A breastfeeding woman can use LAM to space her next birth and as a transition to another contraceptive method. She may start LAM at any time if she meets all 3 criteria required for using the method.

Ask the mother these 3 questions:

Question 1:  Has your monthly bleeding returned?<br />
Question 2: Are you regularly giving the baby other food besides breastmilk or allowing long periods without breadfeeding, either day or night?;<br />
Question 3: Is your baby more than 6 months old?

If the answer to all of these questions is no…

she can use LAM. There is
only a 2% change of pregnancy at this
time. A woman may choose another
family planning method at any
time—but preferably not a method
with estrogen while her baby is less
than 6 months old. Methods with
estrogen include combined oral
contraceptives, monthly injectables,
the combined patch, and the
combined vaginal ring.




But, when the answer to any one of these questions is yes…

her chances of pregnancy
Advise her to begin
using another family planning
method and to continue
breastfeeding for the child’s