LACTATIONAL AMENORRHOEA METHOD

LAM relies on the suppression of ovulation through exclusive breastfeeding as a means of contraception.
Guidance on correct use of the method is only available at centers with trained service providers. LAM requires 3
conditions which must ALL be met:

  • The mother’s monthly bleeding has not returned
  • The baby is fully or nearly fully breastfed; and is fed often, day and night
  • The baby is less than 6 months old

Disadvantages

  • DOES NOT PROTECT AGAINST STI
  • Low couple years of protection

INTRUCTIONS

  • Ensure client understands how the method works
  • Explain to client that:
    • She must breastfeed her child on demand on both breasts at least 10-12 times during day and
      night (including at least once nightly in the first months)
  • Ensure client understands how the method works
  • Explain to client that:
    • She must breastfeed her child on demand on both breasts at least 10-12 times during day and
      night (including at least once nightly in the first months)
    • Daytime feedings should be no >4 hours apart, and night-time feedings no >6 hours apart
    • She must not give the child any solid foods or other liquids apart from breast milk
  • Advise the client that LAM will no longer be an effective FP method IF:
    • The baby does not feed regularly on demand
    • Menstruation resumes; she will then need to use another FP method
  • Advise the client
    • To use condoms as well as LAM if there is any risk of exposure to STIs/HIV
    • To return after 3 months for a routine follow-up or earlier if she has any problem
    • If she wants to change to another FP method