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Regardless of whether a normal birth or a caesarean delivery is another issue that all new mothers have to focus on, they should start effective contraception as early as possible. In general, this type of effective contraception can be started after the first 6 weeks after birth. Sexual intercourse is not recommended in the first 6 weeks after birth.
Breastfeeding is somewhat protective against the new pregnancy, but it should not be trusted. The mother needs a long period of time to be able to breastfeed her newborn baby for a long time and to re-store minerals such as iron and calcium that may be lost from her body during her previous pregnancy and lactation. This period between two pregnancies should be at least 2 years.
Birth control pills
Birth control pills have a negative effect on the quantity and quality of breastfeeding in women. This effect is less in low-dose hormone pills. The milk yield time of these women was shorter than those who did not use these pills. On the other hand, no adverse effects were observed in terms of illness, intelligence or psychological disorder on the babies who suckled milk from their mothers using birth control pills.
It is scientifically proven that breastfeeding itself is a form of birth control among the population. However, this protection full breastfeeding, that is, it applies to mothers who breastfeed at regular intervals (every 4-6 hours) and do not provide additional nutrients to their babies. Under these conditions, breastfeeding protection is close to that of birth control pills (98%). The most reliable protection is seen in the first 10 weeks of breastfeeding under the conditions mentioned above. Reduction of the baby's suction power and frequency reduces the protective effect of breastfeeding.
It should be noted that birth control pills to be used after birth contain low doses of estrogen (20 micrograms). Breastfeeding women may start taking these pills after the 6th week following birth and women who do not breastfeed after 3 weeks. If breastfeeding women experience a significant reduction in the amount of milk after taking contraceptive pills, another method of prevention should be considered. We do not use these pills in women over 35 years of age due to possible side effects. Birth control pills can be started immediately after abortion or pregnancy termination that occurs before 12 weeks, and 2 weeks after abortion and termination of larger pregnancies.
Besides the contraceptive properties of birth control pills, there are some other benefits. These pills are protective against ovarian and uterine cancer. Especially after the age of 40, the pills are protective against bone resorption. In addition, the risk of ectopic pregnancy decreases by 90%. People taking the pill also have a reduced risk of about 50%, often called a sexually transmitted disease called pelvic inflammatory disease. Birth control pills also reduce painful menstrual pains and heavy menstrual bleeding, which is lost in a lot of blood, and are therefore used in the treatment of such conditions. Menstrual irregularities are the preferred treatment modality because of their regulatory effects.
One of the most important health issues in which birth control pills are used are the benefits of reducing the levels of androgen hormones known as male hormones. Every woman releases a certain amount of androgen hormone (testosterone and others) from the ovaries or adrenal glands. In some women, this secretion is above normal levels. This is most common in polycystic ovary syndrome. In such cases, women have more than normal hair growth on the face, chest, belly and groin, and also acne. Birth control pills have a therapeutic and preventive effect by reducing androgen hormone levels and hair growth and acne.
These pills should not be used: those with atherosclerosis or vascular diseases such as blockage of cerebral vessels, those with uncontrolled and prolonged diabetes at risk of vascular disease, those with symptomatic heart valve disease, those with active liver disease. In addition, those with migraine headaches with neurological symptoms or those who have simple migraine complaints increased with taking the contraceptive pill should not use these pills.
Emergency Birth Control
If a woman has an unprotected intercourse, she can take a high dose of birth control pills within the first 72 hours of the intercourse, which can seriously reduce her risk of becoming pregnant. This also applies to cases where the condom ruptures during intercourse. The intake of these pills should be checked by a doctor. Since high-dose birth control pills can cause nausea, your doctor will also give you medications to relieve it.
These are birth control pills that contain only the hormone progesterone and do not contain the estrogen hormone found in other birth control pills. These pills are ideal especially for mothers who breastfeed their babies. Because they do not have the side effect of reducing the amount of milk that is likely to occur in other birth control pills. On the contrary, it has been found that breast milk has a long-lasting effect. In order for these pills to be protective against pregnancy, they must be purchased at the same time every day. These pills are not currently produced in our country.
Intrauterine device (IUD)
The IUDs used today are T-shaped and contain copper. This small and elastic device is placed in the uterus painlessly during a routine gynecological examination. He can stay in the uterus for 10 years. The environment it creates here is both lethal to the sperm and prevents the embryo from clinging to the uterus if the sperm is connected to the egg. In this way, it provides protection against pregnancy. A recently released type is the IUDs that secrete hormones. Their additional advantage is that it reduces the amount of blood lost during menstruation. Hormone-releasing IUD can stay in the womb for 5 years. IUDs are about 97% protective against pregnancy. It can be worn from the 6th week after birth. In 10-15% of cases, there is a rate of removal in the first year due to complaints such as pain or increased bleeding or irregularity.
To be continued…