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Pregnancy: Although preliminary evidence suggested that oral contraceptives could cause serious fetal toxicity when administered to pregnant women, the use of oral contraceptives prior to or during early pregnancy is not likely to cause teratogenic effects based on current evidence. However, since the risks of contraceptive use clearly outweigh any possible benefit in women who are pregnant, these agents are contraindicated in such women.
Lactation: Combination oral contraceptive given in the postpartum period may interfere with lactation, decreasing the quantity and quality of breast milk. Furthermore, small amounts of contraceptive steroids are excreted in breast milk. If possible, defer use until the infant has been weaned.
