Anticonceptivos y su nivel de protección en orden que va de los más compatibles a los menos compatibles con la lactancia

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MELA                                               98 – 99.5%

Condones                                        85 – 98%

Diafragma con espermicida            84 – 94%

Espermicidas                                  71 – 82%

Planificación natural                        80-97%

DIU cobre                                        99.2-99.4%

DIU progestina                                99.8

Vasectomia                                      99.85-99.9%

Ligación tubal                                   99.5%

Mini-píldora                                       92-99.7%

Inyectables                                       97-99.7%

Implantes                                          99.95%

Anillo vaginal con progesterona       92-99.7%

Contraceptivos orales/inyectables  92-99.7%

Inyectables combinables                 99.7%

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El método de la lactancia y la amenorrea (MELA) debe cumplir estas tres condiciones:

1. la menstruación no ha regresado pasados los primeros 56 días
2. bebé mama dia y noche sin otros alimentos o agua o bobos
3. el bebé tiene menos de 6 meses

La menstruación no causa cambios significativos en la composición de la leche pero si en el sabor y puede causar que el bebé se inquiete o rechace el pecho

Referencias:

Protocolo 13 de la Academia de Medicina y Lactancia (Academy of Breastfeeding Medicine)

Barras-Kubski T. Lactancia y fertilidad. LLLI. 2006

En inglés:

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