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LAM criteria — DFSRH MCQ

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ModerateReproductive HealthLAM criteriaDFSRH

A 29-year-old woman is 10 weeks postpartum, fully breastfeeding day and night, amenorrhoeic and asks if lactational amenorrhoea can be used for contraception. What would you advise this patient?

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Correct answer: C — LAM can be effective if fully breastfeeding, amenorrhoeic and under 6 months postpartum

LAM relies on three criteria: under 6 months postpartum, amenorrhoeic and fully breastfeeding. Formula supplementation or return of bleeding reduces reliability. It should be paired with transition planning.

Reference: FSRH Contraception After Pregnancy Guideline; NICE Abortion Care Guideline; NICE Antenatal Care; BNF