Contraception During Breastfeeding
Often, we find a child who is only 1 or 2 years adrift of her sister. This means that the mother’s pregnancy distance is very close to each other. Remember moms, pregnancy is not a deposit pursuit so it must be rushed. Because the too close distance of pregnancy can cause various kinds of risks.
The desire to return to pregnancy may be something that a woman always thinks after postpartum. When sexual activity tends to be active again, the married couple must think about choices regarding birth control. This is done if they want the pregnancy to not occur in the close period. After giving birth, the doctor may suggest going to a midwife or doctor within 6 weeks to make sure everything is fine. The doctor will also ask questions about contraception and birth control references. Because many couples do not wait for 6 weeks to return to sexual intercourse first.
The distance between pregnancies turns out to affect the health of both mother and baby. The distance between close pregnancy can cause serious complications in the pregnancy and birth process. The World Health Organization (WHO) states that the shortest distance between pregnancies is around 4 years, and the longest is 10 years. If less than 3 years and more than 10 years, this can carry the high risk. Research shows that the distance between pregnancies of less than 12 months can increase the risk of death in mother. Research also states that maternal deaths can be caused by postpartum bleeding.
The womb of the mother with too close pregnancy is not ready to accommodate and provide a place for the new fetus to grow. It is feared that the placenta from the previous birth has not decayed or completely exfoliated, later this will increase the risk of complications in the new pregnancy. According to the theory that mothers who had previously given birth by cesarean section, there are still placenta attached to the lower part of the uterus and can cover the mother’s cervix. This can cause inflammation in the genital tract, labor will be hampered and can cause bleeding.
Being at risk for the health of the mother and baby, the proximity of the pregnancy does not allow the mother to give exclusive breastfeeding to her baby. Because of the sensitive nipple area during pregnancy will feel pain when sucked by the baby.
The birth distance that is not ideal will be at risk for death during labor, this can occur due to the uterus and the function of the mother’s body. It is not ready to support the life of the new fetus. When a new fetus grows and develops, the mother’s body cannot provide a food supply and optimally prepares the needs of the fetus. It can also cause disability and not optimal fetal growth and development. 4 million babies die each year due to premature birth. Research shows that mothers with the next pregnancy less than 6 months of birth increase 40% of the risk of giving birth to premature babies. This later increases 61% of the risk of low birth weight babies. Some studies suggest that too close distance of pregnancy does not give the mother enough time to recover from physical stress or psychic due to previous pregnancies. For example, pregnancy will drain and deplete nutrients in the mother’s body because of sharing with the fetus, such as in iron, and folic acid. So when the next pregnant woman with a close distance, will affect the health of the mother and fetus because they can not fulfill their needs.
Facts about birth control:
Many factors need to be considered when deciding the controlling birth. It is undeniable that giving birth and caring the children requires a considerable amount of money. The cost of education also needs to be prepared as early as possible. Through adjusting the distance of pregnancy, the mother and husband can have time to save and prepare more financially for the presence of the next child.
Maintaining Harmonious Relationships with Couples
Activities in working and taking care of children often cause the husband and wife’s relationship to be tenuous. Setting the distance of pregnancy is very important for household harmony. Discuss this family planning problem with your spouse, when you plan to have the child, how, and other things related to this.
One way that can be done to regulate the distance of pregnancy is to use contraception. Discuss with your partner about the choice of the right contraceptive. Choose the most convenient to use for the success of planning a pregnancy. Now there are various choices of contraceptives that can be recommendations, ranging from injections, pills, IUD (Intrauterine Device) to implants. Choose the one that fits your needs, moms!
Lactational Amenorrhea Method (LAM)
Lactational Amenorrhea Method (LAM) can be an alternative if you are new to giving birth and want a natural and practical, this method can be done by exclusively breastfeeding. This contraception works by suppressing a woman’s fertility and preventing pregnancy. For some women, MAL can be a very effective family planning method as long as certain conditions are fulfilled, such as:
- absence of menstrual bleeding (have not experienced menstruation)
- babies suckle exclusively (do not eat other foods and drinks)
- less than 6 months old babies
If the mother and baby are by these indications, then the likelihood of pregnancy is very low. After women stop breastfeeding exclusively and babies start consuming complementary foods such as formula milk or baby cereal, a woman’s body will begin preparing for pregnancy and be ready to ovulate.
If there is not an appropriate factor, the mother should consider using additional contraceptives to prevent pregnancy. Non-hormonal contraceptives. This option is very easy to use and relatively inexpensive, such as condoms. But if you want long-term contraception and you don’t want to get pregnant again for a long period you can choose another contraception, such as:
- IUD (contraceptive device installed in the uterus)
- Implant (under-skin contraception)
- Sterilization (binding to the channels that function for fertilization, fallopian tubes)
How long should you be pregnant again?
To reduce the risks that occur during pregnancy, birth, or disruption of the child’s growth process, the recommended distance between births is a minimum of 36 months and a maximum of 10 years after the last delivery. WHO states that the most ideal time for pregnancy distance is 3 years. That way mothers can give exclusive breastfeeding to babies born previously and maximize their nutritional adequacy by breastfeeding. It is highly recommended that mothers take part in family planning programs. It is not just a government program that aims to suppress the growth of the community, but this program also has a great influence on the health of mothers, children, and families.