses of 2004-2005 Pregnancy Risk Assessment Monitoring System data from Michigan and Oregon.


METHODS
Analyses were performed on 2332 women, taking complex survey design into consideration. Crude and adjusted odds ratios (cOR; aOR) and their 95% confidence intervals (CI) were obtained using logistic regression analyses.


RESULTS
Postpartum use of hormonal (aOR=1.12, 95% CI: 0.68-1.83) and nonhormonal (aOR=1.18, 95% CI: 0.73-1.92) contraception were not influenced by GDM after controlling for confounders. Female sterilization was more frequently adopted (cOR=4.99, 95% CI: 1.13-22.17) and depomedroxyprogesterone acetate (DMPA) (cOR=0.53, 95% CI: 0.23-1.18), diaphragm/cervical cap/sponge (cOR=0.13, 95% CI: 0.016-0.95) and cervical ring (cOR=0.13, 95% CI: 0.017-0.98) were less frequently adopted by women reporting GDM diagnosis.


CONCLUSIONS
With few exceptions, GDM does not appear to affect postpartum hormonal and nonhormonal contraception.
Beydoun
Hind A
HA
Graduate Program in Public Health, Eastern Virginia Medical School, Norfolk, VA 23501-1980, USA. baydouha@evms.edu
Beydoun
May A
MA
Tamim
Hala
H
D000293:Adolescent; D000328:Adult; D003267:Contraception / Q000379:methods*; D016640:Diabetes, Gestational / Q000503:physiopathology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D015999:Multivariate Analysis; D049590:Postpartum Period; D011247:Pregnancy; D012044:Regression Analysis; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D055815:Young Adult