Faisal-Cury A,  Menezes PR,  Huang H.  The relationship between perinatal psychiatric disorders and contraception use among postpartum women. Contracpetion 2013. 88(4):498-502. DOI: 10.1016/j.contraception.2013.02.003

A b s t r a c t

Background: The relationship between perinatal psychiatric disorders and the use of effective contraceptive methods among postpartum women served by primary care clinics has not been established. 
Study Design: This was a prospective cohort study with 831 pregnant women recruited from 10 primary care clinics of the public sector in Sao Paulo followed up to 18 months after delivery. 
Results: Among 701 postpartum women, 644 women (91.8%) had resumed sexual activity. Two hundred fifty-three women (39.2%) were classified as using a less effective contraception method (LECM). The presence of perinatal psychiatric disorder (in pregnancy and/or postpartum) was not associated with LECM. Resumption of sexual life 3 months or beyond after delivery was associated with LECM (odds ratio=1.28, 95% confidence interval: 1.02-1.56). 
Discussion: Although the use of an LECM after delivery is common, contraception choice is not associated with perinatal depressive/anxiety symptoms. However, women who delay the resumption of sexual activity after delivery should be counseled on the use of available contraceptive methods. (C) 2013 Elsevier Inc. All rights reserved.

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