As a sensible Father in Law or Mother in Law : your duty is impart contraceptive knowledge to your daughter in Law /own daughter. An appeal by Prof S K Pal to juniors (and teachers as well) : Never be happy with the status quo of our practice at antenatal OPD. Over the last two decades we have trying to hammer on D marker NT scan, Q serum marker, TIFA, Foetal Echo as deem necessary and Tdap similarly we have to hammer this topic of LAM at antenatal OPD to every pregnant women however busy / crowded that place may be . May please entrust this task to PHN/ Social posted at antenatal OPD(ANC) & to your private secretary at private chamber. May also pl make a printed instruction on this LAM Method in detail in local language.
: The contribution of lactation amenorrhoea to birth spacing should be categorically disseminated to mothers especially during the prenatal visits. Basic information on ideal breastfeeding practice should also be communicated to family members, in laws, and opinion leaders in the commmunity.
The following globally accepted practice should repeatedly be communicated while the mother is still in hospital or nursing home these are a) exclusively breastfeeding for first six months, with frequent suckling on demand, both day and night. b) Continuation of breastfeeding even after supplemental foods has been introduced after 6 months. C) The most appropriate time for introducing other family planning methods should be established, for each individual based mainly on breastfeeding patterns and trends, and obviously on the duration of lactation amenorrhoea. The couple should also be made aware of the available fertility regulating methods, for lactating women. The couple should preferably use nonhormonal methods of contraception e.g. IUD (Intra-uterine devices) or condom. In the authors opinion these two are ideal contraceptives from four to six months postpartum.
But those breastfeeding women who desire hormonal contraceptive protection they can choose progesterone only hormonal contraceptives e.g. minipill or Inj. Progesterone i.e. quarterly shots. This hormonal method also has a track record good efficacy and safety. If none of these four methods are selected the combined oral contraceptives may be started only after six months of childbirth as it adversely affects quality of breast milk (WHO category 2 risk so long baby is breastfeeding).
However to initiate and promote breastfeeding important of personal support is very relevant. Personal contact and support really helps breastfeeding to succeed. This may be from health workers, counselors, family members, or from other breastfeeding mothers in the community. Radio broadcasts, newspaper articles and lectures can increase people’s knowledge, but they may not change what mothers do. Person-to-person help is necessary to convince mothers to put the ideas into practice.
The following globally accepted practice should repeatedly be communicated while the mother is still in hospital or nursing home these are a) exclusively breastfeeding for first six months, with frequent suckling on demand, both day and night. b) Continuation of breastfeeding even after supplemental foods has been introduced after 6 months. C) The most appropriate time for introducing other family planning methods should be established, for each individual based mainly on breastfeeding patterns and trends, and obviously on the duration of lactation amenorrhoea. The couple should also be made aware of the available fertility regulating methods, for lactating women. The couple should preferably use nonhormonal methods of contraception e.g. IUD (Intra-uterine devices) or condom. In the authors opinion these two are ideal contraceptives from four to six months postpartum.
But those breastfeeding women who desire hormonal contraceptive protection they can choose progesterone only hormonal contraceptives e.g. minipill or Inj. Progesterone i.e. quarterly shots. This hormonal method also has a track record good efficacy and safety. If none of these four methods are selected the combined oral contraceptives may be started only after six months of childbirth as it adversely affects quality of breast milk (WHO category 2 risk so long baby is breastfeeding).
However to initiate and promote breastfeeding important of personal support is very relevant. Personal contact and support really helps breastfeeding to succeed. This may be from health workers, counselors, family members, or from other breastfeeding mothers in the community. Radio broadcasts, newspaper articles and lectures can increase people’s knowledge, but they may not change what mothers do. Person-to-person help is necessary to convince mothers to put the ideas into practice.
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