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Lactational Amenorrhea Method (LAM)

Lactational Amenorrhea Method (LAM). Session II: Who Can and Cannot Use LAM. LAM Eligibility Criteria. The woman’s menstrual bleeding has not returned; AND She fully or nearly fully breastfeeds her baby; AND The baby is less than six months old. Importance of LAM Criteria (1).

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Lactational Amenorrhea Method (LAM)

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  1. Lactational Amenorrhea Method (LAM) Session II: Who Can and Cannot Use LAM

  2. LAM Eligibility Criteria • The woman’s menstrual bleeding has not returned; AND • She fully or nearly fully breastfeeds her baby; AND • The baby is less than six months old.

  3. Importance of LAM Criteria (1) • The woman’s menstrual bleeding has not returned (“amenorrhea”) Menstrual bleeding signals return of fertility—the woman can become pregnant again. Remember: bleeding before two months postpartum is NOT considered menstruation.

  4. Importance of LAM Criteria (2) 2. She fully or nearly fully breastfeeds her baby If baby receives food or liquids other than breast milk: • The baby becomes full and will not want the breast as often. • Infrequent suckling will cause the mother to produce less and her fertility to return • She can become pregnant again.

  5. Importance of LAM Criteria (3) 3. The baby is less than six months old. Six months is a biologically appropriate cut-off point to start supplemental foods. Remember: continue to breastfeed beyond LAM and until baby is two years old.

  6. Medical Eligibility Criteria What are medical eligibility criteria? Define the categories. Review the job aid.

  7. WHO’s Medical Eligibility Criteria with Clinical Judgment Source: WHO, 2010.

  8. WHO’s Medical Eligibility Criteria in Settings Where Clinical Judgment is Limited Source: WHO, 2010.

  9. Category 1 Who Can Start LAM LAM is safe for nearly all women. Source: WHO, 2010.

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