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Multicenter study of the Lactational Amenorrhea Method (LAM): II. Acceptability, utility, and policy implications
V Hight-Laukaran1, M H Labbok, A E Peterson
1Department of Obstetrics and Gynecology, Georgetown University Medical Center, Washington, DC, USA.
Contraception
|June 1, 1997
Summary
The Lactational Amenorrhea Method (LAM) is highly acceptable and satisfactory for women across diverse settings. This family planning method demonstrates high user understanding and continuation rates, making it suitable for widespread integration into maternal and child health services.
Area of Science:
- Reproductive Health
- Family Planning
- Maternal and Child Health
Background:
- The Lactational Amenorrhea Method (LAM) is a natural family planning method based on exclusive breastfeeding.
- Previous research indicated a need to assess LAM's acceptability, satisfaction, and utilization across varied populations.
Purpose of the Study:
- To evaluate the acceptability, satisfaction, and utilization of the Lactational Amenorrhea Method (LAM) in diverse populations.
- To confirm the efficacy of LAM, with efficacy data presented in a companion paper.
Main Methods:
- A multicenter prospective study involving 11 sites across 10 different populations.
- Data collection on LAM users, with on-site entry and cleaning, followed by centralized cleaning and analysis at the Institute for Reproductive Health (IRH).
Main Results:
- Overall user satisfaction with LAM was high at 83.6%.
- Continuation with another family planning method at 9 months postpartum was 67.6%, often exceeding prior contraceptive use.
- High knowledge and understanding of LAM at discontinuation were observed, ranging from 78.4% to 88.6%.
Conclusions:
- LAM is highly satisfactory and successful across various cultures, socioeconomic statuses, and country settings (industrial and developing).
- The findings confirm LAM's acceptability and readiness for widespread integration into maternal and child health and family planning services.
