Selection Of KB After Caesarean Section?
Good afternoon. On June 26, 2019 I gave birth by cesarean section. Until now on August 28, 2019 I was still bleeding (a little), is this still in the postpartum state? I know postpartum is only 40 days? Then is it still within normal limits if it’s still bleeding? And now I am still not in KB even though I was 2 months after giving birth, because I am still confused when I should use KB, and what KB should I use? With post-cesarean delivery conditions? Hopefully my question is answered. Thank you 🙏
Good afternoon, thank you for asking at HealthReplies.com. The puerperium is a period that normally occurs after childbirth, both by cesarean and normal. During this time, the woman's body gradually returns to her condition before becoming pregnant, even though it may not be 100% the same right away. This period lasts about 40 days or 6 weeks, and is also marked by the discharge of puerperal blood, or what is called medically in the language of lochia.
Regarding your question, as we have said it is generally only 40 days, so if in your case more than that, further tests need to be done to see if there are certain conditions that cause the bleeding to last longer, such as infection, blood clotting disorders, or other inflammation. Without a direct examination, the diagnosis cannot be established, whereas treatment will depend on the diagnosis. So you should consult your condition with your obstetrician.
Then regarding the choice of family planning, there is no specific birth control program for women who give birth by cesarean section. You still have the same choices as women who give birth normally. What will probably differentiate your choices, is your age, your decision to have more children, your ability to be consistent on a continuous schedule, and which of the potential side effects that you can tolerate. For this matter you can discuss with your obstetrician.
So again, it is important for you to immediately consult yourself, so you can find out the exact cause of the bleeding that you are experiencing, and to determine which contraceptive choice is most appropriate for you. It's a good idea to come with your husband so you can decide together while weighing the pros and cons of each type of contraception. So, hopefully answering your question.