Breastfeeding as a Contraceptive Method (Lactational Amenorrhoea Method)

What is lactational amenorrhoea?

       Lactational amenorrhoeaBreastfeeding is a temporary contraceptive method which takes advantage of the way in which breastfeeding naturally makes a woman much less likely to conceive. Health professionals often refer to this as the lactational amenorrhoea contraception method.
 

Whilst breastfeeding, the amount of oestrogen produced by a woman’s body is reduced. Ovulation (the release of an egg from the ovaries into the fallopian tubes) only occurs when a woman produces high levels of oestrogen, because high levels of oestrogen trigger ovulation. Because a breastfeeding woman produces less oestrogen than normally, she does not ovulate and cannot become pregnant.


If a woman breastfeeds exclusively and does not give her baby any supplementary foods in the first six months after childbirth, the lactational amenorrhoea method is highly effective (98%) as long as the woman’s menstrual cycle has not returned. The method requires no special devices or procedures, and is easy to use. However, it can only be used effectively in the first six months after childbirth.
 
The contraceptive effect of breastfeeding

Lactation (the production of breast milk) is controlled primarily by two hormones, prolactin and oxytocin. Prolactin stimulates milk production, while oxytocin is responsible for transporting milk into the ducts which connect to the nipple.

Prolactin increases throughout pregnancy, causing the breasts to enlarge. While a woman remains pregnant she does not produce milk. This is because levels of another hormone, progesterone, also rise during pregnancy. Progesterone is produced by the placenta and so during pregnancy while the placenta remains in the woman’s womb, breast milk is not produced. Following childbirth, when the placenta is expelled, progesterone levels decrease and milk production is stimulated. The infant’s suckling at the mother’s nipple also stimulates the production of breast milk.

The infant’s suckling continues to regulate the amount of milk produced because the suckling action stimulates production of prolactin, which in turn stimulates milk production. The amount of milk produced by a lactating woman is equal to the amount consumed by the infant. When an infant stops suckling, breast milk production will quickly cease. When an infant is suckling frequently and heavily, prolactin levels will increase so that more milk can be produced.

More information on breastfeeding

The contraceptive effect of the lactational amenorrhoea method is a result of increased levels of prolactin. When prolactin levels increase, the production and secretion of another hormone, gonadotrophin releasing hormone are inhibited. When gonadotrophin releasing hormone levels reduce, the woman’s body also reduces the amount of oestrogen it produces. Ovulation cannot occur without a surge in oestrogen levels, and if a woman does not ovulate, pregnancy is prevented.

Who can use the lactational amenorrhoea method?

Lactational amenorrhoeaLactational amenorrhoea can be used by women who wish to prevent pregnancy and meet the following criteria:
    They have given birth in the previous six months;
    They are breastfeeding their infant exclusively or almost exclusively; and
    They have not experienced menstrual bleeding since childbirth.


Who should not use the lactational amenorrhoea method?

The method is contraindicated in women who do not meet all of the above criteria. While non-exclusive breastfeeding can exert some contraceptive effect, the risk of pregnancy is increased.

The risk of pregnancy is also increased for women who breastfeed exclusively but express milk, either by hand or pump. Women who express milk (e.g. while they are at work) should use an additional contraceptive methods and there are numerous other methods which are safe for use during breastfeeding.
Expressing breastmilk    

Lactational amenorrhoea is also unsuitable for women using some medications, including mood altering medications. Women using medications should check with their doctor about whether the medications will interfere with effective use of lactational amenorrhoea.

 
Correct use of lactational amenorrhoea

The effectiveness of lactational amenorrhoea is highly dependent on correct use. In particular, it is important that breastfeeding must:
    Occur at regular intervals (i.e. on demand and at least every four hours during the day and every six hours at night); and
    Be exclusive, or almost exclusive (i.e. supplemental foods should not exceed 5-10% of the infant’s nutritional intake).

It is also important to begin taking another contraceptive method after six months or earlier if the menstrual cycle returns before six months after childbirth. Individuals using lactational amenorrhoea should inquire about and obtain an additional method when they are visiting a health facility, so that they are ready to commence that method at the return of menstrual bleeding. Alternatively breastfeeding women can commence using progesterone-only hormonal contraceptive methods before the return of the menstrual cycle.


Effectiveness of lactational amenorrhoea

When used by women who meet all three criteria for the method (i.e. no menstrual bleeding, exclusive breastfeeding and less than six months since childbirth) lactational amenorrhoea is effective in preventing pregnancy in 98% of cases.

Menstruation is the key factor which signals the return of fertility, and women who have returned to menses (defined as two consecutive days of bleeding or spotting) cannot use lactational amenorrhoea.

In women who do not experience menstrual bleeding and continue to breastfeed exclusively, lactational amenorrhoea provides contraceptive protection which is 94% effective, one year postpartum.

However, the effectiveness of the method is dependent of the frequency and intensity of breastfeeding. Fertility will increase as the frequency of breastfeeding and the quantity of breast milk decrease.

