Trends in postpartum contraceptive choice.

Patterns of postpartum contraceptive choice are analyzed in a middle class private practice population between the years 1966 and 1981. The effect of age, parity, difficulty in conceiving, future pregnancy plans, and type of delivery are noted. A general decline in the use of oral contraceptives and intrauterine devices with a corresponding increase in the use of barrier methods is documented. Although very few changes among contraceptive techniques occurred between six weeks and six months post partum, an appreciable number of patients, more than half the sample, did change contraceptive techniques between pregnancies. Thus, women perceive different needs at different times during their reproductive lives. To serve patients effectively, a wide range of contraceptives must be available to accommodate changing demands.