Importance of contraception of the postpartum period
Today, one can not rely on the assurances of grandmothers and moms that during pregnancy the pregnancy can not occur. Breastfeeding only temporarily weakens the ability to conceive, but does not eliminate it completely. Therefore, a new ovulation after childbirth is quite possible. You do not need to postpone the question of choosing a contraceptive for later. After all, such procrastination can turn into another pregnancy. And this oh, how undesirable!
The uterus in the first month after birth will shrink and will regain its former shape. Ovaries will resume the traditional cycle of producing female hormones, which are needed for conception.
In women who are not breastfeeding, menstruation is restored 2-3 months after the birth of the baby. But it happens that this happens before - after 4-6 weeks. This means that the maturation of the egg occurred 2 weeks ago - and the female body is ready for a new pregnancy.
If a young mother breastfeeds a child or misses night feeding, her menstrual cycle is restored more quickly. This is the reason for the fact that contraception is unreliable by the method of breastfeeding the baby (lactational amenorrhea).
Methods of contraception after childbirth
It should be consulted with a gynecologist, which method of protection from unwanted pregnancy from the many possible will suit you. And there is always something to choose from:
- Natural methods. These include the measurement of basal temperature and the calendar method. It is important not to apply them until the menstrual cycle is fully restored. After all, without this, it is simply impossible to calculate the period of onset of ovulation. The basal body temperature should be measured daily, but the baby's night feeding affects this temperature and measurements may not be completely reliable. The calendar method was never very reliable either. Even with a regular cycle, it can not be considered effective.
- Vasectomy, that is, male sterilization. It can be done to a man at any time. However, what kind of man voluntarily agree to this? The method is acceptable for those couples and men who are certain that they no longer want to have children. In addition, it must be taken into account that this method is irreversible.
- Female sterilization, that is, tubal occlusion, is the most effective method of contraception. It is irreversible, conducted to women over 35 years of age or for medical reasons. This method can not be used under the influence of emotional stress.
- Barrier methods. Such methods are the most common in couples. Diaphragm, cap or condom does not affect breastfeeding. The size of the diaphragm and the cap should be clarified, since the one that was before the birth can change after them. The diaphragm can be used only after 6 weeks after delivery. Condoms are probably the simplest method of barrier contraception.
Contraception after delivery
- Intrauterine spiral. These drugs do not affect breastfeeding. They are acceptable during lactation, because they are very reliable. In uncomplicated births, an intrauterine device can be administered in the postpartum period. The optimal time is 6 weeks after the birth. Intrauterine spirals (IUD) are administered by a gynecologist in the absence of contraindications, in particular inflammatory processes, erosion.
- Combined oral contraceptives. Their nursing mothers can not be used! These drugs reduce the amount of breast milk, affect the normal development of the child. Reception of tablets nursing mothers can begin only after the cessation of feeding. If a woman does not breastfeed, then these contraceptives can be used 3 weeks after the birth of the baby.
- Progestin Contraceptives. Progestin preparations for breastfeeding do not affect the duration of lactation, either. They do not harm the health of the child. They are the most convenient form of protection from a desired pregnancy. Reception of tablets is recommended to begin in 1. 5 months after delivery to nursing mothers, and not nursing - from the fourth week after them.
Before applying any method of contraception after childbirth, always consult a gynecologist who led you during pregnancy. He will advise you on the most optimal method or contraceptive, based on the characteristics of your body and the condition of the female reproductive system.