Norplant Implants are capsules that contain progestins and can be placed under the skin six or more weeks after delivery in the United States and sooner in other countries. The pill is not recommended for breastfeeding mothers, because estrogen has been associated with a slight reduction in the amount of breastmilk. Tubal sterilization can be performed immediately postpartum. However, the medication in general anesthesia will pass into breastmilk. Therefore, breastmilk should be expressed and thrown away for 24 hours after the procedure.
Local anesthesia is usually better.