Contraception after pregnancy

Contraception after pregnancy.

Among young mothers There is a common belief that in the first months after birth, while a woman is breastfeeding and menstruation has not yet recovered, can not get pregnant. In general, mothers are right. However, in order to accurately pregnancy has not occurred, should four conditions are met.

  1. A woman should only breast-feed your baby without artificial lactation aid.
  2. The child must take the breast every 3 hours during the day and one at night time, and the gap between night feedings are notshould more than 6 hours. Feeding occurs more frequently the more effective the method.
  3. Menstruation has not yet emerged.
  4. After birth, was no more than 6 months.

If even one of these conditions is not met, quite unexpectedly woman can again be "in position". And then good is not enough. New pregnancy will hinder breast-feeding a baby. Too short a period between pregnancies can lead to complications of pregnancy and the birth of a premature baby. According to doctors, the minimum interval between births — two years, and the best — from two and a half to three and a half years.

Everyone knows that to start having sex after birth preferably not earlier than 4-6 weeks. However, many married couples begin to have sex almost immediately after birth. In this case, you need to be especially careful: after all, the new pregnancy may come before the appearance of the first menstrual period.

Without waiting for trouble, start immediately to protect themselves from the very first sexual intercourse. By choosing contraception, you must take into account that woman Now is the nursing mother. Contraception should not affect the quality and quantity of breast milk.

Intrauterine

The most appropriate method of protection against pregnancy — intrauterine device (IUD). It operates efficiently (90% reliability), and has no effect on milk production. In uncomplicated childbirth, and the absence of contraindications spiral can be administered after only 6 weeks after delivery.

Like the others, this method has its drawbacks. The spiral can not be installed in inflammatory diseases of the genital and heavy and painful menstruation.

Deliver and remove the coil itself will not work, trust is not an easy thing experienced gynecologist.

Barrier contraception

Use of a diaphragm or cap also does not interfere with lactation (milk production) and does not affect the health of the child. If you used a diaphragm and cap before birth, it is now necessary to specify the size of them, as you may need more. It is advisable to wait for the end of the postpartum period (6 weeks after partum) before trying on the diaphragm. Selection and introduction of the diaphragm for the first time should to a doctor.

Can be protected with condoms. However, their use may be temporarily difficult as during breast-feeding women produce less vaginal lubrication. This will help to solve the problem of spermicide ("Pharmatex", "Kontratseptin", "Patenteks oval"), which not only immobilize and kill sperm, but in the process and act on the majority of infections, sexually transmitted diseases. The reliability of this method without using a condom — 80-95%, And a condom — 99.9%.

Hormonal contraception

Most birth control pills (combined) contains two female sex hormones — estrogen and progestin. However long been known that estrogens reduce the amount of breast milk, reduce the duration of lactation and may affect the normal growth of the child. Therefore, a woman who wants to breast-feed your baby as long as possible, combined hormonal pills will not work. In this case, come to the aid mini-pill — tablets containing only progestin.

In contrast to the combined means mini-pill have lower contraceptive "potential" and require care — they need to be taken strictly at the same time. Acceptance of such tablets can be started six weeks after childbirth.

Hormone injection ("Depo-Provera") Also does not interfere with lactation. The first injection of the drug needs to be done lactating women at 6 weeks postpartum and non-breastfeeding — 4 weeks after giving birth. A single injection of the drug provides protection against the development of unwanted pregnancy for up to three months. However, recovery of menstrual cycle after such injection may be sufficiently long.

Sterilization

Absolute and absolute guarantee of the absence of pregnancy only provides sterilization — tubal ligation and cross pipes. It can be done simultaneously with or after cesarean delivery with a modern surgical technique — laparoscopy, leaving no surgical scars. Sterilization — very convenient and reliable method of contraception, popular all over the world. However, you must be absolutely certain that no longer want to have children.

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