In a message dated 6/29/2006 11:59:52 AM Eastern Daylight Time,  
[log in to unmask] writes:

I have a  patient with a 6 month old solely breastfed, she is now pregnant 
again- she  now knows BF is not a form of birth control- 
Dear Friends:
    The Lactational Amenorrhea Method, when used  correctly is 98-99% 
effective; it is recognized by the WHO as a method of child  spacing. The World Bank 
has a technical paper about LAM as a way for a country  to conserve its 
resources.
    The progestin-only pill is 99% effective ......just  for comparison.
    A woman must be breastfeeding exclusively,  including at night.  No 
missed feeds due to pacifiers. No long intervals  between feeds. Her baby must be 
under 6 months old. Pumping doesn't count  (personal communication Miriam 
Labbok MD). And she can't have started her  menses.
    warmly,

Nikki Lee RN, MS, Mother of 2, IBCLC, CCE
Maternal-Child Adjunct  Faculty Union Institute and University
Film Reviews Editor, Journal of Human  Lactation
www.breastfeedingalwaysbest.com

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