When Can You Start Birth Control After Having a Baby
After yous have a baby, birth control will probably exist the terminal matter on your mind. That's why we recommend planning for contraceptives around the fourth dimension of your 36-week prenatal visit.
During the COVID-nineteen pandemic, many prenatal and postpartum appointments are conducted through video visits, the latter of which typically occurs 6 to 12 weeks after delivery. Just ovulation often resumes before this time – which means a patient can get significant earlier she is ready.
Many women cull long-term contraceptive options so they don't have to worry about taking a daily pill or relying on natural birth command (ovulation tracking) while caring for a newborn.
We typically recommend three types of birth control options for women who desire to avoid pregnancy subsequently childbirth: the Depo Provera shots, which last about 3 months; long-interim reversible contraceptive (LARC) devices, which are effective up to ten years; and tubal ligation, which is considered permanent.
Each of these tin can be given in the delivery room or earlier you go home with your new baby, and there's no extra recovery time if you get a device or procedure. Any patient who is washed having babies or would adopt not to get pregnant again correct away might exist a skilful candidate for these effective, long-term options. Patients who relate to these factors may do good almost:
- Express admission to ongoing Ob/Gyn care. If information technology's tough to get to the medico, information technology will likely be difficult to start short-term or long-term contraceptives.
- Unlikely to attend the postpartum visit. We admittedly recommend attending this important date. However, some patients forget, accept trouble arranging transportation, or cannot conform childcare for older kids.
- Likely to resume sexual practice before the postpartum visit. Approximately twoscore% to 57% of women resume sex prior to six weeks afterwards delivery. You lot tin can get pregnant during this time, even if you are breastfeeding and oasis't had your first mail service-delivery period.
- Facing reproductive coercion: Women whose partners tamper with their birth control might be inclined to cull an camouflaged long-term option.
Your birth control method is your choice – your Ob/Gyn specialist can give you information to assistance in the decision process. We recommend discussing your preferences with your provider prior to heading to the delivery room. That way, the care team will be prepared to give you lot what you need.
Here's a quick run-through of each type of long-term nativity control to help yous start the chat with your provider.
iii nativity command options you can become later delivery
1. Tubal ligation: Lasts forever
This form of long-term contraception, also known as "getting your tubes tied," involves a process that closes off the fallopian tubes, preventing eggs from moving downward the tubes and combining with sperm.
Co-ordinate to the American College of Obstetricians and Gynecologists (ACOG), this class of permanent sterilization is more than 99% effective within the start year after surgery. You will even so have a menses, and there is a slightly increased risk for ectopic pregnancy (when a fertilized egg implants somewhere outside the uterus). However, that adventure is less than if you used no birth control at all.
To do the procedure immediately subsequently delivery, the surgeon will make a one-inch incision in or near your umbilicus. Because of the larger uterine size after delivery, the tubes are nearby. The doctor tin can tie off and remove a small-scale segment of the tube in simply a few minutes.
Some women choose to wait until the twenty-four hour period after delivery to have the procedure, after their baby'south concrete exams are complete. Knowing their babe is healthy makes them feel more than comfortable well-nigh having their tubes tied.
It's of import to note that, for about women, tubal ligation is permanent. While surgery is bachelor to try reversing it, there is no guarantee it volition piece of work. Make certain you are done having babies earlier committing to this procedure.
2. LARC devices: Effective up to 10 years
This category includes intrauterine devices (IUDs) and implants placed nether the peel, such as Nexplanon.
LARCs are more 99% effective and are reversible. They're also one of the easiest reversible contraceptives to use long term. The Contraceptive Choice Report showed that nearly 90% of LARC users go on using their device after a yr, compared with less than sixty% of patients who cull brusque-term methods such as the pill.
To place an implant after commitment, the dr. will make a pocket-sized, relatively painless incision in the inner arm and slide a matchstick-sized tube that contain hormones under the peel. The hormones control ovulation, like to how the nascency command pill works, merely you don't take to do anything to keep it working.
To place an IUD, the doctor will insert a T-shaped device made of copper (no hormones) or plastic (contains hormones) into your uterus. The device is virtually two inches long and can be placed through the vagina, with no incisions required. It can also be placed following a C-section, before the uterine incision is completely closed.
Having an IUD placed after delivery makes the recovery procedure easier – yous won't have additional discomfort because you've just had a babe, and you might be numb during the insertion if you had an epidural or cesarean section. If y'all choose to accept 1 placed later, you may experience balmy discomfort during insertion and bleeding or spotting for a few weeks after placement.
With an IUD, there is an increased chance that the device will movement out of identify as your uterus and cervix change after delivery. However, approximately lxx% to ninety% of immediate postpartum placements are successful, and more 80% of these patients continue using their IUD six months later on.
If you want an implant or IUD, talk with your doctor before you go into labor. They'll make certain the hospital has the device you want on paw.
Related reading: Would an IUD or birth control implant work for me?
3. Depo Provera: Lasts up to iii months
As well known as "the shot," Depo Provera is an easy, though non as long-lasting, nascency control selection. The doctor will requite you one hormone injection in the arm, which will help control ovulation for upward to three months. At the end of that time, you'll need to get some other injection.
The shot is more than 99% constructive if you lot stay on schedule. If you are late getting an injection, you'll need to utilise backup nascency control, such as condoms, to prevent pregnancy.
There has been some concern near whether the hormone progesterone in the shot interferes with breast milk quality or quantity. However, there is no compelling data to suggest that it does. Depo Provera is considered rubber for breastfeeding moms.
Related readings: Self-serve birth command? The future of OTC contraceptives
A few closing thoughts
Before choosing your preferred birth command method, it'south a good thought to bank check your insurance coverage for inpatient and outpatient methods.
When it comes to nascence command later on commitment, nosotros encourage you to talk with your Ob/Gyn provider well-nigh your options. You take the right to ask questions, get answers, and be heard. We're not hither to tell you what to practise – our part is to help you achieve health and happiness with your family-planning goals.
To visit with an Ob/Gyn nigh long-term contraceptive options, call 214-645-8300 or request an date online .
Source: https://utswmed.org/medblog/larc-birth-control-after-delivery/
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