How to prevent pregnancy after childbirth is more reliable

The World Health Organization (WHO) proposed in 2005 that the birth interval of women should be more than 2 years after delivery. Most women take care of their babies most of the time after giving birth. Coupled with women’s irregular menstruation after giving birth, women have less sex life after giving birth, thus neglecting contraceptive measures. According to relevant survey statistics, the probability of unwilling pregnancy among Chinese women within one year after childbirth is higher than that of European and American countries, and the abortion rate of unintended pregnancies after childbirth reaches 10%, most of which are high-risk abortions.

There are many worries about having sex after childbirth. Women face the problem of contraception after childbirth. In order to ensure women’s health, improve the quality of life, prevent unintended pregnancy, and reduce the harm caused by artificial abortion, postpartum women should choose appropriate and effective contraceptive methods.

Physical and psychological characteristics
After giving birth, the volume of the uterus will gradually shrink, and it will not return to the state of non-pregnancy until 6 weeks after delivery. The repair of the endometrium also takes 6 weeks, and the repair time of the cervix is ​​4 weeks. After giving birth, the vaginal wall will be loose in women, and new folds will appear after 3 weeks of recuperation, and the pelvic floor tissue of women will need 6 weeks to return to the unpregnant state. The pain caused by women during childbirth can leave a psychological shadow on women, plus the anxiety and anxiety of being a mother after childbirth. If women get pregnant unexpectedly after childbirth, they are more likely to have psychological problems such as postpartum depression.

Risk of postpartum pregnancy
When the parturient becomes pregnant again, the nutrition in the body becomes relatively scarce, the milk secretion will rapidly decrease, and even weaning. Due to the inability to continue breastfeeding, the nutrition and health of the newborn cannot be guaranteed. Re-pregnancy after cesarean section in women will have the risk of scar pregnancy. It is very likely to cause uterine bleeding, perforation, rupture and other dangers, and even life-threatening. Therefore, unexpected pregnancy after childbirth will directly endanger women’s health. Although pregnancy can be terminated by abortion, the mother’s body is weaker and more susceptible to infection during artificial abortion, causing cervicitis, endometritis, etc. It may also cause endocrine disorders in the mother and cause irregular menstruation, and even postoperative bleeding and other related complications .

Misunderstandings about postpartum contraception
Misunderstanding 1: You will not get pregnant again if you are breast-feeding or your menstrual period has not returned

The absence of menstrual re-fluid after delivery does not mean that the ovaries will not ovulate. When women do not need breastfeeding, ovulation first occurs 25 days after delivery. Under normal circumstances, menstruation can be restored within 40-50 days. If a woman breastfeeds after childbirth, ovulation can be restored in 4-6 months, and most women will resume menstruation in 6 months. If women fail to take contraceptive measures before menstrual relapse, it will increase the probability of unintended pregnancy.

Misunderstanding 2: Emergency contraceptives are not available after delivery

Women who dare not take emergency contraceptives after childbirth are mainly worried that the levonorgestrel contained in the drug will affect their health, especially breastfeeding women, and they are more worried that the drug will affect the development of the baby. In fact, emergency contraceptives will not affect women’s breastfeeding, but it should be noted that frequent use will affect women’s endocrine system. If necessary, contraceptive methods can be used.

Misunderstanding 3: Intrauterine device (IUD) can damage the endometrium

Under normal circumstances, as long as the IUD is placed properly, it will not endanger women’s health. At the same time, the intrauterine device can protect the female endometrium to a certain extent, and will not cause damage to the female body.

Choice of contraceptive methods
If a woman is in a normal childbirth, she should not have sex within 42 days. If a woman has a cesarean section, she must not have sex within 3 months. Afterwards, in order to avoid the harm caused by unintended pregnancy to women, women should choose the correct method of contraception.

(1) Condoms

The contraceptive method of condoms is more convenient and will not affect the breastfeeding period of women, and the success rate of this method of contraception is higher.

(2) Contraceptives

Short-acting contraceptives are suitable for women who are not breast-feeding after childbirth. Once they are missed, they will reduce the success rate of contraception and also cause women’s menstrual disorders. Emergency contraceptives can only be used once a month. Taking them multiple times will not produce any effect. Therefore, it is not recommended for women to use postpartum contraception.

(3) Safe period contraception

If a woman has returned to her normal menstrual period after childbirth, but under the influence of lactation, the menstrual recovery of women of different constitutions will also be different, so the ovulation period is in an unstable state. If the safe period of contraception is used, the success rate of contraception cannot be guaranteed, so it is not suitable for female postpartum contraception.

(4) Intrauterine device

Prompt contraception after childbirth, avoiding unwanted pregnancy and artificial abortion, and maintaining a safe birth interval are major issues related to the health of mothers and babies. Whether it is the World Health Organization, or international and domestic experts, the first postpartum IUD is used for postpartum contraception. This method is long-lasting, reversible, safe and efficient. In normal vaginal delivery, the intrauterine device can be placed 42 days after delivery; for cesarean delivery, it should be placed half a year after delivery. During this period, most women are still breast-feeding. Affected by breast-feeding, the uterus is soft, the uterine wall is thin, and the uterine cavity is small. Therefore, when placing the intrauterine device, you must be extra careful to avoid uterine damage. If a woman has adverse symptoms after placing the IUD, such as increased menstrual flow or abnormal menstruation, she needs to go to the hospital for examination in time to avoid danger.

Postpartum contraception is very necessary for women, which can not only allow women to get better postpartum recovery, but also reduce the risk of unintended pregnancy. When choosing a contraceptive method, it is necessary to get out of contraceptive misunderstandings and adopt the correct contraceptive method to increase the success rate of contraception.