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Postpartum Family Planning

hello I'm Lisa Clark ob/gyn nurse

practitioner at sure priests Ely Medical

Group preventing pregnancy may not be at

the top of your to-do list right now but

this is really the time to start

thinking about postpartum contraception

it is important because eighty-five

percent of women who have sex regularly

without contraception will become

pregnant in a given year while every

family is different we know that two to

four years between births reduces

complications for mom and baby I'm going

to start with the most effective

contraceptive methods and work my way

down the list you can talk with your

caregiver to find the best method for

you permanent sterilization is a

vasectomy for the man or a tubal

ligation for the woman these are

surgical procedures that prevent sperm

and egg for meaning they are among the

most effective methods with less than

one pregnancy per hundred women per year

these methods are permanent and should

never be considered reversible if you or

your partner have any doubt consider

another method they can be used while

breastfeeding long-acting reversible

contraception also called LARC methods

are also very effective with less than

one pregnancy per hundred women per year

abuse the implant in the IUD with or

without hormones are in this category

these methods are good for three to ten

years and can be stopped at any time

they are placed in an office procedure

and may be used while breastfeeding this

next group of contraceptives results in

six to twelve pregnancies per hundred

women per year the depo-provera

injection works by preventing ovulation

it has given every three months in the

doctor's office and can be used while

breastfeeding birth control pills the

patch the vaginal ring also work by

preventing ovulation there are just

different ways of getting the same

hormonal products into the body these

methods are not commonly used until

breastfeeding is well established the

mini pill also called the progestin-only

pillar pop does not contain estrogen and

is safe while breastfeeding it is also a

safe method for women who cannot use

estrogen for medical reasons the

diaphragm is a latex dome placed in the

vagina before intercourse

spermicide must be used with the

diaphragm

it must be used correctly every time you

have sex it is fitted in an office visit

where you will learn how to assert and

remove it it can be used while

breastfeeding the last group of methods

is considered less effective with 18 or

more pregnancies per hundred women per

year all of these methods may be used

while breastfeeding

these include condoms withdrawal

fertility awareness based methods the

sponge and spermicide using condoms is

the only method that prevents pregnancy

and the spread of sexually transmitted

diseases all of these methods must be

used correctly each time you have sex no

one choice is right for all as always

speak with your sheriff reseal a

physician or provider