Thank you to all of you for the wonderful advise on Depoprovera and BF.
I was overwhelmed with the warm support and response, and now am getting
a little braver!  I can't help but respond to the issue of noisy LDRP's.
In my life prior to being a LC, I was a labor nurse, and worked in two
hospitals, one in Albuquerque, and one where I work now with the LDRP
concept.  I think these hospitals did a wonderful job of building both
units and providing good sound control.  At my hospital here, if you are
in a room, there is very little sound from the room next door.  If you
are in the hall, and the door is open, you can hear mothers "making
noise," or "having baby."  To me it is a wonderful sound of birthing,
and we don't "instruct our mothers to keep quiet."  We will pull the
door shut if it gets noisy, but why do we need to restrict birthing to a
gleaming delivery room in the bowels of the unit?  Isn't birthing a
beautiful and natural human experience?  Just like breastfeeding, the
more comfortable people become with birth and life, the more usual it
seems.  We are very  discreet on our unit, and most women don't make a
lot of noise until right at the time of delivery. Our nurses provide
lots of support to our mothers, and our goal is to provide 1:1 care of
the laboring mother.  I am an ardent supporter of this type of birthing,
and think that if you are delivering in a hospital it is the best way to
go!
Linda J. Tandy, MSN, IBCLC
Cedar Rapids, Iowa, where today the sun is shining but it's only 30
degrees