Finally, while we initially believed that a better promotion of the lactational amenorrhea method could strongly affect postpartum family planning, our conclusion is more modest.
Short Fabic M and Choi Y, Measuring use of the lactational amenorrhea method through the Demographic and Health Surveys: data quality and implications, paper presented at the annual meeting of the Population Association of America, New Orleans, April 11-13, 2013.
Women using the lactational amenorrhea method are expected to switch to another family planning method when they reach six months postpartum (or before that date, if they stop breast-feeding exclusively or start their menses).
To address this issue, the Population Council, in collaboration with Lala Lajpat Rai Memorial Medical College, Meerut, conducted operations research to assess the feasibility and effectiveness of a behavior change communication intervention using community workers from the Family Welfare Program to promote postpartum contraception and the lactational amenorrhea method to young pregnant women in rural areas of Uttar Pradesh.
Using communication materials (leaflets, posters, wall paintings and booklets), workers educated all pregnant women registered for the study and their mother-in-law or the oldest female family member on healthy timing and spacing of pregnancy (first pregnancy should be delayed until age 18, women should wait at least 24 months after a live birth and six months after an abortion or miscarriage before planning their next pregnancy), postpartum care, the lactational amenorrhea method and postpartum contraception.
Prior to training, 14% of the community workers correctly answered all questions except the question on the lactational amenorrhea method (no one knew the method before training began).
Ability to mention all three conditions of the lactational amenorrhea method was not included in the logistic regression because only 0.
Knowledge of the lactational amenorrhea method was excluded from the model because very few women in the comparison group knew the method.
At the time of their four-month postpartum follow-up, 50% of women in the intervention area reported having been counseled to have a one-week postpartum checkup and 66% reported having been counseled about the lactational amenorrhea method.
Sixty-four percent of women from the intervention area knew all three conditions required for the lactational amenorrhea method at four months postpartum.
Notes: Female-only methods include the pill, IUD, injectable and implant; couple methods include male and female condoms, the diaphragm, foam, jelly, withdrawal, the lactational amenorrhea method
and periodic abstinence.