Yeni Yüzyıl University Gaziosmanpaşa Hospital Gynecology and Obstetrics Specialist Op Dr. Emine Dilşad Herkiloğlu talked about the things that should be taken into consideration about "Prevention from pregnancy after childbirth".
When should mothers start to be protected again after childbirth?
While breastfeeding continues, menstrual period can begin within six weeks at the earliest after birth. Since eggs are formed 2 weeks before menstruation, there is a possibility of pregnancy. The appropriate contraceptive method should be chosen 3 weeks or 21 days after birth.
Can postpartum milk (breastfeeding process) protect a new pregnancy? Are there any actions to be taken to support protection?
It increases the prolactin hormone, which suppresses the development of breastfeeding, ovulation and ovulation, and this increased hormone can protect against pregnancy. Mothers can see the contraceptive effect of breastfeeding by breastfeeding their babies completely or almost completely and by giving very little to minimal amount of additional food. Mothers who are not breastfeeding should start an additional method of protection at the end of 3 weeks, and those who breastfeed properly at the end of the third month.
What are the contraceptive methods applied?
Connecting the tubes
Although it can be applied during cesarean section, it can also be applied at any time by laparoscopy method at the end of the postpartum period after normal delivery.
Birth control pill
It is known that birth control pills that contain estrogen and progesterone together reduce the amount and quality of milk. Therefore, mothers who only feed their babies with milk are not recommended to use birth control pills. Contraceptive pill is also recommended during breastfeeding in the 6th month of puerperium. This method is 99 percent effective in preventing pregnancy. It may be recommended that mothers who are not breastfeeding start using this method only 3 weeks after birth.
Progesterone-only birth control pills
It should be started 6 weeks after birth. It can be used safely during breastfeeding.
Progesterone Containing Needle (3 month needle)
It has been found that it increases the milk a little. It may cause no menstruation and this situation improves when the needle is cut.
Needles Per Month
It can reduce milk because it contains estrogen. It is recommended to start 6 weeks after birth.
Implants
It is a 3 cm rod-shaped structure on the arm that contains hormones applied under the skin. It has three years of protection. It may cause menstruation.
Male or female condoms
It is 98-95 percent effective in correct use. It is a method applied by men and women. It can be used from the end of postpartum period. It is among the birth control methods that you can start using as soon as you want.
Intrauterine device (spiral)
This method is more than 99 percent effective and can be worn within 4 to 6 weeks after birth, sometimes even 48 hours after birth. It is safe when breastfeeding and does not affect the quantity and quality of milk.
What should be considered when choosing a birth control method?
The person who will use the birth control method should choose the prevention method according to the condition of not breastfeeding and the accompanying disease. In the first 6 weeks immediately after birth, over 35 years of age and smokers, hypertension, history of vascular occlusion, ischemic heart disease, stroke history, complicated valvular heart disease, migraine with neurological symptoms, breast cancer, diabetes with complications, liver People with tumors should not use birth control pills and hormonal control methods.
Are morning-after pills a method of birth control?
Thanks to the active ingredient of the morning-after pill, which is used to prevent pregnancy in unprotected sexual intercourse, it prevents the fertilization of the egg and prevents the formation of pregnancy by preventing the retention of the female egg that has just been fertilized. The sooner the drug is taken after unprotected sexual intercourse, the more effective it is. The morning after pill, which is usually used within 24 hours after intercourse, highly prevents pregnancy.
Do birth control methods cause side effects?
Birth control methods can have side effects. Intrauterine device use may have side effects such as breakthrough bleeding, infection, and especially hormonal protection methods, nausea, breakthrough bleeding, headache, decrease in sexual desire, breast tenderness, mood changes can be unwanted side effects. A serious risk of the use of birth control pills, especially combined oral contraceptives, is an increased risk of clot formation. Clot formation can result in deep vein thrombosis, heart attack, stroke and pulmonary embolism, but this risk is very low. Conditions that increase your risk of clot formation can be listed as being overweight, high blood pressure, sedentary life, smoking, family history of vascular occlusion and clots.
Is there a risk of getting pregnant despite birth control? What should be considered?
The failure rates of the birth control methods used vary according to the success of the patient in practice for some methods. Combined birth control pills are 0.1-3 percent, progesterone-only pills 0.5-3 percent, spiral 0.1-2 percent, subcutaneous implants 0.05 percent, depot injections 0.3 percent, and condoms 3-14 percent have a very low risk of failure. even though it is possible to get pregnant.
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