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Lactational Amenorrhea Method (LAM)
Introduction Contents Post-Test References Go To Presenter Info


- Introduction
- Topics
- Objectives
- What is LAM
- Normal
- Mechanisms
- Ovarian
- Ovarian
- Categories
- Categories
- Early
- Later
- History
- Bellagio
- Georgetown
- Efficacy
- Criteria 1
- Criteria 2
- Criteria 3
> Advantages
- Disadvantages
- Behaviors
- Behaviors
- Who Can Use
- Who Can Use
- Programmatic
- Counseling
- Algorithm 1
- Algorithm 2
- Algorithm 3
- Adaptations
- Extended
- Another
- First Choice
- Second Choice
- Third Choice
- Considerations
- Summary
- Summary


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Lactational Amenorrhea Method (LAM)

LAM Advantages

  • Universally available
  • 98% effective (or more)
  • Begins immediately postpartum
  • Health benefits for mother and infant
  • No commodities/supplies required
  • Bridge to other contraceptives
  • Builds on established cultural and religious practices
  • Improves breastfeeding and weaning patterns
  • Postpones use of steroids until infant is more mature

Slide 19

As with any contraceptive method, a couple must consider advantages and disadvantages and be free to choose the method that best meets their needs.

There are several advantages of the Lactational Amenorrhea Method, and providers should explain these to clients:

  • LAM is universally available to all breastfeeding women.
  • It is at least 98 percent effective.
  • Protection begins immediately postpartum.
  • There are proven health benefits of breastfeeding for the mother and infant.
  • No commodities or supplies are required for clients or for family planning programs.
  • LAM can be used temporarily while a breastfeeding woman decides whether to use another contraceptive method. From this perspective, LAM may be viewed as a bridge to using other contraceptives.
  • In many regions LAM may build on established religious and cultural practices.
  • LAM may help to improve breastfeeding and weaning patterns. Breastfeeding patterns required for LAM are associated with decreased reproductive tract cancers, anemia and osteoporosis for the mother. These breastfeeding patterns also improve the growth, development and survival patterns among infants.
  • LAM allows breastfeeding mothers to postpone use of contraceptive steroids until the infant is more mature.


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