title: How does gestational diabetes affect postpartum contraception in nondiabetic primiparous women?
abstract: 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.
authors.affiliation: Graduate Program in Public Health, Eastern Virginia Medical School, Norfolk, VA 23501-1980, USA. baydouha@evms.edu
authors.forename: Hind A
authors.initials: HA
authors.lastname: Beydoun
authors.forename: May A
authors.initials: MA
authors.lastname: Beydoun
authors.forename: Hala
authors.initials: H
authors.lastname: Tamim
mesh_terms: 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