Has she considered an IUD? While it cannot be inserted until the uterus has involuted, it is 99.9% effective for 10 years without interfering with lactation. If she is reluctant because of the Dalkon Shield, etc., this is a new generation of IUDs that are much, much safer. Please note that I was very skeptical about IUDS when my doctor recommended one after Trevor, but after alot of discussion with him and some research, I opted for one after my 6th child. It's been nearly 2 years since I got mine and I haven't had any problems. I was on the pill for some 18 years off and on, and the IUD is certainly more convenient than condoms, diaphragms (I was lazy - which is why we have 6 kids) and more reliable since even the best of us occasionally forgets to take a pill or is on antibiotics. Pauli Loeffler mother to Alex and Bobby (14), Hunter 12, Trevor 5, Audrey 4, and Zach who just turned 2. Pauli Loeffler