A Hospital-Based Study Assessing Knowledge Level and Practice of Lactational Amenorrhea Method (LAM) as a Method of Contraception: An Observational Study
Authors/Creators
- 1. 1 Senior Resident, Department of Obstetrics and Gynecology, Nalanda Medical College and Hospital, Patna, Bihar India
- 2. Assistant Professor, Department of Pediatrics, RDJM Medical College and Hospital, Muzaffarpur, Bihar, India
Description
Abstract
Aim: The aim of the present study was to assess the knowledge about lactational amenorrhea method (LAM) of
women and determine the proportion of women use LAM was also investigated the factors determining practice
of LAM.
Methods: The present study was conducted at Department of Obstetrics and Gynecology for one year and the
knowledge and practice of lactational amenorrhea as a form of contraception among women visiting primary
healthcare facilities were investigated in a cross-sectional study. 200 women of reproductive age completed a
structured questionnaire. The participants were chosen using a simple random sample. Sample size was
estimated to determine a prevalence of LAM usage and knowledge among lactating women.
Results: A total of 200 lactating women in reproductive age (15-49) were included in the study, the mean age
was 28.34+6.4 years, 53% of them were in the age group (20-29) and 55% were from rural areas. Most of the
lactating women were housewife (77%) and only (23%) were working. From the total number of studied
women, 48% had attended at basic education. Concerning family size, among the studied women, 26 women
with a family size 3-4 members use LAM. 30 women with a family size 5 members use LAM. 25 women with a
family size of 6 members use LAM. 20 of women with a family size of 7 or more members use LAM. (p- value
< 0.0001). 65% of women included in the study have used LAM, 64% have used correct LAM, 90% of lactating
women know about LAM and 35% have failure of usage LAM and get pregnant. And 40% of studied women
had breast feeding barriers. The mean of duration of breast feeding is 11.12 months ± 7.33 and the mean of
duration of amenorrhea is 6 months ± 4.11 and the mean of exclusive BF duration 4.63±2.34.
Conclusion: The large majority of the participants in this study stated that breastfeeding can be used as a
technique of family planning until menstruation returns. Only about two third of the women in the study said
they had ever used LAM. Women from rural areas, not working, and educated with lower socioeconomic were
more likely to practice LAM.
Abstract (English)
Abstract
Aim: The aim of the present study was to assess the knowledge about lactational amenorrhea method (LAM) of
women and determine the proportion of women use LAM was also investigated the factors determining practice
of LAM.
Methods: The present study was conducted at Department of Obstetrics and Gynecology for one year and the
knowledge and practice of lactational amenorrhea as a form of contraception among women visiting primary
healthcare facilities were investigated in a cross-sectional study. 200 women of reproductive age completed a
structured questionnaire. The participants were chosen using a simple random sample. Sample size was
estimated to determine a prevalence of LAM usage and knowledge among lactating women.
Results: A total of 200 lactating women in reproductive age (15-49) were included in the study, the mean age
was 28.34+6.4 years, 53% of them were in the age group (20-29) and 55% were from rural areas. Most of the
lactating women were housewife (77%) and only (23%) were working. From the total number of studied
women, 48% had attended at basic education. Concerning family size, among the studied women, 26 women
with a family size 3-4 members use LAM. 30 women with a family size 5 members use LAM. 25 women with a
family size of 6 members use LAM. 20 of women with a family size of 7 or more members use LAM. (p- value
< 0.0001). 65% of women included in the study have used LAM, 64% have used correct LAM, 90% of lactating
women know about LAM and 35% have failure of usage LAM and get pregnant. And 40% of studied women
had breast feeding barriers. The mean of duration of breast feeding is 11.12 months ± 7.33 and the mean of
duration of amenorrhea is 6 months ± 4.11 and the mean of exclusive BF duration 4.63±2.34.
Conclusion: The large majority of the participants in this study stated that breastfeeding can be used as a
technique of family planning until menstruation returns. Only about two third of the women in the study said
they had ever used LAM. Women from rural areas, not working, and educated with lower socioeconomic were
more likely to practice LAM.
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IJCPR,Vol15,Issue11,Article4.pdf
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Additional details
Dates
- Accepted
-
2023-08-17