{"id":3140,"date":"2018-04-23T21:00:46","date_gmt":"2018-04-23T21:00:46","guid":{"rendered":"http:\/\/locaacademiafamiliar.com\/?p=3140"},"modified":"2018-04-24T08:21:37","modified_gmt":"2018-04-24T08:21:37","slug":"metodes-anticonceptius-postpart","status":"publish","type":"post","link":"https:\/\/locaacademiafamiliar.com\/ca\/2018\/metodes-anticonceptius-postpart\/","title":{"rendered":"M\u00e8todes anticonceptius en el postpart"},"content":{"rendered":"<p><strong>&#8220;I per quan el <a href=\"http:\/\/locaacademiafamiliar.com\/ca\/tag\/2-fill\/\">segon<\/a>?&#8221; &#8212; Ja t&#8217;han fet aquesta pregunta?<\/strong><\/p>\n<p>Aquesta \u00e9s una d&#8217;aquelles preguntes cl\u00e0ssiques que et fan quan et veuen amb un nad\u00f3 grandet, per\u00f2 &#8230; per qu\u00e8 voldran saber-ho? \ud83d\ude42 Si creus que encara no \u00e9s el moment de buscar el seg\u00fcent fill, avui et volem explicar<strong> quins m\u00e8todes anticonceptius estan indicats <a href=\"http:\/\/locaacademiafamiliar.com\/ca\/2017\/una-reflexio-els-segons-fills-parts-i-postparts\/\">despr\u00e9s del part<\/a> i durant quant de temps, tant si d\u00f3nes el pit com si no<\/strong>.<\/p>\n<p>Recorda que aquest escrit \u00e9s orientatiu, sempre ser\u00e0 <strong>la teva llevadora o metge<\/strong> qui t\u2019aconsellaran millor en el teu cas particular.<\/p>\n<h3>M\u00e8tode MELA, quan la lact\u00e0ncia es converteix en anticonceptiu<\/h3>\n<p><strong>Si dones el pit no et pots quedar embarassada? Dep\u00e8n.<\/strong> Si a la lact\u00e0ncia li afegeixes unes condicions m\u00e9s, t\u00e9 una efic\u00e0cia anticonceptiva el 98%, \u00e9s a dir, similar al DIU o la pastilla de progesterona.<\/p>\n<p><strong>Les condicions s\u00f3n estrictes si vols mantenir el nivell d&#8217;efectivitat del m\u00e8tode:<\/strong><\/p>\n<ul>\n<li><strong>M\u00e0xim 6 mesos<\/strong>, amb lact\u00e0ncia exclusiva. Als 6 mesos ja cal buscar un altre m\u00e8tode.<\/li>\n<li>Durant aquests sis mesos <strong>no hi pot haver cap sagnat vaginal<\/strong>, despr\u00e9s del sagnat postpart. Si es taquen les calcetes en algun moment dels sis mesos el m\u00e8tode ja no \u00e9s efica\u00e7<\/li>\n<li><strong>El nad\u00f3 no pot menjar ni beure res a excepci\u00f3 del pit<\/strong>, incloses infusions, sucs o bibes. Tampoc pot utilitzar xumet.<\/li>\n<li><strong>Els temps entre preses<\/strong> no poden superar les 4 hores de dia ni les 6 hores de nit.<\/li>\n<\/ul>\n<p>\u00c9s recomanable tenir una plantilla (o un quadre d&#8217;excel, o una app &#8230;) on apuntar les hores en les que pren el pit per no despistar-nos i que se&#8217;ns passi el temps.<\/p>\n<p><img decoding=\"async\" class=\"aligncenter size-full wp-image-3144\" src=\"https:\/\/i0.wp.com\/locaacademiafamiliar.com\/wp-content\/uploads\/2018\/04\/contraceptive-pills-849413_1280.jpg?resize=1280%2C738\" alt=\"\" width=\"1280\" height=\"738\" data-recalc-dims=\"1\" \/><\/p>\n<h3>Hormones, \u00bfquines opcions hi ha?<\/h3>\n<p><strong>Si has optat per la lact\u00e0ncia artificial, al voltant dels 45 dies postpart tindr\u00e0s la primera menstruaci\u00f3.<\/strong> A partir d&#8217;aquest moment pots tornar a utilitzar el teu m\u00e8tode hormonal (progesterona i estr\u00f2gens) habitual.<\/p>\n<p>Si no utilitzaves cap abans t&#8217;aconsello que facis una visita al teu llevadora o ginec\u00f2leg amb qui podr\u00e0s trobar el m\u00e8tode que millor s&#8217;adapti a tu.