"Postpartum contraception is very very safe. Nowadays the government recommends insertion of the copper T soon after the delivery of the placenta so that you won’t know how it is being inserted also. But ofcourse it is done with your consent. You can even opt for that, whether it is a normal delivery or a C-section. Once the placenta comes out, the Copper T, can be put in place so that it can be left there for 3 to 5 years, which is your choice. The safety wise, it is your chive. So you can opt for Copper T, Copper T, is very safe. It does not interfere with lactation and it can be that there can be Copper T available that can be inserted for upto 3 years or upto 5 years and even upto 10 years and if you are worried about bleeding for menstrual problems or a heavy flow, then you can go for a hormone containing device called as mirena. It will not cause increased flow during menstruation and a mirena can be even kept in place for upto 5 years. That is also recommended. All of the, Copper T, is called as a long acting contraceptive devices. So it can be kept in place as long as you want it to be there, say 3 years, 5 years or 10 years. Injections are also quite safe. It will also reduce the ;lactation. It can be taken once in 3 months without a break. That means you should not prolong it. Once your doctor has advised that it has to be taken on a particular date, then it has to be taken within a week of that date. Don’t prolong it, because then it will become a failure and you van conceive of you prolong the next injection. So you have to keep in mind that the injections have to be taken every 3 months and the pills that are taken after delivery, that will not compromise on the lactation is that the tablet which has to be taken everyday, for you can take it upto 1 year or 2 years and then change over to a different type of contraception. So again the choice is yours. All the 3 methods are very very safe in the post-partum period. So once the baby wean, then is it starts taking the oral other soft diet other than milk than other top up feeds, then you can opt for a different method if you feel a Copper T does not suit you. Can opt for another methods. Say after 6 months or 1 year. But follow something so that you get adequate space between the first child and then next child"

"Lactational Amenorrhea is a protection in the sense, that is if the lady is totally breast-feeding during the day and atleast 2 to 3 feeds at night, with no top up feeds and 6 months no menses, then it is protective. But it is little tricky in the sense that it offers good protection. So but it is upto maybe 90% or more. But you can still follow contraception. Maybe you can start after 3 months, if you are very confident and the other thing is that you will not get periods. When you are totally lactating or totally breast feeding the baby, then you may be in amenorrhea, that is not getting periods. So that means maybe you are protected for 6 months. Once again I am telling you, once the baby starts weaning or once the baby starts taking solid foods or starts taking the top up feeds, then the protection goes. So as you are going from the amenorrhea phase to the phase of menstruation, that small gap of period that you are not protected, then you can conceive. So Lactational Amenorrhea protects as long as you are totally breast feeding and no menses. Once the baby starts on other feeds, the protection is gone"

Is barrier method a method of Postpartum Contraception?. Find out more by watching this video by Dr. Nazira Sadique, T Nagar, Chennai, Cloudnine Hospitals. For more information visit cloudninecare.com