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)
- She must breastfeed her child on demand on both breasts at least 10-12 times during day and
- 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
- She must breastfeed her child on demand on both breasts at least 10-12 times during day and
- 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