Breastfeed often
  • An ideal pattern is feeding on demand (that is, whenever the baby wants to be fed) and at least 10 to 12 times a day in the first few weeks after childbirth and thereafter 8 to 10 times a day, including at least once at night in the first months.
  • Daytime feedings should be no more than 4 hours apart, and night-time feedings no more than 6 hours apart.
  • Some babies may not want to breastfeed 8 to 10 times a day and may want to sleep through the night. These babies may need gentle encouragement to breastfeed more often.
Start other foods at 6 months
  • She should start giving other foods in addition to breast milk when the baby is 6 months old. At this age, breast milk can no longer fully nourish a growing baby.

Plan follow-up visit
 

Lactational Amenorrhea Method Thought Bubble

LAM mother baby

  • Plan for the next visit while the LAM criteria still apply, so that she can choose another method and continue to be protected from pregnancy.
  • If possible, give her condoms or progestin-only pills now. She can start to use them if the baby is no longer fully or nearly fully breastfeeding, if her monthly bleeding returns, or if the baby reaches 6 months of age before she can come back for another method. Plan for a follow-on method. Give her any supplies now.