Talk:Lactational amenorrhea

Wiki Education Foundation-supported course assignment

This article was the subject of a Wiki Education Foundation-supported course assignment, between 26 September 2018 and 10 December 2018. Further details are available on the course page. Student editor(s): Hecutright7, Fullerm8, Neahg, Iridium.iodine.sulfur. Peer reviewers: Ashbuw223, Clawsbet.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 23:51, 17 January 2022 (UTC)

Wiki Education Foundation-supported course assignment

This article is or was the subject of a Wiki Education Foundation-supported course assignment. Further details are available on the course page. Student editor(s): HRBreaze. Peer reviewers: Viviansayavong, Maalikib.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 02:05, 17 January 2022 (UTC)

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)

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)

Thank you for all that information! I had to pump exclusively for my first child, because she had latch problems, and didn't know that pumping is not as effective at preventing pregnancy as nursing. MamaGeek  TALK  CONTRIB  11:20, 6 June 2006 (UTC)

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)

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

"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)

This site seems to cover the original studies pretty well (scroll down to the "Citations" section near the bottom). I'm not sure how to incorporate them into this article, though. Lyrl ^Talk _Contribs 16:10, 23 September 2006 (UTC)

"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)

Category

This article has been removed from Category:Natural family planning as part of a planned deletion of Category:Periodic abstinence, Category:Fertility awareness, and Category:Natural family planning. Please bring up any concerns at Category talk:Fertility tracking. If there are no objections within four days, these three categories will be tagged for speedy deletion. Lyrl ^Talk _C 23:05, 7 June 2007 (UTC)

Requested move

This was an incomplete requested move. The rationale is Capitalization is incorrect; this is not a brand name, only a phrase. —Joie de Vivre T 01:08, 10 July 2007 (UTC) -Andrew c ^[talk] 04:04, 10 July 2007 (UTC)

This article has been renamed from Lactational Amenorrhea Method to lactational amenorrhea method as the result of a move request. --Stemonitis 07:12, 10 July 2007 (UTC)

Mechanism

Maybe a word or two about what actually causes this? I know it's something to do with hormone levels, but there's no mention if it here at all. —Preceding unsigned comment added by 78.22.161.214 (talk) 17:58, 9 October 2008 (UTC)

I worked up a little at Menstrual cycle#Lactational amenorrhea last weekend. It would be a good idea to copy that over here, if someone is interested. Lyrl^Talk _C 00:36, 10 October 2008 (UTC)

Indeed, many of these claims seem dubious without medical information to back them up. Why must the infant be constantly held and not otherwise nourished, etc.? Dwmg (talk) 16:59, 28 February 2009 (UTC)

Note that the list of instructions which you are referring to is the "Seven standards of ecological breast feeding" Coverage of that particular variant of LAM, and why those practices were defined as desirable under that method would improve the article (as long as didn't constitute undue weight). But shouldn't be confused with the general LAM. (i.e. the listing there is definitional, rather than observational).

I think basic message of that is, depends how much effort you willing to put into it. If nursing behavior is done as has been observed in some pre-industrial cultures, can (on average) extend the suppression of ovulation for longer periods, but takes more effort. Zodon (talk) 20:36, 28 February 2009 (UTC)

Catholic Church

How does the Catholic Church feel about women prolonging breast feeding and encouraging lactation afterward specifically to prevent pregnancy? 98.28.114.217 (talk) 00:18, 8 January 2009 (UTC)

Breastfeeding is strongly encouraged by the Catholic Church, and its effects on fertility are not considered contraception, even if that is one of the motivations for the breastfeeding. Lyrl^Talk _C 20:54, 10 January 2009 (UTC)

@Lyrl: Could you provide a reference to back up your statement? In Humanae vitae, Pope Paul VI condemns "any action which either before, at the moment of, or after sexual intercourse, is specifically intended to prevent procreation". I don't think breastfeeding is what he had in mind, but still, his statement seems to prohibit LAM if it is motivated by the desire to avoid pregnancy. I would love to read an analysis of this subject. William Hoza (talk) 20:08, 29 June 2019 (UTC)

ambiguous statement regarding feeding schedules under ecological breastfeeding section

under the EB section it says that scheduling feeding is incompatible with LAM. This either means that it is incompatible with Both methods, or either one method or the other. This should be clarified.173.66.178.90 (talk) 05:10, 4 September 2010 (UTC)

Hai i can't get period after child birth. Now my baby is 11 month old & i'm breast feedind my baby.How to get my regular period. —Preceding unsigned comment added by 86.164.125.126 (talk) 13:12, 16 March 2011 (UTC)

