1. Lactation Ammenorrhoea Method (LAM)

2. Definition
The term Lactation Amenorrhoea Method (LAM) refers to the traditional method of breast-feeding as a family planning method

3. Mechanism of action Inhibits ovulation
Effectiveness of LAM depends on the following factors:
The baby is less than 6 months old
The baby is breastfeeding exclusively
The woman has not resumed her menses
When any of these 3 criteria is no longer met, another FP method must be introduced in a timely manner to ensure healthy birth spacing.

4. Advantages
Effective protection against pregnancy as long as all three LAM criteria are met
Does not interfere with sexual activity
No known health risks
Return to fertility is immediate
Affordable- no direct costs for family planning

5. Limitations
LAM provides temporary protection from pregnancy ( as soon as any of 3 requirements are not met, protection decreases)
No protection against STIs
Effectiveness after 6 months is uncertain
Exclusive breastfeeding may not be convenient for some women
Small chance of MTCT during breastfeeding if mother is HIV-positive,

6. Who can use Women who: Are fully or nearly fully breastfeeding
Have not had return of menses
Are less than 6 months postpartum1