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[Breastfeeding and contraception].

Nederlands Tijdschrift Voor Geneeskunde

|October 20, 1999

Summary

This summary is machine-generated.

Many Dutch women stop breastfeeding early due to insufficient medical support and the use of estrogen-containing contraceptives, which inhibit lactation. Alternative methods like the lactational amenorrhoea method (LAM) offer effective contraception for breastfeeding mothers.

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Area of Science:

Reproductive Health
Maternal and Child Health

Context:

Low rates of exclusive breastfeeding in the Netherlands (16.9% at 3 months in 1997).
Insufficient support from the medical profession for breastfeeding mothers.
Common prescription of combined oral contraceptives containing estrogens to breastfeeding women, potentially inhibiting lactation.

Purpose:

To highlight the factors contributing to early cessation of breastfeeding in the Netherlands.
To discuss the impact of estrogen-containing contraceptives on lactation.
To advocate for improved medical support regarding breastfeeding and contraception.

Summary:

Estrogens in combined oral contraceptives can inhibit lactation, contributing to breastfeeding failure.
The lactational amenorrhoea method (LAM) is a highly effective contraceptive for breastfeeding mothers in the first 4 months postpartum.

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LAM's effectiveness decreases after 4-6 months if conditions are not strictly met.

Impact:

Emphasizes the need for healthcare professionals to consider contraceptive choices for breastfeeding women.
Suggests that better education and support can improve breastfeeding duration and maternal health.
Promotes awareness of LAM as a viable contraceptive option for lactating individuals.