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Is it safe to take emergency contraceptive pills while breastfeeding?

Understanding Emergency Contraceptive Pills and Breastfeeding
The question of whether it is safe to take emergency contraceptive pills (ECPs) while breastfeeding is a significant concern for many postpartum mothers. As the landscape of reproductive health continues to evolve, understanding the implications of ECPs on breastfeeding is crucial for new mothers navigating their contraceptive options.
Safety of Emergency Contraceptive Pills
Emergency contraceptive pills, particularly ulipristal acetate (commonly known by the brand name Ella), are effective in preventing pregnancy after unprotected intercourse. However, the safety of these pills during breastfeeding has raised questions among healthcare providers and mothers alike. According to recent guidelines, ulipristal is not recommended for breastfeeding mothers. If a mother chooses to take this form of emergency contraception, it is advised that she refrain from breastfeeding for at least a week following ingestion.
In contrast, another ECP, levonorgestrel (often referred to as Plan B), is generally considered safer for breastfeeding mothers. While it is still advisable to monitor the timing of breastfeeding after taking levonorgestrel, the consensus is that it poses minimal risk to the nursing infant.
Timing and Recommendations
The concentration of ulipristal in breast milk peaks approximately 1 to 3 hours after ingestion. Some healthcare providers suggest that if a mother takes this pill, she might consider “pumping and dumping” her milk during this peak period to minimize any potential exposure to the infant. However, there are no documented complications for babies who breastfeed shortly after their mothers have taken emergency contraception, which provides some reassurance to nursing mothers.
Alternative Contraceptive Options
For mothers who are breastfeeding and looking for effective contraceptive methods, non-hormonal options are available and can be safely used without impacting milk supply. These include barrier methods like condoms or the copper intrauterine device (IUD), which can also serve as a form of emergency contraception if inserted within a specific timeframe after unprotected intercourse.
Conclusion
In summary, while emergency contraceptive pills can be a vital resource for preventing unintended pregnancies, their use during breastfeeding requires careful consideration. Ulipristal is not recommended for breastfeeding mothers, while levonorgestrel may be a safer alternative. Ultimately, consulting with a healthcare provider can help mothers make informed decisions that prioritize both their health and that of their infants.

How can I control my pregnancy while breastfeeding?

Tips for Breastfeeding While Pregnant

  1. Take painkillers like Tylenol or use warm compresses on your breasts to ease breast soreness and nipple tenderness.
  2. Ensure that you get enough rest if you feel tired due to pregnancy and breastfeeding your older child.
  3. Ask someone to help you with household chores or childcare.

What are the odds of getting pregnant while breastfeeding?

About 2 out of 100 people who use breastfeeding as birth control get pregnant in the 6 months it can be used after a baby is born. Breastfeeding won’t prevent pregnancy if you feed your baby anything other than breast milk. So if you breastfeed but also use formula, LAM isn’t a great birth control method for you.

Can you take emergency pills while breastfeeding?

Studies indicate that levonorgestrel does not affect the composition or amount of breastmilk, or the growth and development of the breastfed infant. 6 Levonorgestrel is the same hormone found in the “Mini Pill”, which is considered the oral contraceptive of choice for breastfeeding mothers.

Can I take my breastfed baby to the ER with me?

Have a practice ahead of time, and make sure you tell healthcare professionals you are a breastfeeding mum when you’re booked in, and again when you’re admitted,” suggests Sarah. “If your baby is small, they may let you have her with you.

Is the mini pill safe for breastfeeding?

The minipill is safe to start any time during breastfeeding. It does not affect the amount of milk produced. You can begin using the minipill right away after giving birth, even if you’re not breastfeeding.

Is the mini-pill safe for breastfeeding?

The minipill is safe to start any time during breastfeeding. It does not affect the amount of milk produced. You can begin using the minipill right away after giving birth, even if you’re not breastfeeding.

What is the safest contraceptive pill while breastfeeding?

If you are breastfeeding, you may safely use:

  • the mini pill.
  • condoms.
  • diaphragms.
  • a contraceptive injection (Depo-Provera® or Depo-Ralovera®)
  • an Implanon NXT™ implant.
  • intrauterine devices (IUDs)
  • permanent sterilisation (tubal ligation).

Can I take an emergency while breastfeeding?

Yes, you can take Emergen-C while breastfeeding, but it’s important to not exceed the recommended dosage.

What is the best birth control for postpartum?

We typically recommend three types of birth control options for women who want to avoid pregnancy after childbirth: the Depo Provera shots, which last about three months; long-acting reversible contraceptive (LARC) devices, which are effective up to 10 years; and tubal ligation, which is considered permanent.

Can birth control pass through breast milk?

Using contraceptives while breastfeeding
There are no harmful effects on infants when the nursing parent uses hormonal contraceptives, but their use may diminish milk supply, especially during the early weeks of breastfeeding.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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