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You have just gone back hardly home with your child, happy but tired. and you don't want maybe to live a new pregnancy immediately! Don't forget the contraception then. Some beliefs have the hard life. But concerning contraception, it is worth to avoid the approximation better. Some false ideas to banish"It is not necessary to take a sexual activity as soon as after the childbirth... " So, why? If you want of it, don't go without some. There is not any restriction of medical order to the resumption of the sexual activity. It is worth to wait better for some days that the losses are finished, therefore that the collar of the uterus is closed again well, to avoid all risk of infection. And if you had a episiotomie, wait that it is healed well, otherwise. ouch! Besides in most cases, it is rather the desire that misses. It is normal, you are very tired, and you have other things in head. Don't worry, that will come back. "Useless to think about the contraception before the return of layers" It is false... The return of layers, it is the resurgence of the rules at the end of a cycle, there was an ovulation therefore already. It is possible to ovulate 2 weeks after a childbirth, even though in most cases the ovulation is more belated (on average 45 days after). Therefore it can arrive that a woman is enclosed again immediately after having given birth. "The nursing is a means of contraception" It is false! Of course, the fact to nurse delays the date of the first ovulation, but it is impossible to predict this date undoubtedly. It is therefore dangerous to trust it. On the other hand, it is necessary to take in account the nursing to choose the good contraceptive method. What method to use?In some weeks, you will probably come back to your usual method. But for the meantime, it is necessary to take some precautions, especially if you nurse. The local methodsThe condom can be used without problem after a childbirth, as well as the spermicides (frosts and sponges that are to renew to every report, ovums that are efficient 24 hours). The diaphragm is used more hardly nowadays, it is anyway to avoid in continuation of layers because it risks to block the out-flow of the secretions and to encourage an infection. The I.U.D.It is not recommended to use it immediately. It is necessary to wait indeed that the uterus took its normal size well, otherwise if the collar is dilated again and the I.U.D. risks to be expelled. It is necessary to count 4 therefore to 6 weeks after a childbirth, more in case of nursing, and 6 months after a Caesarean. The hormonal contraceptivesYou will be able to take your usual hormonal contraception (pill, ring, implant) if you don't nurse, and if you don't present of against indication. However it is better to avoid it in the immediate continuations of the childbirth, because the coagulation of blood is easier and the risk of phlebitis is important. Best is to use another method until the return of layers. If you nurse on the other hand, everything that you consume can pass in milk. Also, the recourse to other fashions of contraception should be considered. Ask for advice your physician. 2010-10-11
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