Our foremost queries after childbirth.

·         When will I get my periods again?

 Periods normally return about four to ten weeks after your baby's birth if you are bottle-feeding, or combining breast and bottle. If you are breast-feeding then your periods may not start for few months. For some women this might take up-to 6 months or more.

·         Can Breast feeding protect me from pregnancy?

During breast feeding, a hormone called Prolactin is produced by the body, which stimulates the production of milk. Prolactin also blocks the release of the hormones responsible for ovulation. This means that you are less likely to become pregnant whilst you are breast-feeding. You must remember that it is still not fool proof method of contraception.

You can use breast-feeding (the lactation amenorrhoea method) for contraception if you are:

·         Fully breast-feeding AND

·         Six months or less since delivery AND

·         Not having periods

The chance of falling pregnant with Lactational amenorrhoea method (LAM) is 2 in 100. That means, 2 women in every 100 using this will become pregnant within those six months. Hence, your doctor may advise you to use some contraception in addition to breast-feeding, to reduce the risk of an unplanned pregnancy. There are methods available that will not affect the milk production or harm the baby.

·         How soon can I have sex again?

You can resume sexual activity whenever you and your partner feel ready to. If you have had a difficult delivery, it may take a while to feel ready, both physically and emotionally. If you have had episiotomy (stitches), they are usually dis-solvable stitches, so will not need removing. If you are having any discomfort from these then you should see your doctor. Some women find they need to use some vaginal lubricant if they feel more dry than normal.

·         How to choose a contraceptive method?

When you choose a method of contraception you need to think about:

·         Effectiveness of the method

·         Possible risks and side-effects.

·         Plans for future pregnancies.

·         Personal preference.

·         Co-existing medical conditions