This is a new guideline from the FSRH on contraception after pregnancy. There is nothing particularly new about specific methods, but there are a few new interesting points (including a reminder that the COC can be used when breastfeeding from 6 weeks after delivery).
Contraceptive options should be discussed antenatally. Ideally the chosen method of contraception should be started before discharge from hospital (if appropriate). If this is not possible, then a bridging method should be offered. We may therefore start seeing women discharged and already on contraception.
Intrauterine contraception (IUC) and Implants
Intrauterine contraception (IUC) and the implant can be inserted immediately after delivery (and the FSRH advises that there should be provision for this to be done before women go home). Both methods delivered in this way have been shown to be ‘highly acceptable’ to women, to have high continuation rates and to reduce the risk of unwanted pregnancy. If the IUC is not inserted within 48 hrs, you have to wait 28d.