The most ettective contraceptive metnoo recommended in lactating mothers is:
Correct Answer: Barrier method
Description: Ans. is a i.e. Barrier method The answer to the above question would have been `progestin only pill' if it was given in the options "According to the American college of obstetrics and gynaecologist (2000), progestin only contraceptives are the preferred choice in most of the cases." But since progestin only pills are not given the second best choice is Barrier contraception Barrier method -- Condoms can be used as a method of contraception in lactating females. It has the advantage of being readily available and having no effect on breast feeding. They also provide protection against sexually transmitted diseases but can be irritating to vaginal tissue and may require additional lubrication. Barrier methods are an excellent choice in motivated couples" Lactational amenorrhea For mothers who are nursing exclusively , ovulation occurring during the first 10 weeks after delivery is unlikely. But it is not a reliable method if mother is nursing only in day time. Waiting for first menses involves a risk of pregnancy because ovulation usually antedates menstruation. Safe period method -- In this method the feile period is calculated and the female should refrain from having sex during that period The basic prerequisite of this method is that cycles should be regular which is usually not the case with lactating mothers -- safe period method is not applicable in them. IUCD'S -- IUCD'S can be used as an alternative to progesterone only pills by lactating mothers but only following complete uterine involution FRemember in Nutshell -- 1s1 contraceptive of choice in lactating mother -- progesterone only pill 2'd contraceptive of choice in -- Barrier method Most effective contraceptive in lactating mother is progestin only pill.
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Gynaecology & Obstetrics
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