Re:
>Date:    Fri, 8 Sep 2000 20:40:23 +1200
>From:    Fiona Hermann <[log in to unmask]>
>Subject: LAM

>I have no experience in this field, but have read a book "Breastfeeding
and
>natural child spacing " by Sheila Kippley which talks about a bleed
then
>returning to ammenorrhea by increasing the bf.
>However, at 13 months, this is outside the LAM guidelines - < 6 mo, no
other
>.food or fluid, no feed longer than 6 hours apart, no bleeding etc.
>Perhaps this woman has returned to an ammennorheic state, but she can't
rely
>on LAM as a full contraceptive measure any longer!
>A quick preg test maybe?

LAM may not be "a full contraceptive measure", but may still be
(surprisingly) effective long after 6 mos. Details are also available in
the revised copy of The Breastfeeding Answer Book. If a mother is not
having periods she may still be protected; her choice of a
contraceptive, of course, depends on a number of factors, and since few
contraceptives are 100% effective, LAM's risk factor (which, indeed,
increases with the age of the baby and other things) may be a risk a
mother is willing to assume, especially since it is the only
contraceptive measure besides abstinence and rhythm or thermal/mucus to
be totally without side effects, and has such incredible additional
benefits.
Imagine marketing this:
- No cost involved. Continues to save you money just as BF does.- No
need to watch the calendar, clock, thermometer or mucus discharge. All
you have to do is watch your baby! - Use this method; it may increase BF
frequency and duration! - Method most effective with picky eaters and
frequent night-wakers (and twins).
Many mothers find that BF inhibits pregnancy for years, rather than
months.
Jo-Anne

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