Confused about Bisphenol in plastics

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					                Breastfed                                             Kim Aldrich RN, IBCLC
           ~    (913)915-5009       ~    EMAIL:

                               Contraception and Breastfeeding
                         Based on The Academy of Breastfeeding Medicine protocol #13

Ranked by potential impact on milk supply & breastfeeding success.

☼ First Choice Methods ~ Little to no known impact on lactation
       LAM (Lactational Amenorrhea Method): Is effective the first 6 months if there is no
         menstrual bleeding by 56 days after birth, no other food source given to baby, feeding occurs
         frequently at least every 4 hours during day and 6 hours at night (98% effective) or if
         separated, pumping every 3 hours such as for work (95% effective)
       Natural Family Planning: Often used along with LAM
       Barriers: Diaphragm/cap, Spermicides, Condoms
       IUDs: (usually inserted after 6-8 weeks)
             o Copper T (copper bearing)
             o Mirena (*progestin releasing) *Progestin IUD typically has minimal impact but does
                have the potential to decrease supply as with other progestin only methods.
       Surgical Sterilization: Male-vasectomy, Female-tubal ligation (permanent)

☼ Second Choice Methods ~ For use after 6 weeks of age. Some reports of negative impact on lactation
      Progestin-only methods: May decrease milk supply if started before milk supply is well
                  o Injectables (after 3 months): Depoprovera
                  o Oral pills: Micronor, Nor QD
                  o Implants: Implanon (3 years), Norplant (5 years)

☼ Third Choice Methods ~ Expected to have negative impact on lactation. Best to avoid use until after baby
             Hormonal – Combination (Estrogen containing)
                 o Oral (The Pill):
                 o Contraceptive patch: Orthoevra
                 o Vaginal ring: Nuva-ring
                 o Injectables: estradiol/medroxyprogesterone (1 month)
                 o Emergency Contraception

During breastfeeding the chance of getting pregnant is lower; however, women still can get pregnant.
There is NO guarantee that menstruation occurs before ovulation! Breastfeeding women have many
birth control choices. Your choice may be based upon how often you have intercourse, desired spacing
of another baby, or risk factors for contracting an STD. Some contraceptive choices may necessitate
the use of additional lubricant such as Astroglide or KY jelly because it is not uncommon for a nursing
mother to feel dryer than usual during intercourse. Discuss contraception with your provider before you
give birth. You can decide what method is best for you without the added pressures of a new baby.

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