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As a healthcare professional, it is important to provide accurate information to breastfeeding mothers regarding the use of medications, including birth control pills. Many women may wonder if it is safe to take birth control pills while breastfeeding, or even the morning after pill in case of emergency contraception. First and foremost, it is important to understand that breastfeeding itself is a natural form of birth control. Breastfeeding suppresses ovulation, making it less likely for a woman to become pregnant. It is known as the lactational amenorrhea method and is about 98% effective during the first six months of breastfeeding if certain criteria are met. These criteria include exclusive breastfeeding (no formula or solid foods), frequent nursing (at least every four hours during the day and every six hours at night), and no periods yet since giving birth. However, some women may still wish to use additional methods of contraception while breastfeeding. The question then arises whether it is safe to take birth control pills while breastfeeding. The answer is generally yes, but with some caveats. Most types of birth control pills contain estrogen and progestin, hormones that can be transmitted to the baby through breast milk. While these hormones are generally considered safe for breastfeeding babies, there are some risks to consider. One concern is that the hormones can decrease milk supply, so women who are already struggling with low milk supply may need to choose a different method of contraception. Another concern is that the hormones can potentially affect infant growth and development, although studies have shown no long-term negative effects on cognitive development or behavior. If a woman wishes to take birth control pills while breastfeeding, it is generally recommended to choose a pill that contains only progestin, also known as the mini-pill. These pills do not contain estrogen and are less likely to affect milk supply or infant growth. However, they must be taken at the same time each day to be effective and may have a higher failure rate compared to combination pills. In case of emergency contraception, such as the morning after pill, it is also generally considered safe for breastfeeding mothers to take. The hormones in these pills are only present in the body for a short period of time and are unlikely to affect breast milk or infant growth. In conclusion, while breastfeeding itself is a natural form of birth control, many women may still wish to use additional methods of contraception. Birth control pills, including the mini-pill, are generally considered safe for breastfeeding mothers, although there are some potential risks to consider. Emergency contraception, such as the morning after pill, is also generally considered safe for breastfeeding mothers. It is important for women to discuss their options with their healthcare provider and make an informed decision based on their individual needs and circumstances.

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