Contraception and breast-feeding

protivozacsredstvToday family planning is one of the priorities in gynaecological practice, particularly when a family has an infant. Not all families mentally and financially prepared for the birth of dogodkov, and abortion for women who recently had given birth and breastfeeding – it is also a negative impact on health. Therefore, contraception after birth on the background of breastfeeding, after the beginning of an intimate relationship between spouses is one of the most important tasks.

Contraception after childbirth

Today there are many methods of protection from unwanted pregnancy, but their effectiveness varies, as there are relatively reliable and unreliable methods. Against the background of lactation after childbirth remains a relatively long period of amenorrhea, absence of menstruation by blocking the functioning of the ovaries in the maturation of the egg in the background of lactation. This phenomenon is used by many couples practicing a method of birth control MLA (lactational amenorrhea method). In addition, there is the matrimonial calendar, this vyschityvanii safe days as well as the coitus interruptus, in which the sperm does not fall inside a woman’s vagina. There are also barrier protection – condoms and vaginal caps and membrane preparations for oral hormonal contraception and IUDs. The most radical method of protection is becoming the method of transection or ligation of the fallopian tubes in women or the VAS deferens in men.

When you need to think about contraception

In fact, since the beginning of intimacy, the issue of contraception should occur, as even with intensive breastfeeding MLA may not work, because its efficiency reaches 95-96%, that is theoretically 4-5% of women can get pregnant. So, starting 8-10 weeks after birth, ran out of allocation, or with the beginning of regular menstruation pregnancy is quite likely, and need to decide on how to protect themselves. Each method has its undeniable advantages and disadvantages, the most reliable and undisputed method is abstinence only.

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MLA breastfeeding

MLA is a method of lactational amenorrhea the practice of many nursing women. If all the rules of this method are its efficiency up to 96%, therefore it is convenient to many couples the first time after giving birth.

The undoubted advantage is its naturalness, ease of use, and free. A significant disadvantage is the degree of reliability, significantly dependent on strict compliance with rules breastfeeding.

It is important

To practice this method, if breast-feeding does not allow pacifiers, supplementary feeding and giving water, applying strictly on demand, including night, a baby sucks actively, and mother has no menses.

Usually it is practiced prior to the introduction of complementary foods to childrenwhen it already loses its efficiency and degree of protection. On the background of active and full guards with no breaks usually no menstruation, ovulation is suppressed due to the active secretion of hormones of lactation and conception does not occur. Typically, this method is practiced by those couples who are not worried about possible contamination in 4-5% of those who can get pregnant.

The calendar method is in HS

One of the methods of natural contraception is the keeping of marital calendar (often along with measurements of basal temperature). The effectiveness of the method when GV is low, although conception can occur before the first menstrual period, and in this method focused on the time period.

Please note

Due to the hormonal alterations ovulation can be displaced, respectively, as “vagrants” and safe days.

On the background of the GW to use it, except that in the second year of breastfeeding, when menstruation and the snake is established, the terms of its stable, and hormonal effects on reproductive function are not so great. Efficiency ranges from 40 to 65%, depending on the regular cycle or not.

The pros of this method:

  • Free
  • Natural

The disadvantages of this method:

  • Low reliability
  • The complexity in the calculations
  • The need for accurate measurement of basal temperature
  • Difficulty in intimate relationships
  • Do not protect from sexual infections.

Coitus interruptus in HS

Many couples practice PPA (coitus interruptus) as a method of protection from unwanted pregnancy. Its essence lies in the fact that the man before the onset of ejaculation during intimacy removes penis from woman’s vagina, respectively, the sperm is not deposited in the vagina.

It is important

Reliable this method is difficult to call due to the fact that some of the active sperm contains the secrets of the secreted before ejaculation, but sometimes a man in a fit of passion just no time to “go out”, causing misfires happen.

The pros of this method:

  • Free
  • Natural

The disadvantages of this method:

  • Low reliability
  • Difficulties in timely retrieval
  • The possibility of conception when you re-act, if in the urethra left sperm
  • The formation over time of intimate disorders in men
  • Do not protect from delicate diseases (STDs).

Barrier methods of contraception in HS

To barrier contraceptives include the condom, put on a man’s penis during intimate contact or caps (membrane) actions taken or put inside a woman’s vagina. Through these products and, accordingly, sperm male sex cells are unable to be in the area of the cervix and fallopian tubes, where conception occurs. Caps and membranes special distribution in HS is not received, as well as with other intimate contact because of the complexity with low reliability. Therefore, it will discuss condoms as one of the most popular methods.

A condom put on the penis in erection before intimacy, and at the expense of his cum just physically can not get to the bottom of a woman’s way, staying inside the condom. The effectiveness of this method reaches 95% to 98% with proper selection and use.

Advantages of the method:

  • Simple, requires no special skills
  • Reliable with proper selection of sizes
  • Protects against STIs

Disadvantages of the method:

  • The condom might fall off, break, not be the right size
  • Can be allergenic (oil, latex)
  • Every intimate contact requires a new condom that financial sensitive (high-quality products are not cheap).

Ligation (transection) of the pipe at the GW

Refers to the radical methods of contraception, in which due to the artificially created obstacles impossible conception in the region of the fallopian tubes. It is used only by those women who have reached 35 years, has 2 or more children or for medical reasons pregnancy for women threat. The efficiency reaches 99-100%.

Advantages of the method:

  • Free
  • Effective

Disadvantages of the method:

  • Radical, in the future, conception is possible only after surgical intervention
  • Does not protect against STDs
  • Requires surgery if ligation did in childbirth with caesarean section.

Ligation (transection) of the VAS deferens

A method similar to that in women but occurs in men. Shown when a man 35 years or older and have 2 children or more. The method can be reversible and radical. In case of ligation of the cords or the formulation of special cork to return fertility in the interruption – only after surgery, not always successfully.

Advantages of the method:

  • Free
  • Effective

Disadvantages of the method:

  • Radical, in the future, conception is possible only after surgical intervention
  • Does not protect against STDs.

Contraceptive pill for breastfeeding mothers

It is important

Breastfeeding is permissible to use only pure gestagennye contraceptives (mini-pill) because combined oral contraceptives (COCs) lead to the violation of production of milk and affect the baby.

Reception mini-drank gives when applied correctly, efficiency is up to 98%, but requires pedantry in compliance with the timing of taking the pills.

Advantages of the method:

  • Effective
  • Not affect the quality of milk
  • Used in the early periods after birth can be from 8-12 weeks after birth
  • No effect on libido, weight, and mood.

Disadvantages of the method:

  • Requires constant monitoring of the reception time when skipping pills effectiveness is drastically reduced
  • Expensive, requires constant purchasing of the drug
  • May not be suitable for individual sensitivity, possible allergic.

Parezca Allen, pediatrician, medical columnist