Abstract

The lactational amenorrhea method (LAM) is a natural contraceptive that is highly effective after the three essential criteria are fulfilled. However, there is a significantly low adoption resulting from poor knowledge and correct practices. This study aimed to determine the correlation between knowledge and behavior of breastfeeding mothers on breastfeeding as a natural contraceptive. This was an analytic observational study with a cross-sectional design involving 89 breastfeeding mothers and was performed from January to March 2018. Furthermore, data were collected using a questionnaire, and the results showed knowledge of breastfeeding mothers to be good (59.6%) and not good (51.7%). However, the individual’s behavior towards the implementation of LAM was not good (48.3%) and good (40.4%). Based on the statistical test, there was a correlation between knowledge and behavior of breastfeeding mothers, with a p-value of 0.006 (OR = 3.463; 95% CI = 1.411 – 8.498). In brief, knowledge of LAM amongst the participants is good, despite the poor application in terms of behavior. Also, a relationship was also established between the knowledge and behavior of breastfeeding mothers as a natural contraceptive.

References

1. World Health Organization, Reproductive Health and Research, K4Health. Family planning: a global handbook for providers : evidence-based guidance developed through worldwide collaboration. Baltimore: World Health Organization, Department of Reproductive Health and Research; John Hopkins Bloomberg School of Public Health, Center for Communication Programs, Knowledge for Health Project; 2018.

2. Rodríguez MI, Say L, Temmerman M. Family planning versus contraception: what’s in a name?. Lancet Global Health. 2014; 2 (3): e131– 2.

3. Lathrop E, Telemaque Y, Goedken P, Andes K, Jamieson DJ, Cwiak C. Postpartum contraceptive needs in Northern Haiti. International Journal of Gynecology & Obstetrics. 2011; 112 (3): 239–42.

4. Kavanaugh ML, Jerman J. Contraceptive method use in the United States: trends and characteristics between 2008, 2012 and 2014. Contraception. 2018; 97 (1): 14–21.

5. Polis CB, Bradley SEK, Bankole A, Onda T, Croft T, Singh S. Highlights contraceptive failure rates in the developing world: an analysis of demographic and health survey data in 43 countries. New York: Guttmacher Institute. 2016. p. 1–76.

6. Bradley SEK, Polis CB, Bankole A, Croft T. Global contraceptive failure rates: who is most at risk?. Studies in Family Planning. 2019; 50 (1): 3–24.

7. Bawah AA, Sato R, Asuming P, Henry EG, Agula C, Agyei-Asabere C, et al. Contraceptive method use, discontinuation and failure rates among women aged 15–49 years: evidence from selected low income settings in Kumasi, Ghana. Contraception and Reproductive Medicine. 2021; 6 (1): 9.

8. Surayya S, Sari DFK, Jaya B. The increase of dropout rate on contraceptives usage in Central Sulawesi (raw data analysis of 2017 Indonesian demographic and health survey (IDHS)). STRADA Jurnal Ilmiah Kesehatan. 2020; 9 (2): 1495–503.

9. Mufdlilah M, Aryekti K. Factors causing contraceptive acceptors drop out. Kesmas: National Public Health Journal. 2018; 12 (4): 202.

10. Smoley BA, Robinson CM. Natural family planning. American Family Physician. 2012; 86 (10): 924–8.

11. Hassoun D. Natural family planning methods and barrier: CNGOF contraception guidelines. Gynécologie Obstétrique Fertilité & Sénologie. 2018; 46 (12): 873–82.

12. Van der Wijden C, Manion C. Lactational amenorrhoea method for family planning. Cochrane Database of Systematic Reviews. 2015; 2015(10): CD001329.

13. Ramos R, Kennedy KI, Visness CM. Effectiveness of lactational amenorrhoea in prevention of pregnancy in Manila, the Philippines: noncomparative prospective trial. BMJ. 1996; 313 (7062): 909–12.

14. Kennedy KI, Rivera R, McNeilly AS. Consensus statement on the use of breastfeeding as a family planning method. Contraception. 1989; 39 (5): 477–96.

15. Tiwari K, Khanam I, Savarna N. A study on effectiveness of lactational amenorrhea as a method of contraception. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2018; 7 (10): 3946–50.

16. Sipsma HL, Bradley EH, Chen PG. Lactational amenorrhea method as a contraceptive strategy in Niger. Maternal and Child Health Journal. 2013; 17 (4): 654–60.

17. Berens P, Labbok M. ABM clinical protocol #13: contraception during breastfeeding, revised 2015. Breastfeeding Medicine. 2015; 10 (1): 3– 12.

