Breastfeeding Benefits & Barriers: The Lactational Amenorrhea Method (LAM)

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Introductory Topics
Table of Contents
Pre module evaluation
The History of Breastfeeding
The Advantages of Breastfeeding for the Baby
The Advantages of Breastfeeding for the Mother
Breastfeeding Statistics in the United States
Barriers to Breastfeeding
Summary
Post module evaluation
References

Breastfeeding has been found to delay the return of the menses after childbirth. This is not a reliable method of birth control but it may increase the time between pregnancies.

The Lactational Amenorrhea Method (LAM) consists of:

  1. Sole breastfeeding in the first six months of an infant's life.
  2. No interval between feedings of more than five hours.
  3. No supplementation for the infant.

Return of menses and pregnancy are very unlikely if all 3 parameters of LAM are present ( Memorize Perez, 1992 ).

Once the infant is older than six months of age, is taking supplemental foods or is sleeping for more than five hours without breastfeeding, the effect of breastfeeding as a form of birth control is not consistent.

Women who do not want to become pregnant and are breastfeeding even in the first months postpartum should use another form of birth control.



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email -- Copyright 1998 Mary O'Connor MD, MPH -- Unauthorized use prohibited