Birth Control After Baby?

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iVillage Member
Registered: 02-27-2008
Birth Control After Baby?
26
Thu, 12-31-2009 - 1:09pm

Hey Mamas! I had my 6 week PP visit this week and discussed birth control with my midwife. I'm not sure what to do. So I'm wondering... what are you girls doing for birth control? My midwife suggested the mini pill, so as to not interfere with BFing. She said after 6 months or so (or whenever Eliza starts on solids), I could switch to the Nuva Ring (or some other hormonal method with both progesterone and estrogen).

Honestly, there's a part of me that doesn't want to go back on a hormonal method of BC. BUT, I also know that a) we get PG quite easily (the BFP was always the easy part for us... just not the *sticky* BFP part) and b) we don't want kids close together in age (we're thinking at least 2 years before we TTC again). Also, we *hate* condoms... so I realize I'm quickly running out of BC options that aren't hormonal... and there's a part of me that is okay with a hormonal method, especially since I can use it as extended use and keep AF away.

Okay, I'm rambling here, but basically I'm wondering what you all are doing and specifically, for those of you who are on the mini pill, how do you like it? Any side effects? Did it *really* not have an effect on BFing? I know it's not supposed to...

Thanks girls!

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iVillage Member
Registered: 02-08-2005
Thu, 12-31-2009 - 1:19pm
I had my IUD put in 7 weeks PP. There are hormonal and non-hormonal IUDs. There are also conflicting reports about using a hormonal IUD (and they type of hormones it expels) while BFing. I had/have Mirena and had it while BFing. Some people are OK w/ this and some are not. If you want to stay hormone free and want long term BC then a cooper IUD (non-hormonal) is probably your best bet.
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iVillage Member
Registered: 12-30-2007
Thu, 12-31-2009 - 3:35pm

I am on a mini-pill (can't remember the name). I haven't noticed any changes in BF being on it and I have been on it for almost a month. William's bf habits haven't changed and I didn't notice any side effects to me/my body.

I have no interest in having an IUD put in- personal preference, but knew I couldn't keep DH away for the few years that will be between William and his siblings, so I went on the mini pill.

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iVillage Member
Registered: 10-11-2005
Thu, 12-31-2009 - 5:09pm
The copper IUD is non-hormonal. That being said, we are using NFP and condoms. I don't want to go back on hormonal birth control, I don't want to deal with a IUD and I dislike condoms. That being said condoms are the least disliked of the methods available. I really don't want to risk my supply with hormonal birth control, since even though the mini-pill isn't suppose to effect supply, I have heard to many stories where it did.



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iVillage Member
Registered: 09-08-2007
Thu, 12-31-2009 - 6:14pm

Ella, considering you will probably be exclusively BFing (and are fairly aware of your body), I'm not sure you need another form of BC . . . (but I'm not someone who would be too upset by an early surprise).

Here is a link and excerpt from the Wikipedia article on lactational amenorrhea (lack of AF because of nursing) http://en.wikipedia.org/wiki/Lactational_amenorrhea_method

"For women who meet the criteria (listed below), LAM is 98% - 99.5% effective during the first six months postpartum.

* Breastfeeding must be the infant’s only (or almost only) source of nutrition. Feeding formula, pumping instead of nursing, and feeding solids all reduce the effectiveness of LAM.
* The infant must breastfeed at least every four hours during the day and at least every six hours at night.
* The infant must be less than six months old.
* The mother must not have had a period after 56 days post-partum (when determining fertility, bleeding prior to 56 days post-partum can be ignored)."

As far as I know, 98-99.5% effective is more or just about as effective than the pill or condoms . . .

Obviously once Eliza starts solids, you'll have to do something, but for now I wouldn't worry about it if I were you (unless she is an amazing sleeper or AF has returned or something).


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iVillage Member
Registered: 04-03-2008
Thu, 12-31-2009 - 7:09pm

I'm interested to see the answers you get:)


DH and I already discussed this and the one thing that isn't an option is using FAM exclusively LOL. My charts were too wacky and we definitely do not want to get pregnant in the first year of baby Teddy's life. So I will be going on the mini-pill and then eventually the pill. However I always liked being on the pill so I am not really searching for other options, although we would do condoms if it seemed to affect supply.



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iVillage Member
Registered: 11-13-2005
Thu, 12-31-2009 - 8:02pm
I too, am interested to see the answers. I am thinking about just doing FAM. I was on bc pills for about 3 years before we decided to start TTC and really would like not to go back on anything if at all possible. I think that I am a nicer and happier person when I am not taking BC.
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iVillage Member
Registered: 07-15-2004
Thu, 12-31-2009 - 9:38pm

Wow your midwife waited untill your 6 week post to ask this? LoL My OB started having this conversation at arouns 28 weeks!


We selected just to go the condom route for now. We went off the pill almost a year before TTC because I was not happy with how my body was acting. Though I did consider the mini pill and may change later.

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iVillage Member
Registered: 06-25-2006
Fri, 01-01-2010 - 12:50am
I used the minipill until G was around 9 months or so. That's when I started ovulating again and started getting my period every 2 weeks. I really liked it because 6-7 weeks PP AF returned and the pill kept her away for months. After that I switched to a combination pill. Between ovulating and the combination pill I did notice a change in my milk supply. If you do the mini pill I wouldn't jump to combination pill/method right at 6 months. Use your body and her cues.
If you want a non hormonal method you could get a copper IUD.



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iVillage Member
Registered: 06-25-2006
Fri, 01-01-2010 - 12:54am
BF if BC is really really unreliable. It can take as little as one missed feeding or one day of the baby sleeping longer and your body can start to ovulate again.



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iVillage Member
Registered: 09-08-2007
Fri, 01-01-2010 - 11:31am

My understanding is that it actually works really well, but you have to use it in combo with FAM--while the average time for fertility to return if breastfeeding on demand is around 9 months (after the time for Lactational Amenorrhea is past), some women do have their fertility return as soon as six or eight weeks postpartum. (Meanwhile other women do not have their fertility return until they COMPLETELY wean, even two years postpartum.

It would be nice to know if you are more on the longer end of things, you wouldn't have to worry about BC at all for a huge portion of your life. But obviously if you use any hormonal method you can't observe your own body, and you would never know.

The other thing is that Ella is really fertile. If she was me, she probably wouldn't be worried (or even women who took several months to conceive their first) might not be too worried because:

the chances of ovulating in that first six months is already low
and then the chances that you wouldn't notice any fertility signs (like EWCM or breast tenderness or changes in milk or feeding of baby) lowers the chances even more
and then the chances that you and DH would actually have sex during that time I guess depends on your and DH's habits
and then the odds that even if your timing is perfect (completely by accident), that you would actually conceive a baby on that first accidental sex time you ovulated . . .

I don't know, it just seems like so much effort to worry about something whose chances for happening are so small. The odds of getting PG on the minipill are probably as high as the odds of all the above happening. Maybe even higher . . .

But again I am totally coming from a different perspective because I'm two years into this TTCing thing and just hoping I don't have to fight to have kids my whole life. So the idea of working against that is obviously foreign to me. But I would like to think that even if that wasn't the case, I would probably just use BFing and FAM as our main form of BC since I used FAM before we started trying anyway, it just makes sense. Hormonal BC's make me depressed and crazy, so I can't deal with that.

Anyway, sorry for the novel!!


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