The Lactational Amenorrhea Method (LAM) was created to allow women to safely rely on breastfeeding as a family planning method. However, many women do not feel comfortable relying on breastfeeding as a form of birth control because they have been told it is unreliable, or perhaps because they know someone who became pregnant while breastfeeding.

1. Birth Control by Breastfeeding Dr.Sujnanendra Mishra MD (O&G)

4. Who can use LAM? A woman can use LAM if : 1. Her menstrual period has not returned since delivery . And. 2. She is breastfeeding her baby And.. 3. Her baby is less than six months old.

5. When all three of these conditions exist, she has less than a two percent chance of becoming pregnant.

6. The woman is encouraged to begin using a complementary family planning method when any of the three conditions changes, or whenever she chooses.

7. Scientific studies * Study conducted by the Institute for Reproductive Health. ** Study conducted by Family Health International. Study/Date N Efficacy (%) Pregnancies (#) Chile*/1989 422 99.5 1 Ecuador*/1993 330 99.8 2 Pakistan**/1995 391 99.4 1 Philippines**/1996 485 99.0 2 Multicenter*/1996 519 98.5 5

8. LAM is an effective, safe, convenient short-term way for breastfeeding women to delay pregnancy.