<\/p>\n<p><strong>Pensa que pot ser en format:<\/strong><\/p>\n<ul>\n<li><strong>Pastilla:<\/strong>\u00a0una cada dia durant tres setmanes i una de descans que es t\u00e9 la menstruaci\u00f3.<\/li>\n<li><strong>Anell vaginal:<\/strong>\u00a0tres setmanes a la vagina i una setmana de descans que es t\u00e9 la menstruaci\u00f3.<\/li>\n<li><strong>Partxe:<\/strong>\u00a0tres setmanes amb partxes canviant la localitzaci\u00f3 cada setmana i una setmana de descans que es t\u00e9 la menstruaci\u00f3.<\/li>\n<\/ul>\n<p><strong>En cas d&#8217;alletar, els m\u00e8todes hormonals combinats (progesterona i estr\u00f2gens) no s\u00f3n adequats, nom\u00e9s es recomana la progesterona sola<\/strong>. Es pot comen\u00e7ar a les sis setmanes postpart i es pot utilitzar mentre es d\u00f3na el pit, un cop deslletat el nad\u00f3 \u00e9s recomanable canviar a un altre m\u00e8tode contraceptiu.<\/p>\n<p>En utilitzar nom\u00e9s una hormona, <strong>no hi ha el cicle habitual de menstruaci\u00f3, \u00e9s a dir, pot ser que tinguis menstruaci\u00f3,<\/strong> pot ser que no la tinguis o fins i tot pot ser que sagnis una miqueta de tant en tant.<\/p>\n<p>La progesterona pot administrar-se de diferents maneres:<\/p>\n<ul>\n<li><strong>Via pastilles:\u00a0<\/strong>cada dia a la mateixa hora sense setmana de descans. Pot patir alteracions en l&#8217;efic\u00e0cia en cas de v\u00f2mits despr\u00e9s d&#8217;haver-la pres.<\/li>\n<li><strong>Via implant intrad\u00e8rmic:<\/strong>\u00a0es col\u00b7loca sota la pell de l&#8217;avantbra\u00e7 i hi ha models de 3 i de 5 anys. La col\u00b7locaci\u00f3 i l&#8217;extracci\u00f3 es fa per part del personal sanitari.<\/li>\n<li><strong>Via injeccions trimestrals:<\/strong>\u00a0S\u00f3n injeccions intramusculars que s&#8217;apliquen cada 2 o 3 mesos.<\/li>\n<\/ul>\n<h3>DIU, de coure i de progesterona<\/h3>\n<p><strong>El dispositiu intrauter\u00ed, en alguns llocs conegut com la T<\/strong>, es col\u00b7loca dins de l&#8217;\u00fater per part d&#8217;un ginec\u00f2leg i t\u00e9 una durada d&#8217;entre 3 a 5 anys depenent del model.<\/p>\n<p>Tots dos s\u00f3n efica\u00e7os, <strong>el DIU de coure no porta cap tipus d&#8217;hormona i pot col\u00b7locar-se en el postpart immediat<\/strong> tot i que es recomana esperar un temps per disminuir el risc d&#8217;expulsi\u00f3 del mateix. Per la seva banda,<strong> el DIU de progesterona cont\u00e9 aquesta hormona que \u00e9s totalment compatible amb la <a href=\"http:\/\/locaacademiafamiliar.com\/ca\/tag\/lactancia-ca\/\">lact\u00e0ncia materna<\/a><\/strong>.<\/p>\n<p><strong>\u00c9s un m\u00e8tode tant per a les mares lactants com per a les no lactants.<\/strong> Cal recordar que pots necessitar uns cicles de reajustament fins que el cos s&#8217;habitu\u00ef al DIU.<\/p>\n<div class=\"tiled-gallery type-rectangular tiled-gallery-unresized\" data-original-width=\"500\" data-carousel-extra='{&quot;blog_id&quot;:1,&quot;permalink&quot;:&quot;https:\\\/\\\/locaacademiafamiliar.com\\\/ca\\\/2018\\\/metodes-anticonceptius-postpart\\\/&quot;,&quot;likes_blog_id&quot;:119488531}' itemscope itemtype=\"http:\/\/schema.org\/ImageGallery\" > <div class=\"gallery-row\" style=\"width: 500px; height: 177px;\" data-original-width=\"500\" data-original-height=\"177\" > <div class=\"gallery-group images-1\" style=\"width: 256px; height: 177px;\" data-original-width=\"256\" data-original-height=\"177\" > <div class=\"tiled-gallery-item