Contraception: how to protect after delivery
I breastfeed - so I can not get pregnant
Most often, if you are breastfeeding,The natural contraception is the very process of breastfeeding. However, in this caseyoung mother should be extremely attentive, since it is often this attitude that becomes the cause of the next, absolutelyunplanned pregnancy. Why does this happen?
There are several signs that breastfeeding may be more a contraceptive method for you and you need to resort to another method of protection.
Increased feeding intervals. In order for breastfeeding a child to serve as a natural method of contraception and not to fail, it is important that the intervals between feedings be at least 4 hours a day and at least 6 hours a night.
If you are the happy mother of a baby who sleeps soundly and calmly all night, then you cannot fully rely on the contraceptive effect of feeding and should be considered additional methods.
Also, if you have given the baby food and missed one or more breastfeeding during the day, you should think about additional contraception.
Our mother-forumchanka Lileya tells: “I introduced the supplement to my son, he liked it, and it so happened that by 7-8 months he had already completely replaced several feedings. That is, I left my chest only for the night and for the morning. I thought - I still breastfeed, so condoms are not needed. Milk was enough. But soon began nausea and vomiting, so familiar with the last pregnancy. I bought the test - everything was confirmed. My husband was in shock for a long time, we have a small apartment, so we did not plan a second child so quickly. This is already the 7th month of pregnancy, we are waiting for the boy again, and the first son has just turned one and a half. ”
Start of menstruation. Any bleeding from the vagina in duration and profusion is a signal that the reproductive function of the ovaries is restored, and therefore you can become pregnant.
Our mother forumina Dina tells: “I started my period approximately six months after giving birth. They were not at all like before, just daub a couple of days.But I still fed a small breast and did not even think that I could get pregnant. But after a while it happened, and now there are already four of us! ”
ATthe age of the child is more than 4 months. Doctors-gynecologists assume that after you celebrate the first 4 months of your life with the baby (maximum 6), you need to think about protection regardless of whether you have started your period or not, and if you have introduced supplements. It's time to be careful and take care of reliable contraception.
Read also: Contraception after childbirth: what to choose?
What to choose?
Of course, not every contraceptive is suitable for a nursing mother. For example,tocombined oral contraceptives(COC), which contain estrogens and progestins during breastfeedingcontraindicated.
But there are many options.
The most common method of postpartum contraception iscondom, which when properly applied guarantees up to 98% of effective protection. In addition, the condom is a reliable protection against infections, which in the first months after childbirth can attack the extended cervical canal.
Often, after birth, young mothers notice that the amount of mucus in the vagina has decreased, which is why sexual intercourse in a condom can cause discomfort. The situation can be corrected by special lubricants, special lubricants that facilitate friction. It is better to buy them, like condoms, in pharmacies, and to choose neutral, without any perfumes and additional properties, so as not to cause irritation and allergies.
The second possible method of contraception areprogestin-only contraceptives- These are tablets containing only progestins. The contraceptive effect of such pills is lower than that of combined oral contraceptives, but in combination with lactation they are sufficientreliable subject to regular admission.
Do not worry that the hormone gets to the baby through your milk. Its doses are so minimal and insignificant, so they will not cause harm to the child. Progestin-only contraceptives are not affected by the amount of milk and the duration of lactation.
Be sure to check with your doctor the possibility of prescribing these contraceptives, especially in the caseif you have had or have problems with patency of the pipes, overweight, irregular cycle, liver function.
Usingspermicide- substances that destroy sperm, this is another possible method of contraception. These contraceptives are available in the form of special gels, pastes, foams, tampons, vaginal suppositories, tablets and ointments.
Most candles and pills need to be inserted into the vagina 15-30 minutes before intercourse (candles dissolve faster), the contraceptive effect lasts for 3-4 hours. Foam and cream is injected immediately before intercourse. Tampons can be entered in advance (valid 24 hours), the tampon is removed no earlier than 2 hours after intercourse.
Compared with hormonal and intrauterine contraceptivesspermicides have low efficiency(75-80%). Therefore, they are prescribed to lactating women in order to achieve the desired effect in combination with breastfeeding.
Contraindications to the use of spermicides are allergic to spermicide, endocervicitis, colpitis, or cervical erosion.
Intrauterine device contraception
Intrauterine device contraceptionis an effective method of contraception for lactating, as it does not affect the formation of milk.
Start usingintrauterine devicepossible 6-8 weeks after delivery (after termination of postpartum discharge). During the first week after the introduction is not recommended sex life and intense physical exertion.
Contraindicated intrauterine devices for inflammatory processes in the genital organs, since the spiral can promote the ascent of the infection with its penetration into the abdominal cavity. You also can not install a spiral with pathological changes of the uterus (developmental abnormalities, uterine fibroids, deforming the uterus, cervical stenosis).
After the start of the use of any intrauterine contraception, it is necessary to conduct a control examination of the gynecologist in a month, then in three months, then in the absence of complaints, one visit per year is sufficient.
The doctor's consultation
Head of the gynecological department of the stationary unit "Polyclinics for adults on the Left Bank" MM "Dobrobut", Ph.D. Popkov Alexander Vasilievich says:
"Contraception after childbirth changes significantly for several reasons.
Breastfeeding is in itself a method of prevention. When the baby sucks the breast in the mother's body, prolactin is released - a hormone that directly affects ovulation.
The more often the feeding - the more hormone and the egg does not ripen.The guarantee of protection may be limited to 4 months after deliveryand provided that breastfeeding is only natural. Laterthe method becomes less reliableand you need to pick something else.
If a woman feeds, then among reliable means of contraception can be used methods of setting intrauterine contraceptive pillars (spirals), pure progestin-only contraceptives or injections, a condom.
Combined oral contraceptives, those pills about which almost every woman knows,unsuitable, as the estrogen component contained in them inhibits lactation.
For the selection of contraceptives, discussion of their advantages and disadvantages for each individual,need to see a doctor. For example, violations of carbohydrate metabolism, increased coagulability,venous problems limit the use of hormonal drugs. And it can take into account a specialist, not a friend or someone from the outside.
When choosingprotection spiral- A visit to the doctor is necessary, as it is necessary to take a swab and eliminate inflammation. Also, only a doctor, can both put and remove the spiral.
Recruitmentpure progestin drugs provides forcertain restrictions: take the pills as directed by the doctor at the same time strictly to avoid a decrease in the contraceptive effect.
Injectable contraception("Depot-Provera") is a convenient and inexpensive method, it does not concede to reliability in terms of reliability, but it must warn that the patient may have long minor bloody discharge. It is effective for 3 months, although the effect of the injection can last for a longer period.
The beginning of the use of these funds - 6 weeks after delivery.
With the end of breastfeeding, it is also possible to use combined pills, a patch or a vaginal ring. "
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