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Subject:
From:
Jo-Anne Elder <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 2 Mar 2004 20:02:51 -0400
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I should know better than to read too much on how family size relates to
health, since too many of the statements assume that "excess" and
"unwanted" fertility are the same thing. However, this study did have
some interesting info., and I wonder if anyone can help me to understand
why LAM is having decreasing effects. Is it that the duration of
exclusive breastfeeding is decreasing?

> Prolonged breastfeeding and postpartum sexual abstinence, the
> traditional means of achieving longer intervals between pregnancies,
> are becoming less viable as urbanization and modernization increase,
> particularly in Sub-Saharan Africa. For example, the period of
> protection against pregnancy provided by breastfeeding and postpartum
> abstinence in Nigeria and Ghana shrank by about four months between
> the late 1980s and the late 1990s. If modern contraceptive methods are
> not used to compensate for shorter durations of these practices,
> closely spaced births are likely to increase in these countries and
> elsewhere; death and ill health are likely to increase as well.


The study is here:
http://www.guttmacher.org/pubs/ib_3-02.html

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