Nursing 629, Exam 3: Contraception After Delivery Questions and Answers 100% Verified

Natural Method - Clear, stretchy cervical mucous is strongest indicator of return to ovulation and fertility Contraception if NOT breastfeeding OCP - Can start any oral contraceptive 3 weeks post partum if no risk of VTE Contraception if breastfeeding - COC combined oral contraceptive pill Should have 35 mg estrogen Start at 8-12 weeks post partum Take prior to longest interval between feedings Contraception if NOT breastfeeding other - Mirena Implanon Depo Provera Can start @ discharge if not breastfeeding Contraception If breastfeeding - Minipill (progestin only, POP) Mirena IUD Implanon Depo Shot Start 6 wks postpartum Depo Provera - Increased risk of depression or worsening Bone density may decrease Need calcium, Vit D., wt bearing exercise Conception may be delayed 9-10 months after last shotContraception Barrier methods - Contraceptive sponge Diaphragm Not before 6 weeks post partum IUD - Can insert immediately after placenta delivery within 48 hrs is not breastfeeding or 6 weeks postpartum if breastfeeding Nuva Ring, Ortho Evra Patch - If breastfeeding, wait until at least 8 weeks, prefer 6 months.