Family Planning and Pregnancy Spacing

Family planning and pregnancy spacing play a role in determining how close (or far apart) your children will be in terms of age gap. This is a personal decision that should be made by you and your partner as many factors are involved.

What is the best pregnancy gap?

The American College of Obstetricians and Gynecologists recommends waiting 18 months before attempting your next pregnancy. For older women, however, this gap may be shortened to a year taking into account fertility concerns. 

This applies to women who underwent childbirth and not for women who had a miscarriage – for the latter, you may resume attempting pregnancy as soon as you and your partner feel ready. 

What are the risks if I fall pregnant too soon?

You may not have had enough time to recover from your previous pregnancy before embarking on your next one. If your gap is 6 months or less, your risks may include:

• Small baby
• Premature labour
• Placenta abruption
• Congenital disorders
• Maternal anaemia (low blood count)

I’ve fallen pregnant while I’m still breastfeeding. Can I continue breastfeeding?

Yes, it is safe for you to continue breastfeeding while pregnant. However, it may trigger mild contractions, so if you are at risk of premature labour, you should speak to your gynaecologist for advice.

You will likely produce less milk and your milk content may change as your current pregnancy progresses – this may mean that your older child may wean themselves, or put on less weight if your child is on exclusive breastfeeding. You may need to watch closely for this. 

This will be tiring for you, so make sure you take care of yourself by exercising, eating healthily and getting lots of rest and support.

How can I space my pregnancies?

Reliable birth control methods can help you do this – click here for more information.