Diaphragm fitted prior to pregnancy may be too small due to changes in vaginal tissue or cervix after delivery. Not recommended until resumption of regular menses. No effect on quantity or quality of breastmilk or health of infant. Basal body temperature fluctuates when mother awakens at night to breastfeed. No effect on quantity or quality of breastmilk or health of infant.
Some couples find withdrawal or long periods of postpartum abstinence difficult.
Some couples find withdrawal or long periods of postpartum abstinence difficult. Acceptable in cultures in which postpartum abstinence is traditional. Counsel the couple about the need for a backup method if they decide to resume intercourse. If not performed within 48 hours, should be delayed until 6 weeks postpartum. No effect on quantity or quality of breastmilk or health of infant.