Pregnancy Risk Using the Small-Pill and Breastfeeding


What are the side effects of the mini pill?

Video taken from the channel: IntermountainMoms


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I’m nursing a baby, and I’m on the pill. So how did I still get pregnant?

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Birth Control and Breastfeeding

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The known side effects of the mini-pill are also symptoms of pregnancy (such as dizziness, nausea, changes in your breasts, weight, mood, sex drive, and menstrual flow). 2  Before you dismiss any of your symptoms as side effects from your birth control, it’s wise to take a home pregnancy test. If you’re breastfeeding, you’re not likely to have regular periods for many months after giving birth.

And taking the minipill might delay the return of your period even longer. Less commonly, the minipill can cause headaches, breast tenderness, and nausea. However, estrogen has been found to decrease milk production in nursing mothers, so you should avoid combination pills while breastfeeding.

Instead, doctors usually recommend progestin-only pills. Approximately 9 out of 100 women become pregnant in the first year of use with POPs with and fully or nearly fully breastfeeding (exclusively breastfeeding or the vast majority [≥85%] of feeds the number of pill packs distributed or prescribed can result in unwanted discontinuation of the method and increased risk for pregnancy. All bc doesn’t have to be taken at the same time but the mini pill does I just stopped taking it I couldn’t keep up with that and a baby but it’s very possible to get pregnant while breastfeeding and on the pill especially if not taken properly. Like. Amy.

Sep 07, 2018. Generally, it’s safe to continue breast-feeding while pregnant — as long as you’re careful about eating a healthy diet and drinking plenty of fluids. However, breast-feeding can trigger mild uterine contractions. Pregnancy.

Although it’s very unlikely, there’s a very small chance that you could become pregnant while taking the progestogen-only pill. If this happens, there’s no evidence that the pill will harm your unborn baby. If you think you may be pregnant, speak to your GP or visit your local contraception clinic. ETA: I never really had any problems with the mini pill. My periods were always normal except when I was breastfeeding but it was bc of the breastfeeding that my periods stopped I know for sure.

I honestly love the mini pill except for the fact that it’s SUPER easy to get pregnant on. In a high-risk pregnancy, the oxytocin release that accompanies nipple stimulation during breastfeeding can increase uterine activity, which could potentially affect the pregnancy. Every woman’s body reacts a little differently to breastfeeding. I can’t quantify what the risk is of continuing to breastfeed in the setting of these complications. No lie I’m pretty sure I’m pregnant on the mini pill.

I’ve taken it on time every single day and I’m not exclusively breastfeeding and I’m 6 weeks pp. I have all the symptoms of being pregnant. So I’m nervous.

I haven’t gotten my period at all which I.

List of related literature:

Barrier methods (condoms and diaphragms), intrauterine devices (IUDs), and progestin-only pills and injections (mini-pill and Depo-Provera) don’t interfere with breastfeeding.

“Pregnancy, Childbirth, and the Newborn: The Complete Guide” by Janet Walley, Penny Simkin, Ann Keppler, Janelle Durham, April Bolding
from Pregnancy, Childbirth, and the Newborn: The Complete Guide
by Janet Walley, Penny Simkin, et. al.
Meadowbrook, 2016

Chaudhuri 7th/ed, p71 In Breastfeeding Females For lactating mothers, contraceptive should be chosen in such a way that in addition to providing effective contraception, they do not adversely affect the success of lactation or the health of the infant.

“Self Assessment and Review of Gynecology” by Sakshi Arora Hans
from Self Assessment and Review of Gynecology
by Sakshi Arora Hans
Jaypee Brothers,Medical Publishers Pvt. Limited, 2019

Progestin-only pill contraceptives have been widely studied and no difference has been demonstrated in breastfeeding outcomes or child health between women using progestin-only pills and those using non-hormonal contraception.

“Oxford Textbook of Obstetrics and Gynaecology” by Sabaratnam Arulkumaran, William Ledger, Stergios Doumouchtsis, Lynette Denny
from Oxford Textbook of Obstetrics and Gynaecology
by Sabaratnam Arulkumaran, William Ledger, et. al.
Oxford University Press, 2019

Although progestin and estrogen are approved by the AAP for use in breastfeeding mothers, it is possible that estrogen-containing contraceptives may affect a mother’s milk supply and therefore a progestin-only medication (minipill) may be a better choice, at least until 6 months postpartum.

“Krause and Mahan’s Food and the Nutrition Care Process E-Book” by Janice L Raymond, Kelly Morrow
from Krause and Mahan’s Food and the Nutrition Care Process E-Book
by Janice L Raymond, Kelly Morrow
Elsevier Health Sciences, 2020

Breastfeeding without the use of other contraceptives carries a pregnancy risk of between 1.2% and 6% a year (Van Der Wijden et al., 2003; ChildbirthSolutions, Inc., n.d.).

