"Postpartum contraception is done mainly so that you can space your family. So you can concentrate on your first child. So you can take care of whatever her problems and you can look after yourself also and many may be career oriented, working women and a conception soon within, say 1 year of the first delivery is going to be a burden for the working lady and also before she completely regains herself from the first delivery, then going immediately for the next child is going to tell on her health. Her health will deteriorate. So that is why we advise for spacing between the first child and the second child. So it is your choice. So that is why the postpartum contraception is very mandatory. So one, you can improve yourself and then you can concentrate on the upbringing of your first child"

"Post-partum contraception is your choice as I said. So you can plan when you want, maybe you want to give a gap of 2 years, you want to give a gap of 3 years, anytime it is your choice. So I told you that there are methods. So intrauterine devices are kept in place like say 3 year 5 years or even upto 10 years. So it is your choice how long you want the gap to be. So the same contraception can be followed or you can switch over to another type of contraception, till as long as you want to avoid the pregnancy. So you can plan it as per your convenience and choice"

"All the contraceptive methods that I have talked about so far are temporary methods, say if you are using a Copper T, once you remove and the contraception protection is gone and you can conceive. The same way, once you stop the injections or the pills, then the contraception effect is gone and then you can conceive. So they are all temporary method. When you opt for sterilisation, then it is a permanent method where you don’t want to have any more children. So you don’t want to conceive again. So that is why sterilisation is a permanent method It can be done if you have done if you have had a caesarean section for the previous caesarean section and now for this pregnancy all you are going on for a caesarean section, then it can be done concurrently. It is a tubal ligation that is ligation of the fallopian tubes. So it is cut and ligated. So at the time of the caesarean section, it can be cut and ligated. That is one methods. Or you can get it done after delivery, within 3 to 5 days of normal delivery, you can ago for a post-partum sterilisation. If you don’t want it immediately, then you can wait, say if your child is a preterm, and you are very scared that it will affect and if you get sterilised now, you will be wondering whether this child if it gets any problems, then how you are going to face it. So you can get it done what is called as an interval sterilisation or once you get your periods, you can opt for the date and do it later, say after a year or a two, or that is your choice again or that is at a convenient date. But until then you go for a temporary method and go for wat is called as a laparoscopic sterilisation, which is a day care procedure. So instead of ligating the tube, we apply what is called as a falope rings to the tubes, that is the fallopian tubes. That is the laparoscopic method, that is the keyhole surgery and it is a day care procedure and you can wait for the baby to grow up or you can do it during your children’s school holidays. But make sure that you get your periods and inform your doctor and come with the proper investigations and aesthetic fitness and that can be done at a later date, maybe one year or two years. So sterilisation is a permanent method where you don’t want to have any children. So usually couples opt for a sterilisation after 2 children, either immediately, or at a later date, after 1 year or 2 years. So the method may vary from open sterilisation to laparoscopic sterilisation"

"Postpartum contraception is a couple’s choice. So there are three methods of contraception. If it is after the first child then it is a temporary contraception, because you are going to plan your child at a later date. So whatever methods you are going to follow is going to be of a temporary nature. So it can be of one year, it can be of 2 year. It can be of 3 years or 5 years. It is your choice. So you have things called a intrauterine devices like Copper T or even mirena can be used or there are injectable contraceptives, that can be taken once every 3 months and there are tables that can be taken during immediate postpartum , but it will not affect your lactation, that is the milk supply to your baby will not be reduced by any of these three methods. So those tablets that can be taken in the postpartum period are different from the other oral contraceptive pills which you can get to know after a consult with a doctor and the other method is a barrier method which the make partner can take upon himself for the contraception. But the only problem with the barrier method, that is the condom usage is that the failure rate is very high"

"Combined hormonal methods are combined hormonal oral contraceptives. Actually the combined hormonal methods, injectable is not again available in India. You have different forms. You have pills, you have patches, you have rings, you have oral pills and then it should be started within the first 5 days of periods or if you are switching over from one contraceptive to another, then it has to be started off immediately. Suppose if you are removing the Copper T, then you start the combined oral contraceptive immediately and then for the first one week, follow additional precautions or you can start it within the first 3 days of your periods and each pill pack will have a 21 day pills. The government supply has an extra 9 tablets of iron tablets. So at the end of it you will have a withdrawal bleeding and then you will start having a regular menstruation. So again you have to start the best pill pack within the first 3 days of the next periods. The same combined oral contraceptive is also available if you are not able to tolerate orally. Like if you are having nausea and vomiting, you don’t like it, but you want the contraception, then the same thing is available in the ring for, which can be inserted in the vagina a little high up. It is a small ring the pessary type within the 5 days of periods, kept in place for 2 weeks and then removed, then a day or two, you might start off your menstruation. So a new ring has to be fitted in place within the 5 days of periods and then the combined oral contraceptive is available as a patch, which can be applied over the skin. But unfortunately it is not available in India. But that patch if anybody is travelling abroad, then you can ask for it or ask your local doctor there and use it. It has to be changed every week for 3 weeks. Like of you are starting it on a Sunday, then you remove it and then you put a new patch the next Sunday. Like that you have to follow for 3 weeks. The once you stop it, you will have a bleeding, like a menstruation. Then you again go for a patch, 5 days after your menstruation, for 3 weeks. So the concept is the combined oral contraceptives are taken for 21 days, whether it be an oral pill or a ring or a patch, it is 3 weeks, so that at the end of it, you will have a menstruation like the regular mensuration it has to be followed every month, but you have to make sure that if you are taking oral pills not to forget it. Take it in the regular manner, say that if you are taking it in the night, take it every day in the night so that you will remember"

"The types of postpartum contraception are as I told you earlier intrauterine device like a Copper T or a mirena. So the Copper T or mirena can be inserted 4 to 6 weeks after delivery and the next one is the injectable contraceptive which can be inserted 6 weeks after delivery and it has to be taken every 3 months. You have implants and it is not yet available in Idea and there are tablets which can be taken during lactation, which will not suppress lactation, but will offer you very good contraception and it is different from the combined oral contraceptive pills which can affect the lactation in the earlier weeks. So you can consult with your doctor and opt for a pill which will not affect your lactation and the other thing is that barrier method, which the male partner can follow, but the failure rate is very high. So the first mentioned contraceptive pills is the better option where it is the personal choice of the lady"