Usually, the mother who gives breast milk (inflammation) will experience a delay to get her menstruation back.
The LAM method – The lactational amenorrhea method (LAM) is a technique of contraception, or natural birth control that is based on the mother giving exclusive breastfeeding will cause no menstruation.
The study states that women who give their babies ASI exclusively and have not yet had their menstruation will usually not experience pregnancy for six months after giving birth.
How does ASI work as contraception?
Breast milk is related to the release of hormones needed to stimulate ovulation, so the more often a mother breastfeeds her baby (ASI), the less it will be for ovulation.
In foreign countries, because the habit of giving ASI is still lacking and usually they do not provide breast milk for a long time, then usually mothers who give ASI will combine with other contraceptive methods such as condoms, IUDs or progestin pills/minipill (pills for nursing mothers).
Also, of course the mothers who give breast milk to their babies will feel safer knowing that the combination of exclusive breastfeeding with other contraceptive methods provides safer protection than just one contraceptive method.
How effective is lactation/breastfeeding to protect against pregnancy?
If a mother gives breast milk to her baby according to all LAM criteria, then it is likely that the mother to become pregnant in the first 6 months after giving birth is only less than 2%. However, for most women, 1 in 50 the likelihood of an unexpected pregnancy is more risky than those who combine breastfeeding/lactation with other contraceptive methods.
Methods of barrier/protection (such as condoms or diaphragms), IUDs, and contreasepsies with pills for nursing mothers (mini-pills or progestin pills) are very suitable as contraceptives for mothers who give ASI.
One thing is certain the LAM Method does not provide any protection against sexually transmitted diseases. So if you have a risk with sexually transmitted diseases, you should use a condom.
Criteria for a mother using the LAM method:
A mother is declared to use the LAM (Lactational Amenorrhoe Method) method/method of family planning through exclusive breastfeeding if it meets several criteria below:
A mother provides exclusive breastfeeding, which means that all milk needs only come from breast milk. Mothers give milk to their babies every day and night and provide breast milk every four hours during the day and every 6 hours at night. Exclusive breastfeeding of babies (babies have not received additional food).
Mother hasn’t got menstruation yet. Once the mother has menstruated, it indicates that the mother has begun the ovulation process (mature egg) again.
The baby is not yet six months old. Although in some women it still does not get menstruation for several months, and indeed cannot be predicted when menstruation will occur.
Because women usually ovulate before they get a period, there is a risk that the mother may experience pregnancy again before menstruation starts again.
And in some cases, pregnancy can still occur even though the mother gives exclusive breastfeeding, which means that LAM is not 100% effective, but indeed a mother who gives exclusive breastfeeding will become less fertile during the first 6 months after giving birth.
For pumped breast milk can you use the LAM method?
Not. Because sucking from the baby on the nipple has an important role in suppressing ovulation and removing breast milk by pumping is not as effective as suction from the baby.
Give Asi as often as possible, because the more often the mother gives milk and the closer the breastfeeding distance, the best for this LAM method.
Mothers who return to work and part with their babies should need to use other methods of contraception to protect from pregnancy.
Mothers who have had their first menstruation after giving birth should use other contraceptive methods to protect from pregnancy.
If the baby has started to get additional food, or the baby is 6 months old, you should use other contraceptive methods to protect against pregnancy.
Talk to your doctor or medical staff, to get information about contraception that is right for you.