Comparing the physiological changes between lactating and nonlactating women, what can the mother who is bottle-feeding generally expect to occur earlier than the mother who breastfeeds?
a. Cyclic ovulation
b. Involution of the uterus
c. Lochial change from rubra to serosa
d. Unplanned pregnancy
A
Cyclic ovulation usually begins sooner in the nonlactating mother. Involution may occur earlier in the breastfeeding mother, because of the stimulation of the breast increasing uterine contractions that lead to involution. Like involution, the lochial change may occur earlier in the breastfeeding mother. Nonlactating mothers can resume oral contraception as early as 2 to 3 weeks after delivery; whereas the use of oral contraceptives in breastfeeding mothers usually is discouraged until breastfeeding is well established, which usually is at least 4 to 6 weeks.
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