Gives time to choose and arrange for surgical or other contraceptive methods. For greatest effectiveness, must be fully breastfeeding.
Effectiveness declines as weaning takes place or breastfeeding is supplemented.
If using LAM, delay for 6 months. Start COCs or CICs when weaning begins. If not breastfeeding, COCs or CICs can be started after 3 weeks postpartum. During the first 3 weeks postpartum, the estrogen in COCs and CICs slightly increases the risk of blood clotting problems. If client has resumed menses and sexual activity, start COCs or CICs only if reasonably sure she is not pregnant.