Breastfeeding moms often face a unique challenge when it comes to selecting the best breastfeeding supplements, including a suitable contraceptive method. The primary concern is choosing among the different contraception methods that are safe for both the mother and the baby, while also being effective in preventing pregnancy. Oral contraceptive pills (OCPs) are a popular choice, but not all types of birth control pills are recommended during breastfeeding. The best birth control pill would be progestin-only pills, so keep reading on to understand why.
Hormonal Contraception: Understanding the Types
There are two types of birth control pills: combined oral contraceptives (COCs) and progestin-only pills (POPs), also known as the mini-pill.
Combined Oral Contraceptives (COCs): These contain both estrogen and progestin. While effective in preventing pregnancy, COCs are generally not recommended for breastfeeding mothers, especially in the first six months postpartum. This is because the estrogen component can cause low milk supply, which is crucial for the baby’s nutrition during early infancy.
Progestin-Only Pills (POPs): These contain only progestin, making them a safer option for breastfeeding moms. Progestin does not affect milk production, and POPs are effective in preventing pregnancy when taken correctly.
Benefits of Progestin-only Pills
Benefit #1: No Impact on Milk Supply
Unlike estrogen, progestin does not interfere with milk production. This ensures that the baby continues to receive adequate nutrition.
Benefit #2: Effective Contraception
When taken consistently at the same time every day, POPs are highly effective in preventing pregnancy. They work primarily by thickening the cervical mucus, which prevents sperm from reaching the egg.
Tips for using Progestin-Only Pills
To maximize the effectiveness of progestin-only pills, breastfeeding mothers should adhere to the following guidelines:
Tip #1: Consistent Timing
Take the pill at the same time every day. A delay of more than three hours can reduce its effectiveness.
If you missed your progestin-only pills within three hours, take the missed pill immediately once you remember. Then, get back on track and continue taking one pill every day, at your usual scheduled time.
Tip #2: Backup Contraception
If a pill is missed, or you are three or more hours late at taking it, take the forgotten pill as soon as you remember it. Then take the assigned pill for the day at the usual scheduled time, even if it means taking two pills for the day. Use a backup method of contraception, such as condoms, for the next 48 hours.
Consulting with Healthcare Providers
Before starting any contraceptive method, breastfeeding mothers should consult with their healthcare provider to discuss their specific needs and any potential risks. The provider can help determine the most suitable contraceptive option based on individual health conditions and breastfeeding status.
Conclusion
For breastfeeding moms, progestin-only pills (POPs) are the safest and most effective oral contraceptive option. They do not interfere with milk production and provide reliable contraception when taken correctly. Always consult with a healthcare provider to ensure that the chosen method aligns with both maternal and infant health needs. With the right contraceptive choice, breastfeeding mothers can effectively manage their reproductive health without compromising their baby’s nutrition.
Sources:
Drugs and Lactation Database (LactMed®) [Internet]. Bethesda (MD): National Institute of Child Health and Human Development; 2006-. Contraceptives, Oral, Combined. [Updated 2023 Sep 15]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK501295/
Progestin-only methods safe during lactation. Netw Res Triangle Park N C. 1993 Oct;14(2):32-3. PMID: 12287157.