However, marked dilemmas about optimal postpartum strategies arise in Sub-Saharan Africa, and to a lesser extent in countries like India, where lactational amenorrhea
typically extends through the first 12 months after childbirth.
RELATED ARTICLE: Lactational amenorrhea
can be turned to contraceptive use--provided the patient knows how to use it.
(12) Most of this research deals with the appropriate choice and timing of contraceptive use in general and with the reliability of the lactational amenorrhea
method in particular.
Furthermore, half of the AWW's knew that breastfeeding reduces mother's weight, provides contraceptive benefit due to lactational amenorrhea
and helps involution of the uterus.
She had conceived in Lactational Amenorrhea
and so her last menstrual period was not known.
(4) The standard recommendations for postpartum family planning have not changed much since then, except that in 1989 the Bellagio consensus statement added the lactational amenorrhea
method * to the range of methods that can be started immediately after delivery.
Nearly half of women would not use lactational amenorrhea
method because they were unfamiliar with it.
The new guideline addresses the use of hormonal contraceptives, emergency contraceptive pills, intrauterine devices for both pregnancy prevention and emergency contraception, barrier methods, sterilization, and "natural methods," including coitus interruptus, lactational amenorrhea
, and fertility awareness.
Focus group discussions among 63 women from the same communities, however, revealed confusion about the cause, effect, and duration of lactational amenorrhea
. Women in six of eight focus groups said that breastfeeding can prevent pregnancy, but most participants thought lactational infertility depends on a woman's physical constitution, rather than on meeting the three criteria of being less than six months postpartum, fully or almost fully breastfeeding, and amenorrheic.
Most preferable method of contraception among the remaining 49.4% (n = 86) couples who were using any method was condom (18.4%, n = 32), followed by Pill (14.4%, n = 25), copper-T (8%, n = 14), Tubal ligation (4.6%, n = 8), and lactational amenorrhea
(4%, n = 1).
(4) In the present case, it seems that IUD had perforated the uterus at the time of its initial insertion as at that time, the patient was in lactational amenorrhea
which is a high risk for IUD perforation due to small uterus.