Memo

So, in your family recently had a baby. All are glad, terribly concerned, and my mother is likely to feel happy, but a little weak. Did you plan to have more children. But hardly want to get pregnant right now, just this week. So, we need to be protected.

Postpartum contraception has several features.

Method lactation amenorrhea (absence of menstruation due to breastfeeding)

This method is based on the suppression of prolactin (a hormone that promotes milk production) processes of maturation and release of the egg. This means that ovulation Ovulation - How to determine as accurately as possible?   It does not occur, the egg is not ready to be fertilized. But there are some very important conditions, and the method can be used by women only if:

• not resumed menstruation (postnatal discharge are not considered menstruation);
• postpartum no more than 6 months;
• the child is exclusively breastfed, that is receiving only breast milk, acceptable part (about 15%) in the diet of baby juice, tea, some water, depending on the season;
• the intervals between feedings no more than 3 hours during the day and 6 hours at night;
• Breastfeeding initiated within one hour after birth;
• baby sucks a pacifier;
• Mom is not expressed and not feed the baby expressed milk.

If these conditions are not met, be protected in this way is impossible.

Natural methods (coitus interruptus, calendar, temperature)

The postpartum period is not very suitable, since certain changes are possible in the usual rhythm of the body. This is due, primarily, to childbirth, feeding, stress management, stress.

Barrier methods

You can use as give adequate contraceptive effect, do not interfere with lactation may protect against some trouble (fungal diseases) that a healthy immune system would have coped, but can give a weakened hole. The only comment that female barrier contraceptives should not be used earlier than six weeks after the birth and they must choose a doctor.

Spermicides

When used properly, the reliability of about 80%. It does not affect the mother and the child, do not interfere with lactation. Spermicides envelop the cervix, and the chemicals that make up the spermicide. Spermicides may be issued in the form of gels, foams, candles. Using spermicides often solves the problem of vaginal dryness Vaginal dryness: Causes and Symptoms   in lactating women.

Hormone pills

Combined contraceptive pills can not use - they inhibit the production of milk.

You can take progesteronics Progesterone - norm and pathology   - Mini-pill. They contain a small amount of synthetic hormone progestogen similar to the hormone of the corpus luteum. The drug changes the quality of the cervical mucus so that it becomes thick and forms an impenetrable barrier to sperm, which can not meet the egg. They do not affect the composition and quantity of milk can be taken from the third week after birth. However, the drug must be taken "alarm clock" - at the same time, clear and punctual.

Hormonal injections and implants

You can start to apply six weeks after childbirth. Do not affect the production of breast milk. The reliability of 99%.

Intrauterine device (IUD)

Intrauterine devices do not affect the quality of the milk and are particularly suitable lactation because of high efficiency. With the introduction of the IUD immediately after delivery there is a high risk of loss, so it is best to make this procedure 6-8 weeks after birth.

Mirena Intrauterine hormonal system

Suitable for lactating women. Principle: the top of the T-Systems is levongestrelom container, which is a synthetic analogue of the female hormone progesterone. The membrane is designed so that allows you to stand out at a constant speed is negligibly small amount of hormones, which does not change for 5 years and provides a local contraceptive effect.

There are also more radical methods: complete abstinence from sexual relations, sterilization Sterilization - may be temporarily . But without going to extremes, you can choose a worthy and, most importantly, safe way to postpartum contraception.

What eskapel

Eskapel (international name - levonorgestrel) - a postcoital (used immediately after sexual intercourse) oral contraceptive. The mechanism of action of this drug is that it causes inhibition of ovulation (release of an egg from the ovary for fertilization), when sexual intercourse takes place before ovulation Ovulation - How to determine as accurately as possible? That is, the period of highest probability of fertilization.

In addition, it eskapel prevent proliferation of the mucous membrane of the uterus (in preparation for the introduction of a fertilized egg into the uterus) and increases the viscosity of cervical mucus, which hinders the promotion of sperm.

But if a fertilized egg is already vnedrilast in the lining of the uterus, the eskapel already does not help. The risk of pregnancy with proper reception eskapel averages 1, 1%.

Indications

Indications for use eskapel is emergency prevention of unintended pregnancies among women with a regular menstrual cycle. It also has value while taking the drug: the more time that passed between sexual intercourse and drug intake, so it is less effective (after 96 hours, the efficiency is low).

In emergency situations (for unprotected sex) also never forget about a possible infection and also to take measures of emergency prevention.

Eskapel not a substitute for regular contraception after use is recommended or barrier contraception (eg, condoms) until the next menstrual period, or continue to receive hormonal contraceptives if it started earlier.

How to apply

The drug is taken at a dose of 1.5 mg (1 tablet) for the first 48 hours after intercourse. Can take ½ tablet (0, 75 mg), and after 12 hours another ½ tablet. If within three hours after administration of the tablet occurred vomiting eskapel efficiency decreases. Eskapel tablet can be taken on any day of the menstrual cycle The days of the menstrual cycle: Four phases   with the proviso that the previous menstruation proceeded normally.

Use of the drug, generally does not disturb the regularity and nature of normal menses. Sometimes it is possible earlier or delayed (about 2 days) appearance of menses. Avoid re-use eskapel during the same menstrual cycle in order to avoid its violations.

Contraindications eskapel

As with any drug, eskapel has contraindications:

• hypersensitivity to the drug;
• diseases of the liver or bile ducts, including jaundice, even if it was for a long time;
• puberty Puberty child - stages of a complex path ;
• pregnancy;
• breast-feeding the baby (if necessary, use during lactation after taking eskapel should stop breastfeeding for 36 hours).

Side effects

When receiving eskapel rare, but there may be side effects:

• Endocrine system: the feeling of tension of the mammary glands, the menstrual cycle (possibly temporary change in the character of the menstrual cycle in a missed period, usually no more than 5-7 days);
• From the digestive system: nausea, vomiting, diarrhea, pain in the lower abdomen;
• From the nervous system: fatigue, headache, dizziness Dizziness - if the ground is slipping from under his feet .

Women who have had an ectopic pregnancy early, surgery on the fallopian tubes, inflammatory diseases of the pelvic organs eskapel application can serve as an additional risk factor for ectopic pregnancy. Therefore, if there is pain in the lower abdomen, loss of consciousness should first rule out an ectopic pregnancy.

Can an overdose occur eskapel

In no case can not be taken in higher doses eskapel, otherwise there may be signs of overdose include nausea and menstrual disorders. In any case of overdose, seek medical attention.

Eskapel - drug produced by famous Hungarian pharmaceutical company "Gedeon Richter", which, of course, cares about its reputation and does not throw into the market untested substandard facilities. But eskapel has its indications and contraindications, so freely available in pharmacies do not, the drug is available only by prescription.