Family Planning after Pregnancy? What do you need to know?

I spent the past week-end helping my boyfriend revising on contraception and sexual health. He is a 4th year medical student and part of his exam of this year will be regarding of the above subject.


Oh yes, try to teach a man regarding cycle and contraception! Big fun!!!!


But oh well!!! He did it and it seems finally all the information is getting stuck on his brain!


So, that made me wants to write this page regarding contraception after pregnancy!

After your baby arrives you will be so concentrate on breastfeeding, changing nappies, try to get some sleep and contraception will not be one of your first priority but it will be best if you try to think about it as soon as possible. Indeed you don’t want to get pregnant again immediately after you had a baby.


You need to be aware that risk of pregnancy after having a baby start quiet soon. After 21 days postpartum you can start to ovulate again. That depends also if you are breastfeeding or not breastfeeding.


Women who are breastfeeding can delay ovulation up to 6 months postpartum but even if you skip one feeding (even only 1 bottle given to your baby) can make you start to ovulate again. So as much as we consider fully breastfeeding a query good method of contraception we would recommend another method of contraception.


So which options do you have?

Lot of and lot of option!


If you are breastfeeding, depending also on your medical history you can start using:

1. From when you had a baby up to 6 weeks postpartum:

· Implant

· Progesteron only Pill (POP )

· Depo-provera injection

· Condom


2. From 6 weeks onwards:

· Implant

· Progesteron only Pill (POP)

· Depo-provera injection

· Combined Pill (CHC- all depending on your blood clotting risk)

· Condom


3. Regarding Intrauterine device methods (COIL)

· IUD (copper coil) or LNG-IUS (Mirena coil) in the first 48 hours after having a baby

· IUD or LNG-IUS after 4 weeks postpartum (you can’t have any coil fitted after the 48 hours after birth up to 4 weeks postpartum)


If you are not breastfeeding, depending also on your medical history you can start using:

1. From when you had a baby up to 3 weeks postpartum:

· Implant

· Progesteron only Pill (POP)

· Depo-provera injection

· Condom


2. From 3 weeks onwards if you don’t have any blood clotting risk:

· Implant

· Progesteron only Pill (POP)

· Depo-provera injection

· Combined Pill (CHC)

· Condom


3. Regarding coil fitting follow the same instructions as for breastfeeding women.


So as you can see you have lot of options.

So yes, it is one more thing that you need to think about after you had a baby but in clinic we are always happy to see you with your newborn baby. So do not hesitate to attend one of the clinics for your contraception!


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