“Dimensions of Human Behavior: The Changing Life Course” by Elizabeth D. Hutchison
from Dimensions of Human Behavior: The Changing Life Course
by Elizabeth D. Hutchison
SAGE Publications, 2008

EC is not indicated for breastfeeding women ≤6 weeks postpartum as ovulation is extremely unlikely.

“Ferri's Clinical Advisor 2016 E-Book: 5 Books in 1” by Fred F. Ferri
from Ferri’s Clinical Advisor 2016 E-Book: 5 Books in 1
by Fred F. Ferri
Elsevier Health Sciences, 2015

Progestin-only contraceptives should be avoided in Hispanic women with gestational diabetes who are breastfeeding because of the high risk of the woman developing diabetes mellitus type 2 (Gabbe, 2017).

“Introduction to Maternity and Pediatric Nursing E-Book” by Gloria Leifer
from Introduction to Maternity and Pediatric Nursing E-Book
by Gloria Leifer
Elsevier Health Sciences, 2018

O’Connor AB, Collett A, Alto WA, et al: Breastfeeding rates and the relationship between breastfeeding and neonatal abstinence syndrome in women maintained on buprenorphine during pregnancy, J Midwifery Womens Health 58:383–388, 2013.

“Breastfeeding: A Guide for the Medical Profession” by Ruth A. Lawrence, MD, Robert M. Lawrence, MD
from Breastfeeding: A Guide for the Medical Profession
by Ruth A. Lawrence, MD, Robert M. Lawrence, MD
Elsevier Health Sciences, 2015

LAM provides 98% protection against pregnancy in the first six months following birth if all of the following three criteria are met: ● The woman must breastfeed both day and night, providing a minimum of 90% of the infant’s nutritional requirements.

“Midwifery: Preparation for Practice” by Sally Pairman, Sally K. Tracy, Carol Thorogood, Jan Pincombe
from Midwifery: Preparation for Practice
by Sally Pairman, Sally K. Tracy, et. al.
Elsevier Health Sciences, 2011

The risk of pregnancy to a woman who is fully breastfeeding and amenorrheic is less than 2% in the first 6 months.

“A Comprehensive Textbook of Midwifery & Gynecological Nursing” by Annamma Jacob
from A Comprehensive Textbook of Midwifery & Gynecological Nursing
by Annamma Jacob
Jaypee Brothers,Medical Publishers Pvt. Limited, 2018

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Bibliography: oktay_bibliography

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  • What if I miss the time I am supposed to take my birth control? Should I still take it at a later time and will it affect my milk supply

  • I had a horrible OB-GYN experience a few days ago in which I tried to have this conversation with her since I struggle with migraines (and have had friends complain in the past). She was so rude/intent on getting me out of there we had NO discussion at all. I mentioned getting frequent migraines (especially around my cycle) and she completely ignored me. I was written off a prescription for the patch and within 24 hours of putting it on got the worst migraine of my life. I am sitting here watching this series in actual tears wishing I had found this before I put something on I didn’t want to in the first place feeling bullied by a doctor who made me feel small and humiliated on the table after making a comment about the tattoo I have for my mother down there. I feel a lot more informed and even though I couldn’t get a conversation at the doctor this makes me feel so much better. Going to a new OB-GYN and consulting primary care as soon as I can and asking about this option since I have been diagnosed with chronic migraines for several years now. Thank you so much!

  • Hormonal birth control freaks me out tbh. I’ve never been on it, but idk what we’re gonna do after this one cuz I need to be done �� (at least for a long while!)
    You’re such a good mama ❤️ I hope you can get back to yourself ASAP! ❤️

  • You’re such a good mommy Marley. I hope you get to feeling better sweet friend. I never liked the way birth control made me feel either. And you’re right, we’ve got to be available, mentally, for our babies. You’re doing a great job! Keep us updated ❤️❤️❤️

  • But it’s not progesterone, it’s the synthetic version of progesterone. A very important distinction as they work differently. Not sure I would listen to your advice

  • I have a question concerning the mentioned here and in another video 48hour window where IT is safe to insert an IUD after delivery. Why is IT safe then and not after that? Could you mąkę a video a out it? You mentioned that it is a different conversation and I would be interested as to why?

  • im currently on the combined pill, and have been for about 2 or 3 years but have had an almost constant issue with thrush for a while now. for other reasons my doctor suggested going on the mini pill, and i heard that the mini pill may actually help with clearing thrush as well. do you know any information about this or where i could actually find some information x

  • I’m 21 years old and I was on the combination pill for 8 years and I switched to the mini pill (I get migraines with aura). I’ve been on that for a year and a half so I don’t get periods anymore. My husband and I weren’t very careful about 3 weeks ago, and now I’ve been having crazy symptoms. I’m extremely (and I mean EXTREMELY) tired, I’m queasy and I’ve been getting hot flashes, I’ve been getting more migraines almost every day, and so on. I’m starting to wonder if I’m pregnant but I haven’t had a missed period because I don’t get them.

