Breastfeeding as a Method of Contraception (LAM Method)

 Family Planning Series Week (9)

Many mothers don’t know that exclusive breastfeeding can act as a natural method of contraception but only under strict medical conditions.

What is LAM (Lactational Amenorrhea Method)?

A temporary family planning method based on:

• Exclusive breastfeeding
• Baby feeding day & night
• No return of menstruation

📌 When Is It Effective?

LAM works ONLY if all 3 conditions are met:

1️⃣ Baby is less than 6 months old

2️⃣ Mother has NO periods since delivery

3️⃣ Fully or nearly fully breastfeeding

No bottles

No long gaps (>4 hours day / >6 hours night)

✨ If any condition changes → LAM stops working immediately.

✔️ Effectiveness

Up to 98% effective when used correctly.

Very safe for both mom and baby.

Zero hormones.

❌ When LAM is NOT recommended

• If periods returned
• Baby older than 6 months
• Mixed feeding (formula + breast)
• Mother cannot breastfeed frequently
• Mother has medical issues affecting milk supply

🔄 When to Switch to Another Method

As soon as:

Baby reaches 6 months

Periods return

Baby sleeps long stretches

Supplementation begins

Recommended next-step options:

Progestin-only pill, Implant, IUD, Sayana Press, Depo, or condoms — depending on medical history.

💙 Final note

Breastfeeding is beautiful — but it’s not a guaranteed contraceptive unless used exactly as guided.

If you need help choosing the safest method after childbirth, you are welcome to visit me at Forest Park Hospital.

#FamilyPlanning #DrRababCares #LAM #Breastfeeding #Contraception #PostpartumCare  #WomensHealth