Definition • The term Lactation Amenorrhoea Method (LAM) refers to the traditional method of breast-feeding as a family planning method
Mechanism of action • Inhibits ovulation • Effectiveness of LAM depends on the following factors: • The baby is less than 6 months old • The baby is breastfeeding exclusively • The woman has not resumed her menses • When any of these 3 criteria is no longer met, another FP method must be introduced in a timely manner to ensure healthy birth spacing.
Advantages • Effective protection against pregnancy as long as all three LAM criteria are met • Does not interfere with sexual activity • No known health risks • Return to fertility is immediate • Affordable- no direct costs for family planning
Limitations • LAM provides temporary protection from pregnancy ( as soon as any of 3 requirements are not met, protection decreases) • No protection against STIs • Effectiveness after 6 months is uncertain • Exclusive breastfeeding may not be convenient for some women • Small chance of MTCT during breastfeeding if mother is HIV-positive,
Who can use Women who: • Are fully or nearly fully breastfeeding • Have not had return of menses • Are less than 6 months postpartum1