Hormonal contraception in postpartum patients with gestational diabetes mellitus

Abstract

Gestational Diabetes Mellitus is a severe complication in every pregnancy at risk, influencing the clinical outcome in postpartum evolution and affecting women predisposition to future diabetic pathologies. Our study goal was to determine which type of hormonal or non-hormonal contraception method nondiabetic women with past GDM used in their first 6 months postpartum. Results showed that Progestogen-only pill (40.0%) and Levonorgestrel-releasing intrauterine device (23.1%) were the most used contraceptives. Around 56% of the patients were not satisfied using the Barrier method, whereas 67% of the patients in the less than 25 kg/m2 BMI group reported adverse events. Special consideration must be applied in order to support obese patients and those perpetuating noxious habits.