Clinical study of the lactational amenorrhoea method for family planning.
The effect of breastfeeding on fertility is well known; however, its use as a method of family planning was, until recently, untested. In 1988, the Bellagio Consensus Conference proposed guidelines that became the basis for a method of family planning called the lactational amenorrhoea method (LAM). The principle of LAM is that a woman who continues to fully or nearly fully breastfeed her infant and who remains amenorrhoeic during the first 6 months postpartum is protected from pregnancy during that time. We have assessed this method in the context of a breastfeeding support intervention study of 422 middle-class women in urban Santiago, Chile. The cumulative 6-month life-table pregnancy rate was 0.45% among women who relied on LAM as their only family planning method (1 woman pregnant in month 6). The findings indicate that LAM, with its high acceptance and efficacy, is a viable method of family planning and can safely serve as an introductory method for breastfeeding women.
Department of Obstetrics and Gynecology, School of Medicine, Pontificia Universidad Católica de Chile.
A
A
Pérez
M H
MH
Labbok
J T
JT
Queenan
D000293:Adolescent; D000328:Adult; D000568:Amenorrhea / Q000209:etiology; D001942:Breast Feeding; D003267:Contraception; D005193:Family Planning Services; D005260:Female; D006801:Humans; D007774:Lactation; D011247:Pregnancy