When the kid is born, the woman with a head plunges into pleasant efforts about it. Whether it is necessary at this time to it to think of contraception? Besides the majority of familiar girlfriends persistently convince, that feeding by a breast completely excludes risk of the next pregnancy.
 However the woman should accurately to itself represent, that full restoration of its organism occurs only in two years after spontaneous sorts (and after кесарева sections - in three years) and that too short interval between sorts quite often leads a various sort to complications, as for the woman, and the future child. In this connection the woman should plan the subsequent pregnancy not earlier than in two years.
Very often there is such situation when at feeding by a breast monthly still is not present, and овуляция is already practically restored. It means that any woman, not менструирующая after sorts, has real possibility to become pregnant. And it is necessary to note here still that. In first six weeks after sorts sexual abstention as at women at this time occurs инволюция internal genitals (that is their return development) when they settle into shape is recommended and accept the initial forms. Besides at this time there is also a risk of infectious complications. Therefore the question on contraception starts to be actual, already since six weeks after sorts.
Very big role now give to such method of contraception, as - лактационная аменорея (МЛА). It approaches exclusively feeding women and consists that if the woman nurses not less than 8 times a day such conditions at which it is blocked овуляция are thus created and ability to conception decreases practically to a minimum. On the statistican, on 100 women using this method, it is necessary only 1-2 pregnancies.
However it is necessary to remember, as here there are certain conditions that this method had high enough efficiency.
 The first condition - that the woman fed not less than 8-10 times a day, and to feed it should at any requirement of the child, but is not more rare, than in 4 hours in the afternoon, the night interval should be no more, than 6 hours. If the woman fed, suppose, 15 times and suddenly sharply passes to ten-single feeding it already is considered a risk factor at which the woman can easily become pregnant. And, similarly, if nursed 10 times and passes to five-six-single feeding.
The second is an absence monthly.
The third factor - terms; it is desirable to resort to the given method about 6 months after sorts. In 6 months after sorts even if the woman continues to nurse, efficiency of the given technique already considerably decreases. And the woman has a big risk of undesirable pregnancy.
The following big group of contraception are hormonal preparations for the feeding women, containing exclusively one гестагены. Their application begins after the lapse of the sixth week after sorts therefore as till this time still probably adverse influence on the child of the synthetic hormones arriving with milk of mother, and after - the negative moment is so minimum, that no risk for an organism of the child exists any more.
If it was mini-drunk by) (tablets) they are accepted in 6 weeks after sorts in a continuous mode on 1 tablet without interruption. One packing (35 pieces) comes to an end - another begins trace. Here it is very important, that these preparations were accepted in one and too time. In particular, their version is preparation "Микролют". If it is injections the preparation "Депо-Провера-150" is preferable. The injection becomes 1 time in three months, and throughout this time the woman can forget about untimely pregnancy. In three months the new injection and so until contraception is necessary for the woman becomes.
And the third variant is "Норплант" a-implant. It is 6 силиконовых the capsules containing hormones which are entered under a skin into an internal part of a shoulder. The preparation is allocated with impulses throughout five years. And thus the woman provides to itself contraception for 99,9 percent.
During the postnatal period as contraception it is possible to use a spiral. The most comprehensible time for introduction of a spiral for the giving birth woman considers an interval after end of six weeks after sorts when at it internal bodies were already restored and thus she can not be afraid of negative influence of copper on the child through chest milk.
As to condoms, barrier methods, спермицидов, - it can use from the beginning (after sorts) a sexual life.
And here natural methods - in particular, высчитывание - are absolutely unacceptable dangerous days for the given situation.
All these methods of contraception concern directly the women nursing. But if the woman does not feed with a breast, in 6 weeks after sorts for it all methods the contraceptions existing for today, are quite real. Once again them we will list: the combined oral contraceptives; the preparations containing only гестаген; Naval Forces; barrier (condoms, diaphragms, caps); спермициды (gels, aerosols, candles, creams); sterilisation (man's and female); physiological methods. A unique wish - to select them it is not independent, and after consultation of the doctor.
Svetlana ШУКЛИНА,
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