For nursing mothers, when is it recommended to start using oral contraceptives?

Starting oral contraceptives for nursing mothers is best recommended after the first 6 weeks post-birth. This guideline is based on the understanding that during the initial weeks following childbirth, especially in the early breastfeeding phase, a mother's body is still adjusting to hormonal changes and establishing milk supply. Introducing hormonal contraception too early can potentially interfere with milk production and affect breastfeeding.

By waiting until after the first 6 weeks, the mother allows her milk supply to stabilize, thereby ensuring that breastfeeding is established without disruption. Additionally, postpartum women are at an increased risk for thrombosis, and waiting allows for a safer period to initiate hormonal contraceptives, minimizing health risks.

Using oral contraceptives during the first week or immediately after birth could lead to complications related to both breastfeeding and maternal health. Therefore, the recommendation aligns with the best practices for both effective contraception and the successful establishment of breastfeeding.