Postpartum examination, breastfeeding, and contraception in the postpartum period in the Czech Republic

Department of Obstetrics and Gynaecology, First Medical Faculty, Charles University in Prague, Prague, Czech Republic; University Hospital Na Bulovce, Budinova 2, 180 00 Prague, Czech Republic
Central European Journal of Medicine (Impact Factor: 0.26). 01/2011; 6(1):76-82. DOI: 10.2478/s11536-010-0055-0

ABSTRACT In the majority of recent textbooks of obstetrics, a routine follow-up examination at the end of the postpartum period is
recommended. To date, no studies have been done in the Czech Republic addressing use of contraception and follow-up care in
the postpartum period. Questionnaires were sent to 672 participants who gave birth in the year 2008, inquiring about follow-up
examinations in the postpartum period and use of contraception. In total, 458 (68.2%) questionnaires were returned. 430 women
(93.9%) underwent routine examinations at 6 weeks into the postpartum period. At the time of examination, 36 women were asked
about their particular health problems (8.4%). In 130 instances, the question most often addressed by the outpatient gynecologist
concerned use of contraception (30.2%). However, only 34 physicians expressed concern about changes in sexual life or other
sexually related problems. 426 women (93.0%) were sexually active and 310 women (72.8%) did not use any contraception with
the exception of breastfeeding. The current practice of outpatient gynecological visits at 6 weeks postpartum and advice on
contraception both seem inadequate.

KeywordsPostpartal examination-Contraception-Breastfeeding-Sexuality-Puerperium

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