RESUMO
The presence of lactational amenorrhoea cannot be fully relied upon to protect the individual mother against becoming pregnant. Nevertheless, the use of breast-feeding as a birth-spacing mechanism has important implications for global health policy. This article identifies the information that should be collected and examined as a basis for developing guidelines on how to reduce the dual protection afforded by post-partum lactational amenorrhoea and other family planning methods, and discusses when such methods should be introduced.
Assuntos
Intervalo entre Nascimentos , Aleitamento Materno , Serviços de Planejamento Familiar , Adulto , Feminino , Humanos , Lactente , Recém-Nascido , Gravidez , Organização Mundial da SaúdeRESUMO
No se puede confiar por completo en que la amenorrea de la lactancia prevenga el embarazo. No obstante, el empleo de la lactancia materna como mecanismo para espaciar los nacimientos tiene gran trascendencia para las políticas de salud globales. En este artículo se identifica la información que es preciso reunir y examinar como base para establecer pautas encaminadas a reducir la protección dual proporcionada después del parto por la amenorrea de la lactancia materna y otros métodos de planificación familiar, y se analiza cuándo se deben introducir esos métodos
Assuntos
Aleitamento Materno , Intervalo entre Nascimentos , Formulação de Políticas , Serviços de Planejamento Familiar , Colômbia , México , Chile , GuamRESUMO
No se puede confiar por completo en que la amenorrea de la lactancia prevenga el embarazo. No obstante, el empleo de la lactancia materna como mecanismo para espaciar los nacimientos tiene gran trascendencia para las políticas de salud globales. En este artículo se identifica la información que es preciso reunir y examinar como base para establecer pautas encaminadas a reducir la protección dual proporcionada después del parto por la amenorrea de la lactancia materna y otros métodos de planificación familiar, y se analiza cuándo se deben introducir esos métodos
Disponible en inglés en Bull WHO 68(5), 1990
Assuntos
Aleitamento Materno , Intervalo entre Nascimentos , Colômbia , México , Chile , Guam , Formulação de Políticas , Serviços de Planejamento FamiliarRESUMO
The presence of lactational amenorrhoea cannot be fully relied upon to protect the individual mother against becoming pregnant. Nevertheless, the use of breast-feeding as a birth-spacing mechanism has important implications for global health policy. This article identifies the information that should be collected and examined as a basis for developing guidelines on how to reduce the dual protection afforded by postpartum lactational amenorrhoea and other family planning methods, and discusses when such methods should be introduced.
PIP: Lactational amenorrhea in many developing countries is still the most successful form of contraception, especially when modern forms of contraception are not available. In cultures where frequent or prolonged breast feeding is common, postpartum amenorrhea and suppressed ovulation are frequent and serve to space births. It is this spacing of births that leads to decreased infant and maternal morbidity and mortality. It must be remembered that lactational amenorrhea is not a completely reliable form of contraception. In fact the figures indicate that in cultures were family planning use is low, birth intervals are largely determined by the duration and intensity of breastfeeding. Studies indicate that an increase of 15% 32% in birth intervals can result from prolonged lactation. It would be to the advantage of health care planners and providers to examined more closely the causes and properties of lactational amenorrhea. Field directed education can provide women with the information necessary to help them control their child spacing. The WHO Breast-feeding Data Bank collects and analyzes information on breast-feeding and its effects on fertility regulation. Methods used to assess lactational infertility and how the information is used by the data bank are described in this article. There is a summary of relevant information gathered from published sources and post 1983 studies of the WHO. The practical implications to health policy that are associated with lactation-associated infertility are also mentioned.
