Only one-third of romantic male partners believed that a post-placental intrauterine device (IUD) was safe for breastfeeding mothers, according to a cross-sectional survey study in The European Journal of Contraception & Reproductive Health Care.
“The involvement of men in the prenatal and postnatal care of the mother and newborn promotes family health, and both breastfeeding and birth spacing contribute to positive health outcomes for mothers and children,” said principal investigator Lydia Furman, MD, a professor of pediatrics at Case Western Reserve University School of Medicine in Cleveland. “However, the key role of the father/male partner in supporting a choice of breastfeeding-compatible post-birth contraception such as the post-placental IUD, which promotes the health goals of breastfeeding and birth spacing, is understudied.”
Dr. Furman said minority men, as well as women, experience racial and economic discrimination that adversely impacts their health outcomes.
“The main purpose of the study was to identify male partner barriers to post-placental IUDs in women who plan to breastfeed in a predominantly African-American, high-risk population,” Dr. Furman told Contemporary OB/GYN.
A 42-question survey was administered between January and May 2018 to 75 men, 18 years and older, who were participating in workforce development classes at Passages, Inc. in Cleveland. Participants were mostly African American (66%), unmarried and had at least one child.
Data on partner priorities, opinions, and knowledge about breastfeeding and contraception, and barriers to partner IUD receipt were collected.
Overall, 56% of men reported using contraception with their current partner, and men who had discussions and agreed about contraception with their partner were more likely to use it.
In addition, 54% of men intended for a future child to breastfeed, with this intention more prevalent among men who had a child that was previously breastfed and who were aware of the benefits of breastfeeding.
Only 35% of men thought a post-placental IUD was safe for breastfeeding mothers, with correct IUD knowledge and a partner’s positive IUD experience significantly associated with this response.
Dr. Furman reports no relevant financial disclosures.