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Pregnancy: Pregnancy category X.
Lactation: Combination oral contraceptives given in the postpartum period may interfere with lactation, decreasing the quantity and quality of breast milk. Furthermore, a small amount of oral contraceptive steroids is excreted in breast milk. A few adverse effects on the breast-feeding infant have been reported, including jaundice and breast enlargement. If possible, defer use until the infant has been weaned, however, in some situations, breast-feeding is the only real alternative.
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