sorry if you get this twice, didn't come through on my computer
Barb
----- Original Message -----
From: Barbara Glare & Chris Bright
To: ozmidwifery@acegraphics.com.au
Sent: Friday, December 22, 2006 7:13 PM
Subject: Re: [ozmidwifery] breastfeeding as contraception
Hi,
It seems like evidence based practice stops at breastfeeding! Jayne, I
understand what you are saying, and acknowledge that this was the case for you.
But there have been very thorough studies, (as I outlined the other day) and
studies that have verified the original studies, across affulent and developing
studies.
The combined pill is also 98% effective. do we warn women against using that?
I (cross my heart) have a friend that got pregnant to her husband 2 years after
he had a vasectomy. The dr said that some-times the tiny tubes can someimes
grow back together. When I have mentioned this to friends, other people have
reported of knowing people that this happened to. The minipill is only, what
70% successful.
At an ABA meeting not long ago, everyone in the room knew some-one whose pelvis
was too small for the baby to be born normally. Stories abounded about
gruesome forceps birth, babies that nearly died and *necessary* caesarians. I
nearly fainted in shock (before rapidly changing the subject) Before I did
change the subject I pointed out that in fact this is not supported by
evidence. It is indeed very rare for a woman to have a pelvis so small she
can't birth her baby normally.
Food for thought, really.
Barb
----- Original Message -----
From: jayne/jesse
To: ozmidwifery@acegraphics.com.au
Sent: Friday, December 22, 2006 3:43 PM
Subject: Re: [ozmidwifery] breastfeeding as contraception
Being 100% pro breastfeeding Barb, I'd like to go along with your 98%. I
have to agree with Janet though. There are very real reasons why the 98% does
not apply to all in our culture particularly. Having 100% fully breastfed
three babies from periods of 6 months to 11 months, not used bottles or dummies
but did indeed co-sleep, sling baby and suckle on demand for the whole periods
of time indicated, I became fertile at 4 months pp, 5 months pp and the last
one was the shocker.....6 weeks pp! I was fully aware of mucous signs before
fertility returned and pinpointed them exactly except with the last one, I
thought my eyes were playing tricks on me and I didn't believe it until it
happened. So because of my experiences, I'm reluctant to spout 98% success
rates re breastfeeding as contraception
I have also heard that maternal fat levels can play a part - higher levels.
Mine was actually average to low at the times when fertility returned. There
was one thing that I feel triggered fertility returning and that was the point
when my babies started to sleep for periods of 4 to 6 hours at a stretch
through the night.
Regards
Jayne
----- Original Message -----
From: Janet Fraser
To: ozmidwifery@acegraphics.com.au
Sent: Thursday, December 21, 2006 2:07 PM
Subject: Re: [ozmidwifery] breastfeeding as contraception
I don't think it's risky or tricky, or silly for that matter. I was trying
to be thorough in my reply and not make sweeping statements. Recently one of my
moderators did some research on achieving fertility again while breastfeeding
so she came up with a list which could equally be applied to Kylie's article.
Obviously LA works a treat if you look at cultures which pursue child-led
weaning but western culture just doesn't and therein can lie the problems for
many people. Most people don't understand anything about bf in the first place,
as we all know ; )
Here's the list in case you're interested, Kylie. It was for a member with
a 2 year old who'd like to ttc but hasn't bled in 2 years and with no signs of
bfing slowing. It's a very mixed bag of refs but some great ones : )
* Feeding EBM by bottle
(http://72.14.203.104/search?q=cache:1ilEf4An7dMJ:www.bfmed.org/ace-files/protocol/finalcontraceptionprotocolsent2.pdf+lactational+am
enorrhea+fertility&hl=en&gl=au&ct=clnk&cd=30)
* Supplementing feeds (formula or solids)
* Increased use of pacifiers
* Feeding on schedule instead of on demand
* Increased intervals between feeds (4hrs during day, 6hrs at night)
* Waiting until bub is 6mths or older
* Reduce time at the breast during a feed (shorter feeds, no comfort
sucking)
* Reduce total time at the breast per day to 65 min or less (McNeilly AS,
Glasier AF, Howie PW, Houston MJ, Cook A,Boyle H. Fertility after childbirth:
pregnancy associated with
breast feeding. Clin Endocrinol (Oxf). 1983 Aug;19(2):167-73.,
http://www.medela.com/NewFiles/faq/lam.html)
* Reduce night time feeds (Heinig MJ, Nommsen-Rivers LA, Peerson JM, Dewey
KG. Factors related to duration of postpartum amenorrhoea among USA women with
prolonged lactation. J Biosoc Sci. 1994 Oct;26(4):517-27.,
http://www.medela.com/NewFiles/faq/lam.html)
* Stop co-sleeping, including no naps with your child during the day
(Kippley, Sheila. Breastfeeding and Natural Child Spacing: How Ecological
Breastfeeding Spaces Babies. Cincinnati: Couple to Couple League International,
1999, http://en.wikipedia.org/wiki/Lactational_Amenorrhea_Method)
* Be separated from your child for more than 3 hours a day (Kippley,
Sheila. Breastfeeding and Natural Child Spacing: How Ecological Breastfeeding
Spaces Babies. Cincinnati: Couple to Couple League International, 1999,
http://en.wikipedia.org/wiki/Lactational_Amenorrhea_Method)
And what if you're a co-sleeping, fully BFing, no pacifier, BF on demand
mumma? How long will it be until your period returns? "Average return of menses
for women following all [...] criteria is 14 months, with some reports as soon
as 2 months and others as late as 42 months."
http://en.wikipedia.org/wiki/Lactati...norrhea_Method
Of course, once your period does return, continuing breastfeeding can still
affect your chances of conception.
(http://www.ncbi.nlm.nih.gov/entrez/q...t_uids=7761906)
Reference pages - very eclectic mix some ok, some good
http://www.medela.com/NewFiles/faq/lam.html
http://en.wikipedia.org/wiki/Lactati...norrhea_Method
http://www.fhi.org/training/en/modul...references.htm (lots of references
for articles on lactational amenorrhea, if you want to do more research)
http://www.fhi.org/training/en/modul...getstarted.htm
http://72.14.203.104/search?q=cache:1ilEf4An7dMJ:www.bfmed.org/ace-files/protocol/finalcontraceptionprotocolsent2.pdf+lactational+am
enorrhea+fertility&hl=en&gl=au&ct=clnk&cd=30
