What is the long-term contraceptive method after childbirth?

A woman becomes stupid for three years after she gets pregnant. She will really find herself becoming slow in everything she does. Some women don't want a second child or are not in a hurry to have a second child after having their first child. So you have to pay attention to contraception after giving birth. So what are the long-term contraceptive methods after giving birth? Let me explain it to you. Making love is a matter between men and women. When it comes to sex, men should be considerate of women, give them pleasure, and make them comfortable, so that their body and mind will be healthy.

Randomised controlled trials have been unable to determine the effectiveness of postpartum education on contraceptive methods. Such education may have the effect of increasing short-term use of contraceptive methods. However, there is very limited data on the more important long-term effects of preventing unintended pregnancy.

1. Evidence summary This review evaluated the effects of education on contraceptive use for postpartum women. The methods used in the review were robust: the search strategy was comprehensive and well documented; only randomised and quasi-randomised clinical trials were included; data extraction and analysis were appropriate; data were clearly presented in text and tables, and heterogeneity was tested. However, the lack of high-quality studies affects the significance of the review's conclusions. Three clinical trials in Lebanon, Nepal, and Peru were included. The outcome variables studied were: visits to family planning clinics and contraceptive use 40 days, 9 weeks, or 3 months after delivery; and cessation of breastfeeding 3 months after delivery.

The results showed that there was no effect on the non-attendance rate of family planning clinics, Peto odds ratio (OR 0.82, 95% confidence interval, CI 0.56~1.21). There was also no evidence of an effect on cessation of breastfeeding 3 months postpartum (OR 1.00, 95% CI 0.67-1.48). Education benefits both short-term and long-term use of contraceptive methods. At 12 weeks postpartum, the Peto odds ratio for not using any contraceptive method was 0.47, with a 95% confidence interval of 0.39 to 0.58; at 6 months postpartum, the Peto odds ratio for not using any contraceptive method was 0.52, with a 95% confidence interval of 0.37 to 0.74. However, this beneficial effect was no longer significant when only data from high-quality studies conducted in Nepal were analyzed.

2. Relevance to resource-poor settings

2.1. Magnitude of the problem Reproductive health indicators in poor countries lag far behind those in developed countries. In India, 65% of women give birth at home and only 48% of married women use contraceptive methods. In India, 15% of married women have an unmet need for contraception (any method). If traditional or natural methods of contraception are not included, the unmet need for modern contraceptive methods doubles.

2.2. Applicability of the results The results of this Cochrane review suggest that education on contraceptive methods immediately after childbirth has a beneficial effect, at least in the short term. The magnitude of the effect is unclear because the best-quality trials had wide confidence intervals that included the possibility of no effect. Because the three studies included in the review were conducted in developing countries, their results are applicable to under-resourced settings. However, there may be variations between regions due to differences in education, women's autonomy, access to quality health care and cultural factors. In India, decisions about contraception are made by the mother-in-law or other elders in the family, and it is difficult for young mothers to express different opinions or participate in the decision-making. The higher the education level of women, the higher the proportion of them going to medical institutions to give birth and using contraceptive methods. Postpartum contraceptive education can increase mothers' awareness of contraceptive methods and even increase their desire to use contraception. But there must be a good social environment and contraceptive services should be easily accessible.

2.3. Implementation of the intervention Most South Asian women breastfeed their infants. Many of these women lived with their mothers after giving birth and did not become sexually active until they returned to their own homes several months later. The antenatal and postnatal periods are a good time to seek contraceptive information and counseling. However, counselling on birth spacing is rarely included in encounters with health professionals. Health care providers can provide women with information about the lactational amenorrhoea method (LAM) and recommend the use of intrauterine devices (IUDs), condoms, and other barrier methods that are suitable for breastfeeding. In many areas, sterilization is emphasized. Women themselves prefer to complete their family's birth plan as soon as possible before undergoing sterilization.

Most South Asian women are not aware of methods of spacing their births. It is necessary to arrange time to provide such important information and educational activities, in addition to one-on-one consultations, and if possible, to increase the form of group education. Many such activities could be introduced without adding much economic burden. Where such activities are already underway, they need to be intensified. It is also necessary to involve women's family members in information provision and discussion so that a social vacuum does not emerge where such education is not provided.

3. Research Due to the limitations of the available evidence, the effect of postpartum counselling for women appears to be small. There is a need to evaluate the potential effects of revised educational interventions on contraceptive methods over a 2- to 3-year period; there is also a need to measure unwanted pregnancies and their termination. These modified/enhanced interventions might include education/counselling of husbands and other family members and an assessment of whether this education results in women taking a greater role in decision-making.

Long-term contraceptive methods after childbirth may be more easily known by women who have received education or have consulted information. Although literacy is now achieved, there are still so many illiterate people, especially women. Now the times are progressing and men and women are equal, but the education on thin women varies from region to region. In many places, girls are still considered a money-losing commodity, and they can only be fooled to prevent them from starving to death, and then married off early.