Women who express milk from their breasts also have a higher risk of pregnancy, even if their infant is feeding exclusively on breast milk. The limited available research suggests that effectiveness is around 95% in women who express milk.

Benefits of lactational amenorrhoea

Lactational amenorrhoeaLactational amenorrhoea encourages exclusive breastfeeding, which has health benefits for both the mother and infant. These include:
    Decreased bleeding after childbirth (mother);
    The uterus returns to its normal size more quickly after childbirth (mother);
    Improved nutrition (infant);
    Reduced risk of infectious disease (infant).

There are also many health benefits associated with the increased birth intervals which arise from use of contraceptives.

Other benefits of lactational amenorrhoea include:
    It does not cost anything;
    No special supplies are needed; and
    It has no side effects.


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The 8 best sex positions to conceive a baby

          If you are trying to get pregnant but havent had any sucess lately, it’s probably time you looked at the way you and your partner are having sex. Yes! The positions you have sex is one of the factors that mitigate a successful pregnancy. Here are the top 8 sex positions to conceive a baby.

A few things first:

If you are trying to conceive, the thumb rule is to have regular and frequent sex especially when you are ovulating — which is probably your most fertile period. Apart from that sex positions that help in deeper penetration are great to help the your man’s sperm travel towards your egg easily. Also it is essential that you orgasm, because the contractions that occur in your uterus when you orgasm helps your man’s sperm reach their destination faster. All this apart it is also essential that you spen a sizable amount of time in foreplay. Here are nine foreplay moves that would make your man wild in the bed.

The positions that work the best

Missionary: Lie on your back, with your man on top. The fact that your pelvis is not tilted to face downwards helps his sperm move closer to the cervix making it easier for you to conceive and as a bonus your man has great leeway to achieve better penetration. While there is no real evidence, some people say placing a pillow below your hips helps his sperm travel deeper towards your cervix. Here are six lesser known things that make sex exciting for men.

Doggy style: A great position – and most men will agree they love it – the doggy style is great for baby making. Doggy style helps increase the amount of penetration and opens up the cervix just a little bit more than other positions.  Read how to do the doggy style right.

Glowing triangle: This pose is an offshoot of the missionary position. Here your man is on top with you below him, the difference being that the man is on all fours with his legs extended out. Your pelvis is raised (you can use a pillow for that added lift) and you can wrap your legs around your man. This position helps in increasing the depth of the penetration and tilts your pelvis upwards. The best part about this position is that your man need not move, you can do all the work. To help make the sex even better, spend time exploring and arousing each other before the final act. Here are five foreplay moves that would make your woman want more out of sex.

The rock and roller or anvil: Something like the missionary, this position ensures that your partner penetrates deep, and hits your G-spot — helping in conception. In this position you are on your back and your man is on top. You then raise your legs such that they are above your head and then your man penetrates you.

Magic mountain: This pose is just like the doggy style, but has the man bending over you, such that your back is against his chest. Here, you are bent over at the waist, and can use pillows beneath your ead to stabilize your upper body. You can reduce the number of pillows to increase the bend in the your waist helping your pelvis tilt even more. This pose allows for deep penetration, hits the G spot, stimulates the clitoris and is perfect for baby making.
 

Spooning:  Another common position with great benefits. With your man positioned behind you as you lie down, this pose ensures that your partner’s sperm reaches your cervix as your pelvis is tilted at a 90 degree angle. You can try variants of this pose where your legs are spread open and rest on the outer surface of the man’s thighs.  This not only adds to the spice of this position it helps you hold her really close.
 

Positions for the more adventurous:

Plough: In this position you will be standing on your hands, with your legs in the air. Your partner will get in between your legs, holding your legs with his hands – just like you would a wheel barrow.

Butterfly: In this position you lie on your back on a table. Your man steps in between your feet and raises your hips with his hands (you could add pillows for that added lift). This position raises the raunchy quotient of your sex life, ensuring better penetration and helps his sperm stay in your vagina.

Last but not the least, you should lie down with your legs up in the air with your pelvis raised off the bed. To make the insemination process more efficient you can place a few pillows below your lower back to help keep the sperms in your vagina longer and prevent it from flowing out. Although there are a large amount of sperm in one ejaculate, that are enough to impregnate you, staying stationary for a while after ejaculation is a good way to help the process along.


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My48 - WiFi Smart Timer Socket

Item No - My48

My49 - Smooth 4 Handheld 3-Axis Smartphone Gimbal Stabilizer

Item No - My49

My50 - Electric Airless Paint Sprayer

Item No - My50

My51 - Paint Runner Pro

Item No - My51

My52 - LCD Backlight Motorcycle Alarm Remote

Item No - My52

My53 - Surprise Explosion Gift Box

Item No - My53

My54 - Dual Power Automatic Transfer Switch

Item No - My54

My55 - Voltage Protector

Item No - My55

My56 - Wifi MCB Automatic Switch

Item No - My56

My57 - Wifi Breaker

Item No - My57

My58 - Wifi Smart Wall Socket 13A

Item No - My58

My59 - Face Mask Ear Hook

Item No - My59

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