Postpartum Contraceptives


Duration of BF method Progestin-only pills Progestin-only depots Progestin-only implants/IUD Combined patch or ring Low-dose combined
< 6 weeks PP 3 3 3 4 4
> 6 wk to < 6 mo PP
(primarily breastfeed)
1 1 1 3 3
> 6 mo PP 1 1 1 2 2

1. No restriction
2. Generally use
3. Not usually recommended
4. Not to be used

So How Does Choice Impact Lactation?
• LAM
• Abstinence
  – Periodic Abstinence/
  – NFP Methods
• Barrier Methods
No known impact on lactation
• IUD
  – Copper
• Sterilization
Little to no known impact on lactation
• Progestin-only
  – Pills
  – Injectables
• Implants
• Levonorgestrel IUD
Some reports of negative impact on lactation
• Combined pill
• Patch
• Ring
Expected to have negative impact on lactation