Hormonal Contraceptives in the Breastfeeding Period

Many breastfeeding women are uncertain about the effects of hormonal contraceptives (contraceptives) and the extent to which there are risks to the baby.

• Combined hormonal contraceptives (contraceptives containing estrogens and progestins).
  • May possibly interfere with milk production, especially at the beginning of the breastfeeding phase (data controversial)
  • Pass <1% of maternal dose to the child. A potential risk to the child can not be ruled out e.g. brain development.
• Progestogen monopreparations (oral, intramuscular, implant (hormonal implant; contraceptive sticks), intrauterine device (IUD; “coil”).
  • Have no negative effect on breastfeeding, quality of milk, growth, and development of the child.

Recommendation: hormonal combined contraceptives may be considered when there is no longer full breastfeeding, which is usually six months postpartum (after birth) and when no other methods can be used.