18. Holder KLP. Contraception and breastfeeding. Clinical Obstetrics and Gynecology. 2015; 58 (4): 928–35.

19. Ekpenyong CE, Daniel NE, Uwah AF, Ettebong ette O, Ibu JO. Lactational amenorrhoea method of contraception : an in-depth study of awareness, knowledge, and practice by breastfeeding mothers with unintended pregnancies. International Journal of Medical Sciences. 2013; 5 (1): 6–13.

20. Özsoy S, Aksu H, Akdolun Balkaya N, Demirsoy Horta G. Knowledge and opinions of postpartum mothers about the lactational amenorrhea method: the Turkish experience. Breastfeeding Medicine. 2018; 13 (1): 70–4.

21. Pirincci E, Tasdemir R, Oguzoncul A. Knowledge of lactational amenorrhea as a contraceptive method among mothers of infants aged 0-6 months in a district, Eastern Turkey. International Journal of Community Medicine and Public Health. 2016; 3 (6): 1363–70.

22. Kazi A, Kennedy KI, Visness CM, Khan T. Effectiveness of the lactational amenorrhea method in Pakistan. Fertility and Sterility. 1995; 64 (4): 717–23.

23. Kementerian Kesehatan Republik Indonesia. Profil kesehatan Indonesia 2018. Jakarta: Kementerian Kesehatan Republik Indonesia. 2019. p. 207.

24. United Nations. Contraceptive use by method 2019: data booklet. Departement of Economic and Social Affairs, Population Division: UN; 2019.

25. Badan Penelitian dan Pengembangan Kesehatan. Laporan hasil riset kesehatan dasar (Riskesdas) Indonesia tahun 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan. 2019 p. 182–3.

26. Mulyani S, Wiryanto TB, Ropitasari R. Konseling postpartum dan penerapan metode kontrasepsi amenore laktasi. Kesmas: Jurnal Kesehatan Masyarakat Nasional. 2012; 7 (3): 126–30.

27. Winarni E, Dawam M. Family planning information, education and communication with contraceptive use. Kesmas: National Public Health Journal. 2016; 11 (2): 94–102.

28. Dinas Kesehatan D.I. Yogyakarta. Profil kesehatan D.I. Yogyakarta tahun 2018. D.I. Yogyakarta; 2019.

29. Robinson RS. Purposive sampling. In: Michalos AC, editor. Encyclopedia of Quality of Life and Well-Being Research. Dordrecht: Springer Netherlands. 2014 p. 5243–5.

30. Festin MPR. Overview of modern contraception. Best Practice & Research Clinical Obstetrics & Gynaecology. 2020; 66: 4–14.

31. Furman L, Schanler RJ. 67 - Breastfeeding. In: Gleason CA, Juul SE, editors. Avery’s Diseases of the Newborn (Tenth Edition). Philadelphia: Elsevier. 2018 p. 991-1008.e5.

32. Shaaban OM, Abbas AM, Abdel Hafiz HA, Abdelrahman AS, Rashwan M, Othman ER. Effect of pregnancy-lactation overlap on the current pregnancy outcome in women with substandard nutrition: a prospective cohort study. Facts, Views and Vision in Obstetrics and Gynaecology. 2015; 7 (4): 213–21.

33. Ballard O, Morrow AL. Human milk composition. Nutrients and Bioactive Factors. Pediatric Clinics of North America. 2013; 60 (1): 49–74.

34. Mufdlilah, Johan RB, Fitriani T. Persepsi ibu dalam pemberian ASI eksklusif. 2018; 2 (2): 38–44.

35. Shah R, Alhawaj AF. Physiology, breast milk. StatPearls Publishing; 2019.

36. França-Botelho A do C, Ferreira MC, França JL, França EL, HonórioFrança AC. Breastfeeding and its relationship with reduction of breast cancer: a review. The Asia Pacific Organization for Cancer Prevention (APOCP). 2012; 13 (11): 5327–32.

37. Anstey EH, Shoemaker ML, Barrera CM, O’Neil ME, Verma AB, Holman DM. Breastfeeding and breast cancer risk reduction: implications for black mothers. American Journal of Preventive Medicine. 2017; 53 (3): S40–6.

38. McNeilly AS, Tay CCK, Glasier A. Physiological mechanisms underlying lactational amenorrhea. Annals of the New York Academy of Sciences. 1994; 709 (1): 145–55. 39. Ciampo LAD, Ciampo IRLD. Breastfeeding and the benefits of lactation for women’s health. The Brazilian Journal of Gynecology and Obstetrics (Revista Brasileira de Ginecologia e Obstetrícia. 2018; 40 (6): 354–9.

40. Georgetown University, Institute for Reproductive Health, Jhpiego. Lactational amenorrhea method (LAM): a learning resource package for family planning service providers and trainers. