North American Registry of Midwives (NARM) Practice Exam

Can Norplant be utilized by women who are currently breastfeeding?

1. Yes, without restriction

2. No, but it can be implanted immediately after delivery

3. Yes, but only after a month

4. No, it should only be used after six months

The correct answer is: No, but it can be implanted immediately after delivery

Norplant, a long-acting reversible contraceptive, is indeed safe for use by women who are breastfeeding. However, it’s most beneficial and practical to delay its implantation until after delivery. Given the hormonal system's dynamic nature postpartum and the risks associated with immediate postpartum hormonal contraception, healthcare providers often recommend waiting a short period after childbirth before introducing any hormonal contraceptive methods, including Norplant. The timing of Norplant's insertion is crucial. Inserting it immediately after delivery may pose additional concerns regarding the immediate postpartum period and the mother's recovery, as well as the potential impact on breastfeeding. Research indicates that while Norplant is compatible with breastfeeding, ideally, its implantation is most effective when the mother is more stable and less affected by the physical demands of childbirth. Thus, while it can be implemented soon after delivery, prioritizing the mother's health and comfort is a key consideration, which is why it is typically recommended to wait. This understanding reflects the recommendation that while Norplant is safe for breastfeeding mothers, the specific timing of its implementation should be carefully considered, enhancing maternal and infant health outcomes.