For some women, LAM can be a very effective family planning method as long as certain conditions are met:. If the mother and baby meet all of these conditions, then the chance of pregnancy is very low, less than 2 percent according to World Alliance for Breastfeeding.
If any of the factors listed above change, the woman should consider using additional birth control to prevent pregnancy. These range from readily available and relatively inexpensive options, such as condoms, to devices requiring a prescription and surgical options. Some of these options include:. Physical barriers to conception, such as condoms, diaphragms, or the cervical cap, are still an effective method of contraception. Doctors usually advise women to wait until their first postpartum check before inserting anything into their vagina.
This is because there is a higher risk of infection until the cervix has closed and any tears have healed. Also, many women find that they need to be resized for a new diaphragm or cervical cap, due to the cervical and vaginal changes that occurred during pregnancy, delivery, and recovery.
There are two different types of IUDs: copper and hormonal. Copper IUDs are a highly effective form of birth control that do not have any effect on the milk supply. The IUD is a small coil that is, in this case, wrapped in a small amount of copper.
It prevents implantation, sperm movement, and fertilization. A doctor needs to insert an IUD, which is effective in preventing pregnancy for up to 10 years. If a woman decides that she wants to get pregnant again, the IUD can be easily removed. This method is a permanent form of birth control and involves cutting the fallopian tubes, which connect the ovaries to the uterus.
Tying up or blocking the tubes then completely prevents sperm cells from meeting with an egg. Many women choose to have this procedure done during a planned cesarean delivery.
According to the Infant Risk Center , most forms of hormonal contraceptives are probably safe and will not affect a nursing infant.
Hormonal birth control usually contains forms of the hormones estrogen and progesterone. This is a bigger risk in women who are nursing an older baby, or those who are already dealing with low milk supply issues.
POPs are similar to a traditional birth control pill but only contain progesterone. These types of pills do not contain any sugar or placebo pills, so each of the pills the woman takes will be active. Depo-Provera is a progesterone-only injection that will protect against pregnancy for up to 3 months. They were all the levonorgestrel IUDs. There was no difference in the number of women breastfeeding at 6, 12, and 24 weeks.
This study adds to the growing body of evidence that concludes most women can successfully breastfeed with immediate placement of an IUD Levi Insertions were done at weeks post-partum.
The data shown below demonstrates that there is no significant difference in the number of women breastfeeding. For example, in Table 1 Women who were breast feeding with or without formula supplementation was The percent of women breastfeeding remained similar between the groups when their babies were 6, 9, and 12 months old, showing that the net cumulative rates of breastfeeding were in general high and comparable in both women who had progesterone IUD or Copper IUDs.
In conclusion, from the above well-done studies the data suggests that women who choose to get an IUD after their delivery demonstrates no significant difference in when their milk comes in, how long they can breastfeed their baby, and the growth and development of their baby. Disclaimer: IUDs inserted post-partum have an small but increased risk of expulsion of the device from the uterus and perforation of the uterus, so you should discuss these and other complications with your physician before the procedure.
Breastfeeding December 13, Turok In another study, they raised the stakes even higher by comparing 63 women who received an intra-cesarean IUD during the c-section to women who received IUD insertion at 6-month post-partum.
Hale, Ph. Placement of levonorgestrel intrauterine device LNG-IUD at the time of cesarean delivery and the effect on breastfeeding duration. Contraception, 96 4 , Shaamash, A. For most mothers, progestin-only forms of contraception do not cause problems with milk supply if started after the 6th-8th week postpartum and if given at normal doses. However, there are many reports most anecdotal but nevertheless worth paying attention to that some women do experience supply problems with these pills, so if you choose this method you still need to proceed with some caution.
If you find that you are among the women whose supply drops significantly due to progestin-only birth control, you can simply discontinue the pills — rather than struggling with low milk supply for several months until the injection wears off or you get the implant or IUD removed.
Do note that the progesterone-releasing IUD delivers its hormone directly to the lining of the uterus, which only leads to a slight increase in progesterone levels in the blood stream much lower than that found with the progesterone-only pill.
As a result, there is much less chance of side effects from the progesterone than from the injection or mini-pill. Milk composition: At higher doses than normal this type of pill can affect the content of breastmilk.
At regular doses, this does not seem to be as likely. Milk supply: Estrogen, in particular, has been linked to low milk supply in nursing moms. There may be a slight drop in milk supply a few days after taking the morning-after pill, but milk levels should rebound thereafter. See Increasing Low Milk Supply for additional info on increasing milk supply.
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