Can you get pregnant while breastfeeding? Understanding the risks and precautions after delivery
Breastfeeding can provide a degree of natural contraception, but it is not a foolproof method of preventing pregnancy. Here's a detailed look at how breastfeeding affects fertility and what precautions you should consider:
Understanding Breastfeeding and Fertility
Breastfeeding as a Contraceptive Method:
Lactational Amenorrhea Method (LAM): Exclusively breastfeeding, especially in the first six months postpartum, can suppress ovulation due to high levels of prolactin, a hormone that inhibits the release of eggs. This is known as the Lactational Amenorrhea Method (LAM).
Effectiveness: LAM is about 98% effective in preventing pregnancy if you meet certain conditions: breastfeeding exclusively (no formula or solid foods), having no menstrual periods, and the baby is under six months old.
Limitations and Risks:
Variable Ovulation: Ovulation can occur before your first postpartum period. This means that pregnancy can happen even if you have not yet resumed your menstrual cycle.
Incomplete Contraceptive Protection: As you introduce solid foods or reduce the frequency of breastfeeding, the effectiveness of LAM decreases. This is because the frequency and duration of breastfeeding play a significant role in suppressing ovulation.
Precautions and Recommendations:
Start Contraception Early: To avoid an unplanned pregnancy, consider using additional contraception methods as soon as you resume sexual activity. Options include condoms, hormonal birth control, or other non-hormonal methods.
Consult Your Healthcare Provider: Discuss your contraceptive options with your doctor or midwife to choose the method that best suits your needs and lifestyle. This is especially important if you have health conditions or other concerns