Talk:Lactational Amenorrhea Method
From Wikipedia, the free encyclopedia
Contents |
[edit] Spacing pregnancies?
To me, that implies that women who use LAM must intend to get pregnant again. It's reminiscent of Catholic literature I've read that encourages babies every 2-4 years if possible. When actually LAM can be used by women who intend to use a different contraceptive method after LAM expires, possible indefinitely. Perhaps we could use wording such as 'avoiding pregnancy' or 'reducing the likelyhood of pregnancy' or something? Lyrl 19:06, 28 January 2006 (UTC)
[edit] Pumping vs. Nursing
Why should it matter whether a mother pumps or nurses? MamaGeek TALK CONTRIB 18:48, 5 June 2006 (UTC)
- Manual expression, manual pumps, and electric pumps all give lower levels of stimulation than suckling. The reduced stimulation results in lower levels of pregnancy protection. It still gives some, but the same failure rate cannot be claimed for pumping mothers as for those fully or almost fully breastfeeding.
- According to Helen Jost, a natural family planning teacher in Illinois, pumping and nursing is enough for some women. For others, fertility returns quickly after they begin pumping or supplementing. Some women need more stimulation to remain infertile than others. [1]
- If an amenorrheic woman is separated from her infant and expresses milk, she may still use LAM. Milk expression by hand or pump may produce sufficient breast stimulation to prevent ovulatory activity. However, her risk of pregnancy is increased to 5 to 6%. [2] Presumably from this reference: Zinaman M, Hughes V, Queenan J, et al. Acute prolactin, oxytocin response and milk yield to infant suckling and artificial methods of expression in lactating women. Pediatrics 1992;89:437-40.
- It is not known if pumping the breast manually provides the same degree of feedback and ovulation suppression. [3]
- Lyrl 22:01, 5 June 2006 (UTC)
[edit] Proposed Infobox for individual birth control method articles
Let's all work on reaching a consensus for a new infobox to be placed on each individual birth control method's article. I've created one to start with on the Wikipedia Proposed Infoboxes page, so go check it out and get involved in the process. MamaGeek (Talk/Contrib) 12:18, 14 June 2006 (UTC)
[edit] Abortifacient?
As far as I can tell, based on the beginning of pregnancy controversy (see talk for some further discussion), is considered abortifacient and therefore immoral if it's used primarily as a birth control method (as opposed to being used to nourish the baby) by those anti abortion groups who define pregnancy as begining at conception. If this is really the case, we should mentioned this. Nil Einne 12:23, 17 June 2006 (UTC)
- Breastfeeding is painful for the first several weeks as the nipples toughen up. Infants generally feed for 20-45 minutes at a time, with 1.5-2 hours between the starts of feedings, including at night. That means mothers of newborns can have an infant latched on for up to 12 hours out of every day. I find somewhat incredulous the suggestion that anyone would do that primarily as a birth control method, rather than to provide the best nourishment for their child. Lyrl 13:41, 17 June 2006 (UTC)
-
- This all isn't the point. LAM is a nature-planned "automatic" birth control method. Worldwide LAM is the most-used method and therefore a description and exploration is advisable. For many families it's not most important, completely to prevent birthes. It's often just enough, not to bear too often and/or to quickly after another. LAM btw. has the consequence of a better nourishment for the child. The nature (say God if You like) hasn't planned fast-food for nurslings, for the first years the mother was planned as the one and only fitted kitchen ;-) --Carlo Simon
[edit] "LAM is 98% effective during the first six months postpartum"
This is such a crucial point I think it should be referenced to the original studies that Breastfeeding and Natural Child Spacing cites, if such are cited. If not, then a qualifier should be inserted. Can someone who has the book do this? CyberAnth 10:43, 23 September 2006 (UTC)
- Sheila Kippley's book refers to ecological breastfeeding only, not to LAM in general. I do not have the book, but I have put in two studies from the Couple to Couple League's website (the Kippleys founded CCL) - currently numbers 3 and 4 in the footnotes.
- The stats on generic LAM are not from the Kippley's work, but rather (I believe) from the WHO. I'll see if I can find some of the studies and add them. In the meantime, I'll link to a table taken from Contraceptive Technology. Lyrl Talk Contribs 15:50, 23 September 2006 (UTC)
[edit] "pregnancy rate" rather than "failure rate"
Note discussion at Talk:Birth control#"pregnancy rate" rather than "failure rate" re replacing occurrences of "failure rate" with "pregnancy rate". I would also like to see the same change on this page. Please make any comments there. --Coppertwig 04:02, 8 January 2007 (UTC)
