Contraception choices after birth

The opportunity to space pregnancies is important for many women and their families, and assistance with contraception choices is an important part of care in the puerperium (51).

For women who are not breastfeeding, the range of contraceptives is essentially the same as for other women and should be made on an individualized basis. However, for women who are breastfeeding, this can affect and po­tentially restrict choice and it is important to provide balanced in­formation (52). Progestin-only pill contraceptives have been widely studied and no difference has been demonstrated in breastfeeding outcomes or child health between women using progestin-only pills and those using non-hormonal contraception. Similar conclusions have been reached about the use of depot medroxyprogesterone acetate, even with very early injection before discharge from hos­pital. Studies of the etonogestrel contraceptive implant in lactating women have also been reassuring. The levonorgestrel-containing intrauterine device is effective and safe during lactation; however, there are reports of a higher incidence of uterine perforation with placement in the postnatal period and possibly longer (53). The literature regarding the use of oestrogen-containing combined oral contraceptives is of limited value, and although there is little direct evidence of an effect on the well-being of the baby, the avail­ability of a range of other safe and effective options renders their use largely irrelevant (52). There are thus a number of safe and ef­fective choices for postnatal contraception available to women, al­lowing the selection to be tailored to the needs and expectations of the individual woman.

More on the topic Contraception choices after birth:

1. Arulkumaran S., Ledger W., Denny L., Doumouchtsis S. (eds.). Oxford Textbook of Obstetrics and Gynaecology. Oxford University Press,2020. — 928 p., 2020
2. I FAMILY PLANNING ^273 ^292 ^337 ^381
3. REFERENCES
4. PRECONCEPTION AND interconception care ^292
5. 24 HIV in Pregnancy
6. Chapter 26 Contraception
7. I ABUSE ^xv ^223 ^347 ^392
8. Chapter 13 Benign and urogynaecology
9. Emergency Evaluation and Treatment of the Sexual Assault Victim
10. Prepregnancy counselling