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Postpartum contraception: the lactational amenorrhea method

M Vekemans1

  • 1Université Libre de Bruxelles, Belgium.

The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception
|June 1, 1997
PubMed
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The lactational amenorrhea method (LAM) uses breastfeeding to naturally space births and suppress fertility. LAM is highly effective for up to six months when specific criteria are met, offering a natural family planning option.

Area of Science:

  • Reproductive Health
  • Family Planning
  • Endocrinology

Background:

  • Breastfeeding significantly contributes to fertility reduction and longer birth intervals.
  • However, breastfeeding alone is not a reliable method for individual fertility suppression.
  • The lactational amenorrhea method (LAM) leverages physiological processes to space births effectively.

Purpose of the Study:

  • To present the lactational amenorrhea method (LAM) as a reliable tool for individual fertility suppression and birth spacing.
  • To highlight the physiological mechanisms behind LAM, including hormonal changes induced by suckling.
  • To outline the criteria and implementation strategies for LAM within family planning programs.

Main Methods:

  • The study describes the physiological basis of LAM, involving hormonal pathways affected by suckling.

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  • It defines the three simultaneous conditions required for LAM effectiveness: infant age under 6 months, maternal amenorrhea, and exclusive breastfeeding.
  • A standardized algorithm for presenting LAM is utilized, with ongoing experiments extending its use to 9-12 months.
  • Main Results:

    • LAM is at least 98% effective, comparable to other contraceptive methods.
    • During lactation, menses before 6 months are typically anovulatory, maintaining low fertility.
    • LAM provides a temporary natural family planning method, allowing time to select a long-term contraceptive.

    Conclusions:

    • The lactational amenorrhea method is an efficient and promoted family planning method.
    • LAM should be integrated with other contraceptive methods when its criteria are no longer met.
    • Promoting LAM requires comprehensive training, support for working mothers, and collaboration between healthcare teams.