FRONTIERS
Research Project in Kazakhstan

Promotion of Lactational Amenorrhea Method (LAM) and Breastfeeding Intervention Trial. The Academy of Preventive Medicine examined the effectiveness of the introduction of LAM, the suppression of ovulation that occurs during breastfeeding, in reducing the rate of pregnancy 6–12 months following delivery. The project trained providers in LAM and lactation management counseling in both certified Baby-Friendly hospitals (World Health Organization definition) and noncertified hospitals. Results showed that knowledge of LAM as a contraceptive method was high among women interviewed after delivery, and 70 percent of all women reported that they planned to use LAM as protection from pregnancy. However, knowledge about LAM could be improved; only 35 percent of women knew all three criteria of effective LAM use. Only half of all women received family planning counseling but 94 percent said they plan to protect themselves against a new pregnancy. At six months postpartum, the absolute numbers of LAM users and nonusers were roughly equivalent (2,391 and 2,628, respectively) but amenorrhea rates differed dramatically at 98 and 19 percent, respectively.
Project duration: 11/00–12/02
Project publications:

• Final Report: "Promotion of lactation amenorrhea method intervention trial, Kazakhstan"
• OR Summary: "Kazakhstan: Promote LAM for postpartum family planning and birth spacing"

Copies of summaries, reports, program briefs, and research updates can be ordered free of charge by contacting frontiers@popcouncil.org. FRONTIERS publications are also available on the U.S. Agency for International Development's Development Experience Clearinghouse Web site www.dec.org.

For more information contact:
Frontiers in Reproductive Health (FRONTIERS)
Population Council
4301 Connecticut Ave. N.W., Suite 280
Washington, DC 20008 USA
Telephone: +1 202 237 9400
Facsimile: +1 202 237 8410
E-mail: frontiers@popcouncil.org

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This page updated 27 January 2006

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