Yes.  I've noticed that some of my moms don't think of skipping feedings or using a pump as missing feedings.  So, when I am asked about LAM.  I make sure to tell them that pumping or skipping feedings even once a day is not feeding on cue and may cause menses and/or fertility to return. I have noticed and I think I may have even read somewhere, that mothers that miss feedings at the breast even if they pump for those feedings do not get the same effect.  I guess they think that feeding on cue is only needed when your with the baby. :-)
Zena, CLC
NV WIC Lactation Specialist

> 
> From: Debbie Gillespie <[log in to unmask]>
> For some moms, all it takes is one missed feeding and their fertility
> returns.  A mom in my LLL group this morning, as she sat holding her three
> month old, announced that she discovered she was already pregnant again. 
> She never offered a pacifier, co-slept, and fed on cue 24/7.  At first she
> said she must have been among the small percentage for whom LAM didn't work,
> but then later in the meeting she mentioned having pumped milk for her baby
> to attend yoga classes, go shopping alone, and so on -- BINGO!!  Now she's
> going to have two babies under a year old.  So much for those relaxing
> breaks from motherhood...
> 
> Debbie Gillespie, IBCLC, RLC, LLLL
> Gorgeous Tempe, AZ
> 
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