Safe Contraception for Breastfeeding Moms

After giving birth, not all women want to directly have more children. Not a few women who want to delay because of physical and mental readiness to get pregnant again. Not even a few who only want one child only. There are many contraceptive options on the market, but not all types of contraceptives can be used by nursing mothers. The method of contraception chosen by breastfeeding mothers should not have an effect on the production of breast milk.
Generally, doctors will forbid intimate contact until 40 days after childbirth or during childbirth. It aims to make the mother's self-recovery process is not disturbed. Therefore, usually after the postnatal period, the new doctor will advise the mother to choose the appropriate contraceptive method (KB). However, there is nothing wrong if the mother wants to use contraception immediately after giving birth.

Exclusive breastfeeding during the first 6 months may delay the return of fertility. This method of natural contraception is known as the lactation amenorrhoea method (MAL). MAL 98% effective prevent pregnancy. However, breastfeeding mothers need to start alert if the frequency of suckling has decreased or menstruation again. This means that breastfeeding mothers already need additional contraceptive methods. In addition, although small, there is still a possibility of 2% for pregnancy. So it is advisable for women after childbirth if it intends to delay the next pregnancy directly using KB.

The choice of contraception for breastfeeding mothers

Here are some options for nursing mothers who want to use contraception.

1. Pill contraception (birth control pills) progestin

There are two types of birth control pills, ie birth control pills that contain only progesterone hormones and birth control pills containing estrogen and progesterone hormones. Pills containing estrogen can lead to lower breast milk production. Therefore, birth control pills that contain only progestin or "mini pill" are recommended for nursing mothers.

How progestin pills work:
  • Inhibits the occurrence of ovulation, the release of the ovum by the ovaries
  • Thickens the cervical mucosal wall
  • Disturbing the ciliary movement of the fallopian tubes
  • Blocks growth of endometrial lining
Pill deficiency pill type is if the mother forgot to consume it, then the evaptivity is reduced so as to enable the occurrence of pregnancy. In addition, birth control pills can not prevent sexually transmitted diseases (STDs).

2. Intrauterine contraceptive devices

Intrauterine contraceptives (IUDs or IUDs) or often called spirals are methods of birth control that can be used immediately after delivery or 6 weeks afterwards. There are two types of IUD, which are non-hormones and those containing the progestin hormone.

Both types of IUD are absent causing a disturbance to milk production. In Indonesia itself the type of IUD that is often used is the IUD that contains copper ( copper T ) or without hormones.

The way the IUD works without hormones is to create a uterine environment that is difficult to penetrate sperm, thus preventing a meeting between sperm and egg.

The IUD is an option for women who want to use long-term contraceptives (it can last 5-10 years, depending on the type) without the hassle of taking daily pills or syringes every 3 months. In addition, copper IUD users should not be afraid of impaired fertility so that if the IUD is removed then the chances of getting pregnant become very large.

The disadvantage is that some women may complain of more menstrual blood volume and pain during menstruation. IUD also can not prevent PMS.

3. Contraceptive implants and injections

Implant contraceptives (implants) and injections that can be used by nursing mothers are those that only contain progestin alone so as not to interfere with the amount of milk produced. Injectable contraception progestin containing depo medroksiprogesteron acetate (DMPA) 150 mg and injected every 3 months 

While implanted KB is a contraceptive device that is inserted under the skin and contains progestin which is released bit by bit in low levels. KB implant can last up to 3 years before it is replaced.

The workings of these two contraceptives are the same as the progestin birth control pills. The shortcomings include:
  • Causes menstrual disorders
  • Fertility returns about 6-12 months after dismissal
  • Can not prevent PMS

4. Condoms

Barrier contraceptive methods using condoms are the most commonly chosen contraceptive couples who have recently had children. This is because condoms are easy to use and can prevent pregnancy up to 99% if used properly. If used in conjunction with spermicide (sperm killer cream), the likelihood of pregnancy is getting smaller. Condoms are also a method of contraception that can avoid sexually transmitted diseases.

Disadvantages of a condom is the possibility of discomfort during intercourse or the possibility of leaking.

5. Diaphragm

If condoms are a barrier contraceptive method used by men, diaphragms are used by women.

If a new mother gives birth and the couple chooses to postpone pregnancy, or simply want one child, or especially those who do not breastfeed exclusively, you should immediately use KB. No need to wait for menstruation to come back. This is caused by ovulation or the release of eggs occurs about 2 weeks before menstruation.

Before choosing the type of contraception that will be used for breastfeeding mothers , you should first discuss with your partner. Find out more information about the advantages and disadvantages of each contraceptive method by asking a qualified health worker or doctor.

Iklan Atas Artikel

Iklan Tengah Artikel 1

Your link is here:

Iklan Tengah Artikel 2

Iklan Bawah Artikel