What are some things that people don't tell you about breastfeeding? One is that you might feel your uterus contracting every single time the baby latches on to nurse in the very beginning. It's not as obvious with first babies as it is with seconds and thirds. With seconds and thirds you might feel like you're in labor again just for the first couple of days when the baby first latches on. It does go away. It's very normal. It's just that your uterus is like a balloon that has been blown up once before, and it's that much harder work to get back to its normal size. Very, very normal.
Number two: engorgement can creep up at any point especially when weaning. You might find when you're weaning your child that you feel as though you're three days out from having had your first baby. Your body is still producing, yet you're starting to drop back feedings. So, during that time, where you for a year have not had to deal with any ice packs, massage, or any kind of discomfort, you might find that you're right back in the same seat again. Don't be surprised if that does happen.
Number three: yes, you can get pregnant while you're breastfeeding, so be very, very careful. You might not get a period because your estrogen levels are so low, but you can still ovulate. There are too many women who have gotten the go ahead from their doctor saying, yes you can have sex now. They think they're very well covered because they're breastfeeding. Then they're not feeling well a couple of months later. They go to the doctor and find out they actually are pregnant and haven't had a period.
So, be very, very, careful. Use some sort of different method. If you insist on going on birth control pills a progestin only pill, or the mini-pill, is really what's recommended. But, you have to be very careful about taking it properly.