Page 253 - كتاب تمريض نسا الاكتروني

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Method options for the non-breastfeeding woman

Methods can be used – Condoms
immediately postpartum – Progestogen-only oral contraceptives
– Progestogen-only injectables
– Implant
– Spermicide
– Female sterilization (within 7 days or delay 6 weeks)
– Copper IUD (immediately following expulsion of
placenta or within 48 hours).

Delay 3 weeks – Combined oral contraceptives
– Combined injectables
– Fertility awareness methods

Method options for the breastfeeding woman

Methods can be used – Lactational Amenorrhea Method (LAM)
immediately postpartum – Condoms
– Spermicide
– Female sterilization (within 7 days or delay 6 weeks)
– Copper IUD (within 48 hours or delay 4 weeks)

Delay 6 weeks – Progestogen-only oral contraceptives
– Progestogen-only injectables
– Implants
– Diaphragm
Delay 6 months – Combined oral contraceptives
– Combined injectables
– Fertility awareness methods

Lactational Amenorrhea Method (LAM)

 A breastfeeding woman is protected from pregnancy only if:

→she is no more than 6 months postpartum, and,

→she is breastfeeding exclusively (8 or more times a day, including at least

once at night: no daytime feedings more than 4 hours apart and no night

feedings more than 6 hours apart; no complementary foods or fluids),

and,

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