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Breastfeeding and Birth Control
Family Planning for
the Nursing Mother
the Nursing Mother
By Michele St. Martin
Kerry Seure of Cleveland, Ohio, relies heavily on LAM. "I used LAM after all three of my children were born," she says. "I have very predictable cycles, I nurse on demand – including at night in the family bed – and I never so much as spot until my babies reached 18 months to 2 years old. I feel very confident that this is the way nature intended the cycle of birth to end. As long as I don't interrupt what nature perfected, I know I will be free to concentrate on one baby at a time."
Some women do get pregnant while nursing, and it can seem like it comes out of nowhere. Because menstruation can return just a few months after giving birth or may be suppressed for a year or longer, you may not have any idea when your period will come back. Therefore, it can be difficult to determine when your first fertile cycle will be until after you have ovulated.
- The calendar method – evaluating your cycle over several months to judge average cycle length; assuming that ovulation occurs at the midpoint of the cycle, and avoiding intercourse for one week prior to, and three days following, estimated ovulation. "The calendar method is the least effective method (of natural family planning), wit a 9 percent pregnancy rate," Dr. Barrere says.
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