Expert / 10 March, 2019 / My Baba

Going Back On Contraception Post Pregnancy? Here’s What You Need To Know

Once that little bundle (or bundles) of joy has arrived, the first thing the midwife asks you is ‘what kind of contraception will you be using?’ to which you grimace and think the world has gone mad. However, even if you are breastfeeding you may start to ovulate very soon after your delivery and therefore you are at risk of pregnancy if you return to sexual intercourse without protection.

Your choices of contraception may have changed since delivery, for example some of the choices such as the combined pill are not suitable if you are breastfeeding, and in addition if you are still carrying some of your baby weight your BMI may be too high for certain choices.

The spacing of your family may also be important, if you are not planning to have another baby for at least a year, one of the long-acting contraception choices may be appropriate. Here are your options:

Combined Oral Contraception

This is ‘the pill’. Your BMI needs to be below 30 and if it is, you may be eligible to take it up to the age of 50.

  • Pros: as soon as you stop taking it, fertility generally returns, and it usually lightens your monthly bleed.
  • Cons: if you miss taking a pill, you may find yourself at risk of pregnancy. Also, it is not suitable if you are breast feeding.

Progesterone Only Pill

This is what people often refer to as ‘the mini pill’. You take this pill every day without the 7 day break you have when taking the combined oral contraception pill.

  • Pros: you can continue to breast-feed whilst taking this pill and there are no restrictions on your BMI or smoking status. As with the combined oral contraception pill, fertility tends to return as soon as you stop taking it.
  • Cons: some people find the intermittent bleeding difficult to handle: On the other hand, some people never have a period again so its always worth a try.

Both pills require you to be a reliable pill taker as they don’t work in the packet!

READ MORE: Debunking The Top 10 Contraceptive Myths


This is what is commonly referred to as the ‘coil’. IUS has some progesterone in it which leaks out and usually causes less bleeding. As hormone levels are low, there are generally fewer systemic side effects. The procedure to insert it takes a few minutes more than a smear test and is only a little more uncomfortable.

  • Pros: Once it is in, if you are happy, it can be left in place for 5 years and fertility will return as soon as the coil is removed.
  • Cons: some people experience heavy bleeding. Unfortunately, this is difficult to predict.

Depot Injection

This used to be a three-monthly trip to the doctors office for an injection. However, a new product on the market will allow you to administer the injection yourself at home.

  • Pros: 3 months and nothing to worry about remembering in between! No restrictions re your BMI or age. Usually, women stop having periods all together.
  • Cons: it can take a while for fertility to return once you stop the injections. In some younger, thinner women there is a reversible effect on bone density (causing a thinning of the bones) and therefore this may not be suitable for everyone.

After having a baby, things can feel different. Make sure you speak to your healthcare provider about the choices available to you.

Advice written by Dr Elizabeth Kershaw-Yates, GP and one of the medical team at TheOnlineClinic
Article originally published May 2018.

In The Spotlight

Baba West's Bifikalm Multibiotic Relief Drops

Baba West’s Bifikalm Multibiotic Relief Drops for infants aged 0-12 months is a friendly bacteria supplement specifically designed to balance an infant’s gut microbiome and provide relief from digestive discomforts such as colic, constipation, and diarrhoea.

Free from gluten, soy, and dairy, these drops contain no artificial colours, flavours, or preservatives, making them a safe and effective option for babies with sensitive tummies.



Latest posts

Parenting / 20 June, 2024

Coping With Childhood Constipation: What To Use During The Movical Shortage

My Baba Measure / 19 June, 2024

The Measure: What’s Hot For Parents & Kids

Living / 19 June, 2024

Elizabeth Grant Skincare: 5 New Products You Need To Know

Expert / 19 June, 2024

Drowning Prevention Week: Must Read Tips For Keeping Your Children Water Safe This Summer

Food / 18 June, 2024

Easy Family Recipes: Cheat’s Caprese Pizza