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Home , Hormonal IUDs, Tubal ligation

Your postpartum options

TYPE OF BIRTH CONTROL HOW SOON AFTER DELIVERY DOES IT IMPACT WILL IT IMPACT MY ABILITY TO GET OTHER CONSIDERATIONS CAN IT BE STARTED? ? PREGNANT IN THE FUTURE? MORE EFFECTIVE*

Tubal Ligation or can be performed at the time of delivery Yes, if you choose this method of Requires surgery. (during a C-section) or shortly after a vaginal delivery. It contraception, it is generally permanent. No can also be performed any time 6 weeks after you have delivered. Your partner can obtain a vasectomy at any time.

Intrauterine Device No. You may be able to get pregnant Lasts 3-12 years. Hormonal IUDs may (hormonal = Mirena® & others, An IUD can be inserted at the time of delivery No again as soon as you have the IUD cause irregular bleeding or no period Less than 1 or copper/non- hormonal = (vaginal or C-section) or in the office as soon as removed, even within a few days. at allwhile the copper IUD may cause per 100 Paragard®) a few weeks after. heavier/crampier periods. women in a year

No. For some people, it may take a few Lasts 5 years. You may have irregular Arm (Nexplanon ) ® No months for their periods to become bleeding or no period at all. The implant can be inserted at any time after delivery, regular again. often given before discharge from the hospital......

The Shot (Depo-provera®) The shot can be started at any time after delivery, often No No. For some people, it may take a up to 1 Lasts 3 months. You may have given before discharge from the hospital. year for their periods to be regular again. irregular bleeding or no period at all.

Yes – birth control 6-12 Combined + progestin Birth control with estrogen should not be started until at least 3 weeks (if not breastfeeding) or 6 weeks with estrogen should You must take a pill daily, change per 100 women Pills, Patch (Xulane®) or Ring (if breastfeeding) after delivery, depending on your not be started until No patch weekly, or change vaginal in a year (Nuvaring®) circumstances. milk supply is ring monthly. established.

Progestin-only Pill (POP) The progestin-only pills can be started any time after delivery, often started as soon as you go home from No You must take a pill daily & the hospital. No pregnancy can occur if a pill is taken even a few hours late...... This method is not effective if Lactational This method is only effective if you are exclusively No No your periods have returned, your Method (LAM) breastfeeding, have no periods, and your infant is less than 6 months of age. baby is over 6 months of age or you are supplementing with formula.

Diaphragm or cervical caps may not be effective Barrier Methods (, No All methods have to be used as before 6 weeks after delivery. Otherwise, they can diaphragms, cervical caps, No instructed, some methods depend be used as soon as you return to sexual activity. ) or withdrawal on your partner.

This method is not effective until your regular and Awareness Methods No This method is only effective if your predictable periods return after a pregnancy. No cycles are very regular. LESS EFFECTIVE* More than 18 pregnancies per 100 women in a year *Effectiveness based on typical use of contraceptive method