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Ask the Expert
Mimi Zieman, MD
Q: I've heard that breastfeeding is not a reliable form of birth control, so what's the best way to prevent pregnancy soon after giving birth?
A: Breastfeeding alone is only effective when a woman is exclusively nursing (which suppresses ovulation so she doesn't have menstrual periods) and the infant is less than six months old. But there are other options if the above does not apply to you. If you are absolutely sure you don't want more children you can consider the idea of sterilization. Just as effective, but leaving open the option of having a baby in the future, is the use of intrauterine contraception (IUD). Modern IUDs are safe and can be inserted at the postpartum checkup -- typically 4-6 weeks after giving birth. Ask your healthcare provider if you are an appropriate candidate. Other options that are effective and safe (even if you are breast feeding) include the birth control shot and minipills. Barrier methods are also an option -- but if you are a diaphragm user you need to be refitted after pregnancy.
Mimi Zieman, MD, is the director of Family Planning and an associate professor in the Department of Obstetrics and Gynecology at Emory University School of Medicine in Atlanta. She is a Board Certified obstetrician/gynecologist specializing in gynecology and contraception. Dr. Zieman is an author of two books: A Pocket Guide to Managing Contraception for Clinicians and A Personal Guide to Managing Contraception for Women and Men.
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