Lactational amenorrhea

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Amenorrhea lactation is a temporary postnatal infertility that occurs when a woman is amenorrhea (not menstruating) and breast-feeding completely.

Video Lactational amenorrhea

Breastfeeding infertility

For women who follow the advice and meet the criteria (listed below), LAM is & gt; 98% effective during the first six months postpartum.

• Breastfeeding should be the baby's only (or almost sole) source of nutrition. Food formulas, pumping instead of breastfeeding, and feeding solid foods all reduce the effectiveness of LAM.
• Babies should breastfeed at least every four hours during the day and at least every six hours at night.
• The baby should be less than six months old.
• Mothers should not have periods after 56 days postpartum (when determining fertility, bleeding before 56 days postpartum can be ignored).
• And to take full advantage of LAM, it is best not to cover baby's face while breastfeeding. Caring for a baby routinely reduces the baby's access to oxygen and visual contact with the mother, who trains the baby to speed up the breastfeeding process and thereby decreases the time span, making LAM less effective.

If not combined with barrier contraceptives, spermicides, hormonal contraceptives, or intrauterine devices, the lactation amenorrhea ( LAM ) may be considered a natural family planning by the Roman Catholic Church.

Maps Lactational amenorrhea

Physiology

Breastfeeding delayed the return of normal ovarian cycles by interrupting the GnRH pulsatile release pattern of the hypothalamus and hence LH from the pituitary. The plasma FSH concentration during lactation is sufficient to induce follicle growth, but inadequate pulsatile LH signals result in a decrease in estradiol production by these follicles. As follicle growth and estradiol secretion increase to normal, breastfeeding stimulation prevents the formation of LH spas and normal preovulatory follicles either fail to break, or become atretic or cystic. Only when the suckling stimulus decreases sufficiently to allow the generation of normal preovulatory LH surge that will occur will ovulate with the formation of the corpus luteum of variable normality. Thus breast-feeding delayed the return of normal ovarian cycles by disrupting but not completely inhibiting, the normal pattern of GnRH release by the hypothalamus. The mechanism of the disturbance caused by GnRH sucking is still unknown.

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Return of fertility

The return of menstruation after childbirth varies greatly among individuals. Strong relationships have been observed between breast-feeding and contraceptive effects, so that the combination of feeding on demand rather than on schedule and breastfeeding only than supplementing the diet with other foods will greatly prolong an effective period of contraception.. The closer the behavior of a woman to the Seven Ecological Slimming standards, then (on average) the cycle will return. The average return of menstruation for women who follow the seven criteria is 14 months after delivery, with some reports immediately after 2 months while others are up to 42 months. [Citation needed] Couples who want a distance between 18 to 30 months between children can often achieve this through breastfeeding alone.

Although the first postpartum cycle is sometimes anovulatory (reducing the likelihood of getting pregnant again before the post-partum period), the next cycle is almost always ovulatory and should therefore be considered fertile. For exclusive breastfeeding ovulation women tend to return after the first menstruation after 56 days of postpartum time period. Supplementing nutrient intake can lead to faster menstrual and ovulatory returns, then exclusive breastfeeding. Treatment more frequently for a shorter time proved more successful in prolonging amenorrhea then breastfeeding longer but less frequently. The continuation of breastfeeding, when introducing solid foods after 6 months, to 12 months proved to have an efficiency rate of 92.6 to 96.3 percent in the prevention of pregnancy. Because of this some women find that breastfeeding interferes with fertility even after ovulation has returned.

Seven Standards: Stage 1 Ecological Breastfeeding

1. Exclusively breastfeeding for the first six months of life; do not use liquids and other solids, not even water.
2. Soothe or comfort your baby in the breast.
3. Do not use bottles and do not use a pacifier.
4. Sleep with your baby to breastfeed tonight.
5. Sleep with your baby for lunch every day.
6. Nurses often day and night, and avoid schedules.
7. Avoid practices that restrict breastfeeding or separate you from babies.

Phase 1 is exclusive breastfeeding time and thus usually lasts six to eight months.

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Footnote

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Further reading

• Kippley, Sheila. Seven Standards of Breast-Feeding Ecology: Frequency Factors , 2008.

Source of the article : Wikipedia