>I am working with a mom who is doing some pumping and finger-feeding. She >is having a menstrual period and baby is just 6 weeks old. She has been >pumping or breastfeeding for all of baby's intake. Does pumping not >support LAM? > Any bleeding in the first 8 weeks postpartum doesn't count as a period. Going back to the Consensus Statement: "The consensus was that the maximum birth spacing effect of breastfeeding is achieved when a mother 'fully' or nearly fully breastfeeds and remains amenorrheic (bleeding before the 56th postpartum day being ignored)...." (The Lancet, 19 Nov 1988, 1204-1205) Bleeding at 6 or 8 weeks is not uncommon, and usually does NOT herald the onset of regular periods (of course there are exceptions!). Lisa Amir GP / IBCLC in Melbourne, Australia - who really must get back to something else!