Which contraception methods are generally recommended in the early postpartum period for breastfeeding mothers?

• A. Progestin-only methods are preferred; estrogen-containing methods may reduce milk supply.
• B. Estrogen-containing methods are preferred; progestin-only methods reduce milk supply.
• C. No contraception is recommended in the early postpartum period.
• D. Barrier methods only.

Answer: (A)

In the early postpartum period for a breastfeeding mother, the priority is to prevent pregnancy without harming lactation. Estrogen-containing contraception can decrease milk supply and, in the postpartum state, carries a higher risk of blood clots. Progestin-only methods, on the other hand, do not affect milk production and have a lower thrombotic risk, making them the preferred choice while breastfeeding. Barrier methods are safe and can be used as well, but when choosing a systemic option that preserves breastfeeding, progestin-only methods fit best.