Kangaroo care, responding to cues, and breastfeeding during the night do not
guarantee LAM, as my daughter can attest.  Here is the study I have posted
before that hormone ratios at 38 weeks gestation is the determining factor.
I really do not like saddling moms with guilt when they do all the right
things and their period starts at 4-6 weeks postpartum anyway.

Judy Ritchie

 

CONCLUSION: At 38 weeks gestation, the ratio PRL/oestradiol identified all
individual women according to the subsequent duration of their lactational
amenorrhoea, suggesting that duration of lactational amenorrhoea is
conditioned during pregnancy.

 <http://humrep.oxfordjournals.org/cgi/content/full/16/12/2540>
http://humrep.oxfordjournals.org/cgi/content/full/16/12/2540


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