The article was consulted professionally by Specialist Ii Pham Thi Tuyet Mai – Obstetrician and Gynecologist – Obstetrics and Gynecology Department – Share99 Hai Phong International Health Hub.
After childbirth, women are often encouraged to breastfeed. Therefore, learning about contraception is both the most effective contraceptive and does not affect the source of breastfeeding milk is something that most mothers are interested in.
1. Ability to conceive after birth
The ability to conceive will depend on the time of menstruation again in the female body. After birth at the 6th week the female body will return to normal. Menstruation will return depending on whether breastfeeding or not. If a woman is fully breastfeeding, menstruation will appear in the 6th week 2019, on the contrary, if not breastfeeding, menstruation will return at the 3rd – 4th week after birth. Initially it will be menstruation, after 3 months the menstruation will stabilize again. Note, ovulation may occur before menstruation.
The onculation begins to mean the ability to conceive immediately after birth. Therefore, during this period if there is sex, women need to use post-birth contraception.
2. What contraceptives should be used after birth?
Experts recommend that post-breastfeeding women should take hormone-free contraceptives as this will not affect the source of breast milk. Some non-hormone contraceptives can be mentioned as: infertility during breastfeeding,condoms, placing contraceptive rings. Some other uncommon remedies such as vaginal diaphragm, cervical cap, spermicide …
3. Safe post-birth contraceptives when breastfeeding
As said above, the best post-birth contraceptives during breastfeeding are hormone-free methods of contraception.
3.1. Methods of infertility during breastfeeding
This is one of the post-birth contraceptives that many women apply. According to the recommendations of the Ministry of Health, ines kinhnation breastfeeding is a temporary method, not highly effective, should not be recommended for those who easily conceive.
The advantages of this method are: simple, easy to implement, no side effects, no cost, no effect on sexual contact, no effect on the source of milk for the child and also the body.
How does lactation infertility prevent conception? The secretion of milk and breast sucking affects how the mother's body produces hormones. Specifically, it inhibits the hormones FSH and GnRH (2 hormones that stimulate the m maturity of eggs leading to menstruation). When the baby breastfeeds, the mother's body secretes a hormone called prolactin – this hormone will inhibit FSH and GnRh, which in turn will inhibit the process of ovulation and no menstruation appears.
Conditions for successful application of breastfeeding anesth intotra-contraception include:
- Breastfeeding completely.
- Women who have not had menstruation returned within 56 days of birth.
- Have children under 6 months old.
Breastfeed completely and do not use a bottle of milk. Because the baby's milk sucking movement plays an important role in this contraceptive. The interval apart after each day feeding is no more than 4 hours, and at night it is no more than 6 hours. Breastfeed whenever you want. Breastfeeding should be maintained even when both the mother or baby is sick, in addition to breastfeeding the baby does not eat anything else.
Other contraceptives should be switched if:
- Have menstruation again (do not count the amount of blood released in the first 6 weeks after birth).
- Mother does not breastfeed completely or has fed her baby additional food supplements.
- Have children over 6 months old.
- Use of the drug during lactation.
- When new infections such as viral hepatitis, HIV…
Absolute contraint specifying the following cases:
- Mothers are taking contrained medications during breastfeeding such as anti-freezing, anti-conversion, bromocriptin, high-dose corticosteroids, ergotamin, lithium, antidepressants and drugs with radioactive iss.
- The condition of the baby affects breastfeeding: the baby has a foreign body in the mouth, pharynx – throat, the baby is born prematurely or small compared to the gestational age that requires special care and the baby has a digestive disorder.
3.2. Set the contraceptive ring
Placing the contraceptive ring is an effective method of contraception, which does not affect breast milk at all, suitable for women while breastfeeding.
The earliest period of place of the contraceptive ring is after the first 6 weeks after birth. But if in case of caesarean section should wait 6 months to put. It is not recommended to put the contraceptive ring too early after birth, let the uterus be restored to its normal size.
If 3 months after birth there is a return to menstruation, the contraceptive ring can be placed after the end of menstruation. If there is no menstruation after 3 months of birth, it is necessary to check if there is an early pregnancy. Then you will be given progesterone injections continuously for 3 days to wait for the hemorrhage, after the end of the hemorrhage will proceed to put the ring, no later than 7 days.
3.3. Post-birth contraception with a condom
This is the most common and effective contraceptive. For women who are breastfeeding, it is possible to use a condom early after birth, used the first time when you have sex again, without affecting breast milk at all.
The above are some effective post-birth contraceptives for women, safe, easy to implement and does not affect the source of milk for children. Before deciding to use any post-contraceptive method requires a thorough consultation from a doctor.
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