Chapter: Maternal and Child Health Nursing : Puerperium

Restoration of ovulation and menstruation

Women who breast feed exclusively and suckle on demand are likely to have delayed ovulation and menstruation for a considerable period.

Restoration of ovulation and menstruation

Women who breast feed exclusively and suckle on demand are likely to have delayed ovulation and menstruation for a considerable period. The more the woman suckles the higher the plasma prolactin level and the longer ovulation is delayed. For those who breastfeed partially ovulation may occur and subsequently pregnancy without menstruation for a considerable period. Ovulation may delay up to 5 months in lactating mother though menstruation may start earlier in breastfeeding mothers.

About 10% menstruation may start 10^th week

About 30% menstruation may start 20^th week

About 60% menstruation may start 30^th week

About 80% of non breastfeeding mothers may start 10^th week and ovulation is likely to occur from this time onwards.

Post partum women should be warned that conception can take place whether they breastfeed or not.

Diminished volume of circulatory progesterone has a reverse effect on the pelvic floor, perineum, vagina, vulva and bowel. These organs become more active Other organs affected include:

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Maternal and Child Health Nursing : Puerperium : Restoration of ovulation and menstruation |