Contraception after childbirth, when you can take, views, modern methods

Many believe that it is impossible to get pregnant while breastfeeding. In fact, the chance of conceiving is much smaller, however, the ability to fertilize an egg is not completely eliminated. Therefore, for all the ladies who gave birth recently topical issue of contraception after childbirth. Details about the features and protection methods later in this article.

Features of contraception in the postpartum period

Doctors recommend starting sex at least a month and a half after the birth. But not all couples are willing to wait so long. In any case it is necessary to protect themselves from the first sexual intercourse.

If she absolutely refuses to use contraceptives after giving birth, she has to know under what conditions the possibility of pregnancy is almost zero. There are several such conditions:

1. Breastfeeding begins immediately after birth.
2. A child should only be breastfed without supplemental feeding and mixtures.
3. Breastfeeding should be as frequent as possible: a minimum of every 3 hours during the day and night at intervals of 6 hours.
4. Absence of menstruation.
5. It took no more than six months after giving birth.

Even compliance with all of these conditions does not give an absolute guarantee. And early pregnancy interferes with breast-feeding baby. In addition, there is a greater likelihood of developing complications.

Important! On the recommendations of the doctors, the minimum interval between births should be two years, and the best - for three years.

The easiest option contraception after pregnancy - use of condoms. It not only prevents unwanted re-pregnancy, but also protects against infectious diseases. But sometimes the use of condoms is not suitable partners. This may be a variety of reasons: the discomfort of vaginal dryness, dullness natural sensations. Therefore, you should pay more attention to contraception for women after childbirth.

Modern methods of contraception for women after childbirth

Contraceptives, which she uses after birth, should have several characteristics:

• effectively protect against re-fertilization oocyte;
• have some activity against infections, sexually transmitted;
• be completely safe for women and children;
• not have a significant effect on the hormones.

These properties are the vast majority of modern forms of contraception for women after childbirth.

Birth control pills after childbirth

Action tablets based on the change in hormone levels in the blood. This prevents the maturation of the follicle in the ovary and the release of the egg. Also under the influence of these preparations varies structure layer of the uterus (the endometrium), which is closer to its cavity, whereby the egg can not attach to the wall of the body.

A special feature of postpartum hormonal contraceptives is that they must be composed of only the hormone progesterone, not estrogen. Then a drug will not hurt breastfeeding.

When after delivery can take birth control pills

Doctors are allowed to start drinking the pill after 4 weeks after giving birth to non-breastfeeding mothers breastfeed and for nursing - at least 6 weeks.

How to drink contraceptive pills after childbirth

Oral contraceptives should be taken strictly according to schedule. Woman drinking them every day, almost at the same time. Permissible difference of one hour. The daily dose - one tablet.

Warning! Breaks are not allowed!

You must adhere to these rules as to prevent pregnancy constant increased amount of the hormone in the body must be maintained.

What better to take birth control pills after childbirth

Among all the abundance of contraception should be preferred drugs called "mini-pill". These medicines include:

• "Femulen";
• "Kontinuin";
• "Ekslyuton";
• "Charozetta".

Their peculiarity is that they are composed of only a hormone called progestin, or progesterone. It does not change the composition of breast milk, and not transferred to the child through breastfeeding. The amount of the hormone in the "mini-pill" is less than the standard progestin tablets, which causes them to a lower efficiency.

Tip! For the best effect it is necessary to combine the "mini-pill" and barrier methods of contraception.

"Mini-pill" made especially for mothers who breastfeed. They are also suitable for women in menopause (age over 45 years). The medication non-breastfeeding girls of reproductive age leads to gross violations of the menstrual cycle.

Despite the high efficiency, the use of oral contraceptives after childbirth has several disadvantages:

• do not provide protection against infectious diseases;
• the need to take pills on schedule;
• can cause undesirable side reactions: nausea and vomiting;
• may affect the frequency and abundance of menstruation;
• missing even one drug administration significantly reduces the effectiveness of the drug.

Intrauterine device

Another effective method of contraception - the intrauterine device (IUD). It does not affect the amount of progesterone, and therefore does not cause the development of unpleasant side effects, does not distort the menstrual cycle.

If you have a natural birth without complications, you can put a spiral within 6 weeks.

The main contraindications to the formulation of the helix after delivery - caesarean. After this surgery on the uterus is the rumen. Constant exposure to it from within an external object such as intrauterine devices, can lead to rupture of the scar. IUD use is contraindicated with other pathological conditions:

• endometriosis - endometrial proliferation in places where normally it should not be;
• Dysmenorrhea - inflammation of the lining of the uterine wall;
• severe heart disease and blood vessels.

If a woman has decided to use as a contraceptive IUD after delivery, its installation and removal should be entrusted to the gynecologist. You also need to go for a check twice a year, as the wearing of spiral increases the risk of inflammation of the genital organs.

Barrier methods of contraception after childbirth

There are a number of barrier contraceptive methods for women after childbirth:

• diaphragm;
• cap.

Setting the cap or diaphragm does not affect breastfeeding. Feature contraception after giving birth with the help of these methods that should choose the larger size of the expansion of the birth canal. The first time installation of the diaphragm and the cap must carry gynecologist. To begin their use is allowed after 6 weeks postpartum.

chemical contraceptives

Spermicides - are drugs that have the ability to destroy the sperm. they also have activity against infectious agents. They are considered one of the least effective contraceptives in preventing pregnancy. Therefore, they are best used in combination with a tablet formulation.

Injectables

Injection - is another form of protection progestins, which are recommended for use after delivery. This drug is called "Depo-Provera." It is administered once every two months by intramuscular injection. As with pills, injections should be regular. Only in this way, a high efficiency of the method.

Injectable contraceptives or tablet with a barrier method is recommended for use as contraception after cesarean section. These drugs do not irritate the uterus from the inside, and therefore can not lead to its rupture.

doctors' recommendations

Obstetricians recommend that women be protected even during breastfeeding. Thus it is desirable to use the two methods simultaneously. This will increase the effectiveness in terms of protection against repeated pregnancy and prevent sexually transmitted infections.

the latest generation of contraception doctors called subcutaneous implants, which are installed on the inner surface of the shoulder. They are composed of the progestogen which is continuously released in small doses. One-time installation of the implant prevents the development of pregnancy for three years.

conclusion

Contraception after birth should be a matter of paramount importance for a young mother. Early repeated pregnancy - the risk for already-born baby and for the mother and the unborn child. Therefore, about contraception after giving birth, women should consult their obstetrician-gynecologist during the pregnancy in order to choose the best protection option.