A majority of women in developing countries do breastfeed exclusively but for short durations, hence they may be sometimes unknowingly exposed to the risk of pregnancy if they are relying on nursing for contraceptive protection.
The WHO’s recommends the use of different contraceptives in the first year postpartum depending on whether the woman is nursing or not and the time since delivery.
Second, expert opinion is coalescing around a recommendation that birth to pregnancy intervals of at least 2 years is desirable for optimal maternal and child health (MCH) outcomes.
Short birth to pregnancy intervals may result in potentially unsafe abortions (if the woman has had unintended pregnancy) and poor infant outcomes such as stillbirth, preterm birth, low birthweight, and small size for gestational age.
Exclusive breastfeeding, with frequent episodes of suckling, confers a good degree of pregnancy protection up to 6 months postpartum by delaying ovulation and the return of menses.
However, women in many developing countries breastfeed exclusively for short durations; for example, in Nigeria, Kenya, and Senegal, women breastfeed exclusively for less than 2 months.
Breastfeeding in sub-Saharan Africa is near universal with fairly long durations, a situation that increases the effectiveness of PVR.
Ross and Winfrey’s analysis of 27 DHSs found that only 3% of postpartum women wanted a baby within 2 years; or in other words, 97% did not want a baby.The PVR has been recently included in the WHO The interest in postpartum contraception stems from three fronts.First, women who have just delivered are focused on bonding with their newborn babies and are rarely seeking a new pregnancy.Third, since the mother and the baby are likely to be in contact with health programs for postnatal, well-baby, or immunization services, it may be easier to integrate family planning (FP) information and services at the same visit and thereby maximize opportunities to cover unmet need.Thus, it behooves that FP programs address women’s contraceptive needs for the health of mother and baby, and contribute to reducing maternal and infant mortality.