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What are the odds of pregnancy while breastfeeding?

Understanding the Odds of Pregnancy While Breastfeeding
Breastfeeding is often associated with a natural form of birth control, but the reality is more nuanced. While it is true that breastfeeding can suppress ovulation, the odds of becoming pregnant while nursing are not as negligible as some might believe.
The Role of Lactation in Fertility
During the early months postpartum, particularly in the first three months, the chances of conceiving while exclusively breastfeeding are quite low—often cited as nearly zero. This is primarily due to the hormonal changes that breastfeeding induces, particularly the elevated levels of prolactin, which suppress ovulation. However, as the baby grows and begins to consume solid foods, the frequency and intensity of breastfeeding may decrease, leading to a gradual return of fertility.
Increasing Odds Over Time
As the baby reaches around six months of age, the likelihood of ovulation—and consequently, pregnancy—begins to rise. Studies suggest that the chances of getting pregnant while breastfeeding increase to about 2% between three to six months postpartum and can reach approximately 6% after six months, assuming that the mother’s menstrual cycle has not yet resumed. This is a critical period for mothers to consider their family planning options, especially if they are not ready for another pregnancy.
The Importance of Individual Variation
It’s essential to recognize that individual experiences can vary significantly. Some women may ovulate before their periods return, which means they could conceive even if they are still breastfeeding exclusively. Factors such as the frequency of breastfeeding, the introduction of supplementary foods, and individual hormonal responses all play a role in determining fertility during this time.
Breastfeeding as Birth Control: A Cautionary Note
While many mothers may rely on breastfeeding as a natural contraceptive method, experts generally advise against using it as a sole form of birth control. The unpredictability of ovulation and the varying effects of breastfeeding on fertility mean that relying solely on this method can lead to unintended pregnancies. For those who wish to avoid pregnancy, it is recommended to explore additional contraceptive options.
Conclusion
In summary, while breastfeeding can significantly reduce the odds of pregnancy in the early months postpartum, it is not a foolproof method of contraception. As the baby grows and breastfeeding patterns change, the likelihood of conceiving increases. Mothers should remain informed about their fertility and consider comprehensive family planning strategies to align with their reproductive goals.

When should I take a pregnancy test if I am breastfeeding?

So, if you’re breastfeeding, having sex without using birth control, and think there’s a possibility you might be pregnant, you should take a standard pregnancy test on the first day of a missed period or two weeks after having unprotected sex.

How quickly does pregnancy affect breastfeeding?

Your milk supply will not dry up completely. But you may notice it drop more in the fourth and fifth month of pregnancy.

How likely is it to get 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.

Is it possible to be pregnant and still breastfeed?

Breastfeeding during pregnancy may require changes in positioning and scheduling, but it’s possible for many women. Your Ob/Gyn and a certified lactation consultant can help. In summer 2017, one of our patients came in for an early ultrasound – she was having some vaginal bleeding and thought she was pregnant.

What are 100% signs of pregnancy?

Signs of pregnancy

  • missed period.
  • nausea and vomiting (often called ‘morning’ sickness, but it can occur at any time)
  • breast tenderness and enlargement.
  • fatigue.
  • passing urine more frequently than usual, particularly at night.

How fertile are you after having a baby?

You can get pregnant 3 weeks after the birth of a baby, including if you’re breastfeeding and your periods haven’t started again. You need to use contraception every time you have sex after giving birth unless you want to get pregnant again. Your midwife will discuss contraception with you after your baby is born.

What are the earliest signs of pregnancy while breastfeeding?

In the early stage or first trimester of your pregnancy, you may have nipple tenderness and breast soreness. You may have a decreased food and water intake due to morning sickness and feel tired. Such physical discomfort may increase while breastfeeding.

Is it harder to detect pregnancy while breastfeeding?

In fact, when babies are exclusively breastfed, especially during their first six months, it is very unlikely that the mother will have any periods. This means that it is very difficult for women to track their periods or know if they have missed one, which is typically the most common indicator of pregnancy.

How can I breastfeed my boyfriend but not pregnant?

Inducing lactation in people who aren’t pregnant requires medication that mimics hormones your body makes during pregnancy. Suckling from the nipple can initiate lactation, either with a breast pump or by a baby.

How to check pregnancy at home with fingers?

The only guaranteed way to check for pregnancy is with a pregnancy test. However, people can check their cervix at home. To do this, they should clean their hands thoroughly before placing a finger into the vagina. The location of the cervix is in the top wall, nearest the stomach, and it should feel like a small bump.

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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