Immediate birth control implant: safe for breastfeeding?
NCT ID NCT03978598
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study looked at whether placing the etonogestrel contraceptive implant (Nexplanon) within 24 hours of giving birth affects breastfeeding compared to waiting 4-6 weeks. 150 women who wanted the implant and planned to breastfeed were randomly assigned to one of the two groups. The main goal was to see if there was a difference in how many women were still breastfeeding 8 weeks after delivery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Etonogestrel implant (Nexplanon)
- What this could lead to
- If successful, this could help women choose the best timing for contraceptive implant placement without harming breastfeeding.
- What could go wrong
- This is a small, single-center Phase 4 study. Results may not apply to all populations, and the study relies on self-reported breastfeeding data.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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150 people
The number who actually took part.
- Started
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Jun 2019
- Finished
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Sep 2024
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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13 years and older
- Sex
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Female participants only
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Pregnant women or women who have delivered vaginally and by cesarean section within 22 hours (2-hour window will allow for implant insertion by 24 hours postpartum) * Aged 13 and older * English or Spanish speakers * Deliver an infant at UNM Hospital at \> 37 weeks gestational age * Intend to breastfeed * Desire the implant as a method for contraception * Agree to randomization * Must have a working phone (study questions to be answered through phone calls or accessed electronically by a link sent through email or text message) Exclusion Criteria: * Under age 13 * History of breast cancer (screen by past medical history) * History of undiagnosed vaginal bleeding (screen by past medical history) * Head trauma that affected pituitary function (screen by past medical history) * Prolactin insufficiency (screen by past medical history) * Previous lactation failure (defined as no lactation within 5 days postpartum) * Any contraindication to lactation/implant use including diseases transmittable by breast milk (screen by past medical history) * Liver dysfunction (screen by past medical history) * Use of drugs that inhibit lactation (screen by medical history) * Sensitivity to the components of the ENG implant (screen by past medical history) * Contraindications to use the implant by the (US MEC) (screen by past medical history) * Active labor * Delivery at \< 37 weeks gestational age
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Genom att skicka in godkänner du våra Användarvillkor
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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University of New Mexico
Albuquerque, New Mexico, 87131, United States
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University of Utah
Salt Lake City, Utah, 84132, United States
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