  • I’m just turning 40 and having irregular period with short luteal (3-4 days of brown spotting before heavy flow which lasts 2-3 days and then spot for 3-4 more days until disappear) phase for last couple of years and thinking about to go on mini pills cause i have some symptoms of estrogen dominance but haven’t conformed with doctor..Does mini pills help regulate hormone imbalance?

  • I was given the mini pill for period control when I was younger because of my viciously sore and sporadic periods. It worked and I came off it because my stress levels reduced so my periods because regular and less painful I have been off it for around 2 years. However I went to the doctor because I want to use a contraceptive pill as birth control. The doctor prescribed me the mini pill without any discussion or questions, just because I had a history of using it. Is the mini pill just as effective or should I request a new appointment?

  • My doctor has just got me onto pop after coming off the other pill as it was no longer save for me to take, I’m a bit confused about this tablet, it doesn’t have sugar pills like the others have, is there a period in time where you can fall pregnant or are you covered the whole time of taking the pill, is there meant to be a period time between starting a new pack?

  • Hi, thank you for this video. I’ve been on the mini pill for 3 months now and my period has not stopped. I keep reading people saying they don’t have any but mine keeps coming non stop for 3 months now. It is not the same as normal period but I need to have a pad constantly. It’s starting to affect my life negatively so wanted to ask if you know more on that? Would it ever stop with the mini pill and if so how long woukd it take to stop? I am really considering stopping it if it doesn’t stop. Thank you and take care.

  • Thanks for this video. Just one question, when you said it is suitable ‘if you are a smoker and you’re over 35’…did you mean ‘smokers’ and ‘women over 35’ as separate criteria? Specifically in my case, I am a NON-smoker who is 37, as such would I still fit the criteria for the mini pill?

  • I have a question? I recently had a uterine polyp because I was having abnormal bleeding they put me on this type of birth control and iron pills because I’m anemic and in two weeks I’m having a hysterectomy! But I’ve recently started taking this pill I’ve only been taking it for two weeks the last few days I have fell out of it dizzy just weird and I felt like this before when I had the IUD so my question is could this be a side effect

  • If you take the pill after the 3 hour mark how is it so easy to get pregnant? Does your body just sense some change and drop an egg? Lol.

  • I’ve just been changed over from the combined pill to the mini pill to see if it will help with my headaches I have been having. I personally don’t think the headaches are related to the pill, however my GP wants to trial it, which I am very nervous about changing. How come it is that the combined pill is offered as a first choice? it has taken me a while to find a pill that I am happy on and I’m concerned about changing this as I don’t want to experience mood swings, once or weight gain. Any advice would be great, thanks!

  • I am a male pharmacist and I’m here on your video, hoping to learn more about POP. This area in my practice is really one area I am not very confident to deal with, as it really confuses me so much. Anything about women’s health, I seem to have a poor judgment.
    I would like to ask about the “menstrual irregularities” side effect with POP. I know that could be “spotting?” which is a bleeding that is lesser than the “normal” bleeding; or it could also be “amenorrhea” or no bleeding, due to the action of progesterone in the uterine lining, I assume? it stabilizes it, so it is less likely to bleed or could not bleed at all, esp if the pill is taken continuously? But can you tell me more about this “menstrual irregularity”..I just find it difficult to explain to patients something I don’t fully understand and when all I rely on is the info from the reference in front of me.

    So I know, this menstrual irregularity is COMMON, and SELF-RESOLVING. But women on POP, do they also have this “withdrawal bleeding” on the last 7 days of the pack? or they bleed any time between the 28 days?

    Thanks to all the women who will reply.

  • I was on the mini pill after having Mila and I would seriously bleed every other week, it was awful! Thankfully I had switched to a different pill that kept things regular! Not sure what I’ll go with once baby boy is here ��❤️

  • Hey my doctor put me on the mini pill because it’s my first time on the pill and I can’t go into the doctor surgery due to the coronavirus. I’m really nervous about it because I don’t like the sound of not getting my period. How common is not getting your period whatsoever on the mini pill? And how easy would it be to switch to the combined pill if I wanted to?

  • I was just prescribed the mini pill because I was taking the combination pill and it caused to break out in hives. So hopefully this will be a better option for me.

  • I bleed the whole time my docter kept saying to stick with it and I gave up got pregnant and am due any day with my second baby I’ll be doing a progesterone only pill next because they say if you bleed like that the you have too much estrogen and not enough progesterone

  • I’m breastfeeding.. and i decided the mini pill errin (my gynecologist suggested it) first pill I took i got my period next day. I’m with the second box and I haven’t got my period ������ I’m pretty concerned

  • I used the mini pill and had breakthrough bleeding and cramping a lot inbetween my periods. I ended up quitting taking them because of it. I had no idea that it was so common until now!