Editing of information about Ecological Breastfeeding

I think that the most recent edits to the "Ecological Breastfeeding" section make no sense. Ecological Breastfeeding is a specific system (developed by Sheila Kippley). It's based on "The Seven Standards of Ecological Breastfeeding." Someone didn't like two of the Standards, so they removed them, and changed "The Seven Standards" to "The Standards." The two Standards that were removed were: "Mothers must practice safe co-sleeping as it is the proximity of the child to the mother that increases prolactin" and "Mothers must take daily naps with their infants." These were removed and a statement was added that said, "The AAP recommends never cosleeping or bedsharing with an infant due to the increased risk of smoothering and/or SIDS." This statement doesn't even make sense in the context of the article, since all references to co-sleeping have been removed. Further, the AAP is the *American* Academy of Pediatrics. Not all readers of Wikipedia are American, and recommendations about co-sleeping are different throughout the world. I think if information about Ecological Breastfeeding is included, it's misleading not to present the "Seven Standards." Whether a statement from the AAP about cosleeping is relevant or not can be debated by others. — Preceding unsigned comment added by PanCud (talk • contribs) 18:37, 4 June 2012 (UTC)

Catholic propaganda

Wikipedia bills itself as "the free encyclopedia anyone can edit" but I have been on the Internet long enough to know that Wikipedia really only accepts edits that are made by registered users. Therefore, I will justify my edits here:

1) The "ecological breastfeeding" section cites three sources. Two are from the "creators" of ecological breastfeeding, making the section fall under WP:NOR. The third is a source covering the definition of co-sleeping, which apparently was an issue in an earlier addition to this talk page. 2) Absent other sources, the section is clearly propaganda for the idea of "natural family planning" as promulgated by the Roman Catholic Church. Such propaganda has no place on a global encyclopedia, except when explicitly called out as such.

--KnucklesKnave (talk) 01:56, 17 November 2013 (UTC)

"Seven Standards of ecological breastfeeding"

The 'Seven Standards of ecological breastfeeding'... and these are? link or details needed! — Preceding unsigned comment added by 92.239.177.76 (talk) 19:19, 17 December 2014 (UTC)

Came here to ask the same question (given that it Is Capitalized) ... All I could find on wiki was a reference in Couple_to_Couple_League ++Lar: t/c 15:29, 14 January 2017 (UTC)

However it looks like this diff could provide material for a stub article on the seven standards. ++Lar: t/c 15:33, 14 January 2017 (UTC)

"Proposed Change; Added for your thoughts/feedback"

Hello all; I have just added a section about the physiology of this interesting phenomenon as I feel it has worth in this article; of course admins feel free to remove if you dislike it. It was mentioned above that this section was worth being added; but was never completed --User:Tobias (talk) 01:56, 13 Febuary 2016 (UTC) — Preceding unsigned comment added by 130.95.221.80 (talk)

Intention to edit physiology section and include information on evolutionary theory for why LAM occurs

I am interested in adding to the Physiology section in the article on Lactational amenorrhea. I am enrolled in Human Reproductive Ecology at the University of Washington and will be working with other users from my class to improve this article. I will cite James Wood's chapter on Breastfeeding and Postpartum Infecundability in his book Dynamics of Human Reproduction as well as other scholarly sources to expand upon the physiological aspects of lactational amenorrhea as it relates to postpartum infecundability. Additionally, members of my group intend to add information on evolutionary theory for why this phenomenon occurs and provide additional cross-cultural references for its use as a method of contraception. I will be working with @Fullerm8:, @Hecutright7:, and @Neahg: to improve this article. --Iridium.iodine.sulfur (talk) 18:44, 24 October 2018 (UTC)

References

Sounds interesting! Looking forward to reading it. Mvolz (talk) 19:05, 27 October 2018 (UTC)

I have added to the Physiology section of this article, including the previous editors' contributions under a heading entitled "Hormonal Pathways and Neuroendocrine Control", and added information from scholarly sources (James Wood's book and journal articles) on the Suckling Stimulus, Lactation and Energy Availability as it pertains to LAM, and on Infecundity as it relates to amenorrhea. Any feedback that could improve the clarity or content of my contributions is appreciated. Iridium.iodine.sulfur (talk) 20:41, 7 December 2018 (UTC)

False

This is not true 118.209.207.16 (talk) 13:38, 31 January 2022 (UTC)

Merging Breastfeeding and fertility to Lactational amenorrhea

The article Breastfeeding and fertility is about the same topic as Lactational amenorrhea. The proposal is to merge them. As Lactational amenorrhea is better organized and sourced more extensively, it is the better merge target.  --Lambiam 08:38, 15 June 2023 (UTC)

  Y Merger complete. Klbrain (talk) 17:54, 22 December 2023 (UTC)