Why is the contraceptive pill not recommended for breastfeeding mothers?

The Risks of Combined Oral Contraceptives for Breastfeeding Mothers
The use of contraceptive pills, particularly combined oral contraceptives (COCs) that contain both estrogen and progestin, is often discouraged for breastfeeding mothers. This recommendation stems from several concerns regarding the impact of these hormones on milk supply and maternal health.
Impact on Milk Supply
One of the primary reasons COCs are not recommended for breastfeeding mothers is their potential to reduce breast milk production. Estrogen, a key component of combined contraceptives, has been linked to a decrease in milk supply, which can lead to early cessation of breastfeeding. Studies indicate that even when these contraceptives are introduced after a mother’s milk supply is well established, they can still negatively affect breastfeeding outcomes . This is particularly concerning in the early weeks postpartum when establishing a robust milk supply is crucial for both the mother and the infant.
Health Risks for Mothers
In addition to concerns about milk supply, there are health risks associated with the use of COCs shortly after childbirth. The American Academy of Family Physicians advises against the use of combined hormonal contraceptives during the first three weeks postpartum due to an increased risk of venous thromboembolism (VTE), a serious condition that can lead to blood clots. This risk is heightened in the postpartum period, making it essential for new mothers to consider safer alternatives.
Timing and Alternatives
While breastfeeding mothers are often advised to wait until their milk supply is firmly established—typically around six weeks postpartum—before considering hormonal contraceptives, there are safer options available. Progestin-only pills, also known as the “mini-pill,” do not contain estrogen and are generally considered safe for breastfeeding mothers. Other effective methods include intrauterine devices (IUDs) and implants, which do not interfere with milk production and can be used immediately after childbirth.
Conclusion
In summary, the contraceptive pill, particularly those containing estrogen, is not recommended for breastfeeding mothers due to its potential to reduce milk supply and increase health risks. New mothers should consult with healthcare providers to explore alternative contraceptive methods that are safe and effective while supporting their breastfeeding journey.

Can a contraceptive implant affect milk supply?

Pregnancy and breastfeeding
The implant is safe to use while breastfeeding and will not affect your baby or milk supply.

How does estrogen affect breastfeeding?

Estrogens can decrease the milk supply, especially if started before the milk supply is well established at about 6 weeks postpartum. The decrease can happen over the first few days of estrogen exposure.

Is it safe to take the I pill during breastfeeding?

Answer: Yes, the medicine is completely safe for breastfeeding mothers. It does not tamper with milk production.

Why you shouldn’t take birth control while breastfeeding?

Contraceptives which contain estrogen have been linked to reduced milk supply and early cessation of breastfeeding even when started after milk supply is well established and baby is older. Not all mothers who take contraceptives containing estrogen experience lower milk supply, but many do.

Why can’t you breastfeed with implants?

Breastfeeding with breast implants
If the incisions are under the fold of the breast or through your armpit, you should not have any problems breastfeeding. But if the incision is around the areola, you may have problems as there’s a chance the milk ducts have been cut. There’s no real way of knowing until you try.

What birth control doesn’t affect your milk supply?

Implants. You can prevent pregnancy for up to 3 years with a special stick that’s the size of a match. Your doctor implants it just under your skin in your upper arm. This form of birth control only has the hormone progestin, so it doesn’t affect your milk supply.

Which contraception is not suitable for breastfeeding?

Avoid combination (estrogen-progestin) contraceptives it at all possible. Use oral progestin-only preparations initially preferably after 4 weeks postpartum. Warn mothers that even progestin-only preparations may suppress milk production and to discontinue them at the first sign of low milk supply.

Which contraception is contraindicated in lactating mother?

Breastfeeding women should be advised to avoid combined hormonal contraception for at least the first 6 months postpartum. Breastfeeding women can use both types of intrauterine devices, although insertion should be delayed until uterine involution is complete (approximately 6 weeks postpartum).

Can you be on the pill while breastfeeding?

But be sure to discuss the issue with your baby’s pediatrician and your gynecologist first. 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.

Is birth control pills safe for breastfeeding?

Can I use hormonal birth control while breastfeeding? Yes, if you’re breastfeeding, you can safely use hormonal methods. They won’t hurt you or your baby. You can start using the shot, implant, Skyla and Mirena IUDs, and some types of birth control pills (called mini-pills) right after giving birth.