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Contraception for women after childbirth.

There is general consensus that postpartum women should begin using some means of contraception by 4 weeks post-delivery. Discussions of postpartum contraception should begin in the prenatal period and continue until a woman has selected and used a method that is satisfactory to her and her partner. Generally there will be some trade-offs between safety and efficacy. Unless women are breast feeding on demand for 24 hours a day without any supplementary feeding they cannot disregard the need for contraception. This article briefly reviews the following postpartum contraceptive alternatives: combined oral contraceptives (OCs) progestogen-only methods IUDs barrier methods sterilization natural family planning and emergency contraception. In breast-feeding women however combined OCs combined hormonal emergency pills and natural family planning are contraindicated.