Best contraception for lactating mother: (AIPG 2009)
1. OCPs are contraindicated as Some studies have found that the estrogen in combination pills may reduce the quantity and quality of breast milk in some women, so it’s best to avoid using them, particularly during the first six months after delivery.
2. Barrier like condoms and Diaphragms are simple to use but are not the best option because the failure rate is 4% to as high as 20%. Lactational amenorrhea (LAM) may be considered natural birth control or natural family planning.
3. Lactational amenorrhea as a method of contraception is not the best option because of the occasional spontaneous ovulation can occur even with regular breastfeeding.
4. Effectiveness is best if breastfeeding must be the infant’s only source of nutrition. The infant must breastfeed at least every four hours during the day and at least every six hours at night and the infant must be less than six months old.