tiled-gallery-item-large\" itemprop=\"associatedMedia\" itemscope itemtype=\"http:\/\/schema.org\/ImageObject\"> <a href=\"https:\/\/locaacademiafamiliar.com\/ca\/2018\/metodes-anticonceptius-postpart\/female-condoms-849411_1280\/\" border=\"0\" itemprop=\"url\"> <meta itemprop=\"width\" content=\"252\"> <meta itemprop=\"height\" content=\"173\"> <img decoding=\"async\" class=\"\" data-attachment-id=\"5653\" data-orig-file=\"https:\/\/locaacademiafamiliar.com\/wp-content\/uploads\/2018\/04\/female-condoms-849411_1280.jpg\" data-orig-size=\"1280,878\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"female-condoms-849411_1280\" data-image-description=\"\" data-medium-file=\"https:\/\/i0.wp.com\/locaacademiafamiliar.com\/wp-content\/uploads\/2018\/04\/female-condoms-849411_1280.jpg?fit=300%2C206&#038;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/locaacademiafamiliar.com\/wp-content\/uploads\/2018\/04\/female-condoms-849411_1280.jpg?fit=1024%2C702&#038;ssl=1\" src=\"https:\/\/i0.wp.com\/locaacademiafamiliar.com\/wp-content\/uploads\/2018\/04\/female-condoms-849411_1280.jpg?w=252&#038;h=173&#038;ssl=1\" width=\"252\" height=\"173\" loading=\"lazy\" data-original-width=\"252\" data-original-height=\"173\" itemprop=\"http:\/\/schema.org\/image\" title=\"female-condoms-849411_1280\" alt=\"female-condoms-849411_1280\" style=\"width: 252px; height: 173px;\" \/> <\/a> <\/div> <\/div> <!-- close group --> <div class=\"gallery-group images-1\" style=\"width: 244px; height: 177px;\" data-original-width=\"244\" data-original-height=\"177\" > <div class=\"tiled-gallery-item tiled-gallery-item-small\" itemprop=\"associatedMedia\" itemscope itemtype=\"http:\/\/schema.org\/ImageObject\"> <a href=\"https:\/\/locaacademiafamiliar.com\/ca\/2018\/metodes-anticonceptius-postpart\/red-condoms-849407_1280\/\" border=\"0\" itemprop=\"url\"> <meta itemprop=\"width\" content=\"240\"> <meta itemprop=\"height\" content=\"173\"> <img decoding=\"async\" class=\"\" data-attachment-id=\"5650\" data-orig-file=\"https:\/\/locaacademiafamiliar.com\/wp-content\/uploads\/2018\/04\/red-condoms-849407_1280.jpg\" data-orig-size=\"1280,920\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"red-condoms-849407_1280\" data-image-description=\"\" data-medium-file=\"https:\/\/i0.wp.com\/locaacademiafamiliar.com\/wp-content\/uploads\/2018\/04\/red-condoms-849407_1280.jpg?fit=300%2C216&#038;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/locaacademiafamiliar.com\/wp-content\/uploads\/2018\/04\/red-condoms-849407_1280.jpg?fit=1024%2C736&#038;ssl=1\" src=\"https:\/\/i0.wp.com\/locaacademiafamiliar.com\/wp-content\/uploads\/2018\/04\/red-condoms-849407_1280.jpg?w=240&#038;h=173&#038;ssl=1\" width=\"240\" height=\"173\" loading=\"lazy\" data-original-width=\"240\" data-original-height=\"173\" itemprop=\"http:\/\/schema.org\/image\" title=\"red-condoms-849407_1280\" alt=\"red-condoms-849407_1280\" style=\"width: 240px; height: 173px;\" \/> <\/a> <\/div> <\/div> <!-- close group --> <\/div> <!-- close row --> <\/div>\n<h3>Preservatiu, per a ella i per a ell<\/h3>\n<p>Aquest \u00e9s el m\u00e8tode de barrera m\u00e9s com\u00fa al nostre entorn encara que existeix tamb\u00e9 el diafragma que ha anat perdent popularitat.<\/p>\n<p><strong>Tots dos preservatius poden utilitzar-se des del principi<\/strong> i, \u00f2bviament, fins que la parella ho desitgi. El preservatiu mascul\u00ed \u00e9s el m\u00e9s habitual, per\u00f2 per a<strong> aquelles parelles que algun dels membres \u00e9s al\u00b7l\u00e8rgic al l\u00e0tex el preservatiu femen\u00ed t\u00e9 l&#8217;avantatge de ser de poliuret\u00e0<\/strong>.