After the birth news, which is welcomed with happiness and enthusiasm, it is very important for the parents to get used to the baby and the emotional state, as well as their relations with each other in this new situation. When the emotional needs and hormonal changes of the mother are added to this process, they bring a new dimension to their lives.

How valid is the beliefs that breast milk will protect pregnancy in this period, which new mothers and fathers are very curious about? How should the postpartum period and prevention methods be, what should be considered?

Gynecology and Obstetrics Specialist Op Dr. Emine Dil┼čad Herkilo─člu 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 wholly or almost completely and by giving little / minimum amount of supplementary 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?

It can be applied during Caesarean, but it can also be applied at any time by laparoscopy at the end of the postpartum period after normal delivery.

Birth control pills – It is known that birth control pills that contain estrogen and progesterone together reduce the amount and quality of milk. For this reason, 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% effective in preventing pregnancy. It may be recommended that mothers who are not breastfeeding start using this method only 3 weeks after birth.

– Birth control pills containing progesterone only – 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 to increase milk slightly. It may cause no menstruation and this situation improves when the needle is cut.

-Monthly Needles- It can reduce milk as it contains estrogen. It is recommended to start 6 weeks after birth.

-Implant- It is a rod-shaped structure about 3 cm in the arm that contains hormone applied under the skin. It has three years of protection. It may cause menstruation.

– Male or female condom – Effective between 98% and 95% when used correctly. 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% 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 amount 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 breastfeeding-non-breastfeeding status and the accompanying disease. In the first 6 weeks after birth, in those over 35 and smokers, hypertension, a history of vascular occlusion, ischemic heart disease, a history of stroke, 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 used to prevent pregnancy in unprotected sexual intercourse, it prevents the fertilization of the egg, but also 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 and infection. Nausea, bleeding, headache, decrease in sexual desire, breast tenderness, mood changes, especially of hormonal protection methods, can be seen as undesirable 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. However, 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%, progesterone-only pills 0.5-3%, spiral 0.1-2%, subcutaneous implants 0.05%, depot injections 0.3% and condoms 3-14% fail. In other words, although it has a very low risk rate, it can be conceived.

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