Have you just had a child and want to avoid a new pregnancy? Since it is impossible to predict the date of the first post-natal ovulation, resuming reliable contraception after childbirth is important. Is it necessary before resuming the pill? Which pills to choose? Answers and advice from Pr Bernard Hedon, gynecologist and president of the CNGOF.
You have just had a child and want avoid a new pregnancy ? Since it is impossible to predict the date of the first post-natal ovulation, resuming reliable contraception after childbirth is important. Depending on your needs, whether you are breastfeeding or not and your sexuality, your doctor, gynecologist or midwife can advise you on the most suitable contraception. Professor of Pr Bernard Hedon, gynecologist and president of the National College of French Obstetrician Gynecologists (
What pill to take?
“”After childbirth, the woman has an Rhigher isque of thrombosis, phlebitis and pulmonary embolism. Tissue trauma due to childbirth also increases this risk“, immediately poses Professor Hedon. This is why for two months after childbirth, it is prohibited from prescribing an estroprogestative pill to a patient. contraceptive associated with an increase in thromboembolic risk. “”Only one micro -rogestative pill pure can be envisaged, in agreement with a doctor“, insists the specialist. At around the 3rd month after childbirth, the relay can be done with an estroprogestive pill or another contraception (contraceptive implant, contraceptive patch …).A IUD can only be offered when returning from diapers (return of the rules).
We must assess the contraceptive emergency
During the postpartum, the contraceptive emergency is to be evaluated according to the young mother (does she breastfeed?) And the needs of the couple (do they have regular reports? Would the use of condoms be sufficient to protect them during this period?). Knowing that just after childbirth, there is a natural decrease in reports. In other words, “With fatigue, we tend to make love and the resumption of relationships is little by little“, Specifies the expert. In addition, breastfeeding breastfeeding (that is to say when the infant only absorbs breast milk and no other food or drink) has a contraceptive effect provided that breastfeeding is done on request, day and night, and that The woman has not had any rules since childbirth. Indeed, “It has been shown that the risk of pregnancy when the mother breastfeeding exclusively was almost zero the first six months“, Because ovulation during exclusive breastfeeding remains very rare. Nevertheless, to ensure optimal protection, condoms are also a good way of contraception during this period, if they are obviously properly used. Prefer lubricated condoms to relieve the discomfort of vaginal dryness, frequent after childbirth.
| Natural breastfeeding method: conditions to be respected. “”The method of breastfeeding and amenorrhea (MAMA) is a natural method for the first 6 months or at least until the return of diapers“, Specifies the High Authority for Health in its recommendations. However, it must be exclusive breastfeeding on the day and night request, avoiding long intervals between feedings and when the mother has not had her period since childbirth. If these conditions are not respected and on the return of the layer, it is necessary absolutely consider another contraception. Ask your gynecologist. |
Thus, the prescription of a pill directly after childbirth must be evaluated according to the need of the woman. “”Especially since the pill is hormonal contraception that has side effects. In pill, uterine healing can be done a little less quickly. The hormones contained in the pills also maintain untimely and unpredictable bleeding (lochies or spotting) after childbirth“, Specifies the gynecologist. Generally, a visit to his gynecologist is recommended a month old After childbirth. The opportunity for the patient to talk about her habits, her sexuality or even her desires in terms of contraception in order to envisage the most suitable.
