Contraception after having a baby

Welcoming a new baby into the world is an exciting and busy time, so it's understandable if contraception isn't exactly high on your radar. However, fertility can return surprisingly quickly after having a baby (even if your periods haven't returned yet), so if you'd like to avoid another pregnancy right away, it's worth thinking about your contraception options.

There are several different types of contraception you can explore after pregnancy, including some that may be suitable if you're breastfeeding. Whether you've recently given birth, are adjusting to life with a newborn or you simply want to explore your contraception options as you navigate parenthood, we're here to help.

Many people assume you don't need contraception immediately after giving birth, especially if their periods haven't come back yet. However, pregnancy can be possible even before your first period returns, so if you're sexually active or plan to be, it's important to think about contraception.

The right time to start contraception will depend on:

• How long ago you gave birth
• Whether you're breastfeeding
• Your medical history
• Your personal preferences

You can speak to a healthcare professional to understand your options.

There isn't a single 'best' contraceptive option after pregnancy – the right choice will depend on your personal circumstances, lifestyle and whether or not you're breastfeeding.

While some new mums prefer to restart with a contraceptive pill for flexibility, others might choose a longer-acting option that requires less day-to-day management amidst the busyness of new parenthood.

Common options may include:

• The progesterone-only pill (mini pill)
• The combined contraceptive pill
• Contraceptive implant
• Contraceptive injection
• Hormonal coil
• Copper coil
• Condoms

There may also be other factors to consider, such as whether you're taking any supplements or medication, as there are certain medicines that can affect contraception.

If you aren't sure what the best option might be for you, you can speak to a healthcare professional for confidential and personalised advice.

Tip: if you choose a contraceptive method that needs regular action (such as taking the pill or changing a patch), setting a reminder on your phone can be a big help to avoid any forgetful moments between the feeds and nappy changes.

If you're breastfeeding, then you may have additional considerations when choosing a contraception option. Certain contraceptive methods may be more suitable than others during breastfeeding, particularly in the first few weeks after birth.

The combined pill can only be used 6 weeks after giving birth if breastfeeding, and 3 weeks after birth if not breastfeeding.

Contraception options that can be started immediately after birth¹, even if breastfeeding include:

• Progesterone-only pill (mini pill)
• Male and female condoms
• Natural family planning (such as fertility awareness and lactational amenorrhoea method)²

The copper coil or hormonal coil are also suitable options, although these may not be possible immediately after birth. Your midwife or doctor can advise on the best time to get an intrauterine device fitted.

Whatever your preference, everyone's circumstances are different, so it's always best to check with a healthcare professional to understand what options are available to you.