<\/p>\n<p>Tamb\u00e9 \u00e9s un m\u00e8tode \u00fatil tant si has decidit el pit com si alimentes al teu nad\u00f3 amb biber\u00f3, per\u00f2 recorda que <strong>la <a href=\"http:\/\/locaacademiafamiliar.com\/ca\/tag\/lactancia-ca\/\">lact\u00e0ncia materna<\/a> provoca un increment de l&#8217;hormona prolactina que desfavoreix la lubricaci\u00f3 aix\u00ed que ser\u00e0 pr\u00e0cticament imprescindible l&#8217;\u00fas de lubricants compatibles amb el preservatiu<\/strong> durant els primers mesos de la lact\u00e0ncia.<\/p>\n<h3>Quan hi ha hagut un error&#8230;<\/h3>\n<p>Si t&#8217;adones que vas oblidar-te la pastilla ahir o que el preservatiu t\u00e9 una fuita, no entris en p\u00e0nic. Recorda que<strong> et pots prendre la pastilla del dia despr\u00e9s que \u00e9s de progesterona, per tant, compatible amb la lact\u00e0ncia materna.\u00a0<\/strong>Aquest \u00e9s un recurs per\u00f2 no \u00e9s recomanable que sigui la pr\u00e0ctica habitual.<\/p>\n<hr \/>\n<p>Espero que tota aquesta informaci\u00f3 t&#8217;hagi aclarit els dubtes i recorda que <strong>el <a href=\"http:\/\/locaacademiafamiliar.com\/ca\/tag\/postpart\/\">postpart<\/a> no \u00e9s sin\u00f2nim de poca fertilitat;<\/strong>\u00a0utilitza el m\u00e8tode que millor s&#8217;adapti a vosaltres. N&#8217;hi ha per triar!<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>&#8220;I per quan el segon?&#8221; &#8212; Ja t&#8217;han fet aquesta pregunta? Aquesta \u00e9s una d&#8217;aquelles preguntes cl\u00e0ssiques que et fan quan et veuen amb un nad\u00f3 grandet, per\u00f2 &#8230; per qu\u00e8 voldran saber-ho? \ud83d\ude42 Si creus que encara no \u00e9s el moment de buscar el seg\u00fcent fill, avui et volem explicar quins m\u00e8todes anticonceptius estan indicats despr\u00e9s del part i durant quant de temps, tant si d\u00f3nes el pit com si no. <a class=\"mh-excerpt-more\" href=\"https:\/\/locaacademiafamiliar.com\/ca\/2018\/metodes-anticonceptius-postpart\/\" title=\"M\u00e8todes anticonceptius en el postpart\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":2,"featured_media":3143,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":"","_jetpack_memberships_contains_paid_content":false},"categories":[109],"tags":[46,59],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>M\u00e8todes anticonceptius en el postpart ~\u00a0Loca Academia Familiar<\/title>\n<meta name=\"description\" content=\"T&#039;expliquem els diferents m\u00e8todes contraceptius en el postpart, tant si dones el pit (compatibles amb la lact\u00e0ncia materna) com si dones biber\u00f3. Metodo Mela, et pots quedar embarassada si dones el pit? Com funciona el DIU? \u00c9s millor coure o de progesterona?\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/locaacademiafamiliar.com\/ca\/2018\/metodes-anticonceptius-postpart\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"M\u00e8todes anticonceptius en el postpart ~\u00a0Loca Academia Familiar\" \/>\n<meta property=\"og:description\" content=\"T&#039;expliquem els diferents m\u00e8todes contraceptius en el postpart, tant si dones el pit (compatibles amb la lact\u00e0ncia materna) com si dones biber\u00f3. Metodo Mela, et pots quedar embarassada si dones el pit? 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