Article

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
Central European Journal of Medicine (Impact Factor: 0.21). 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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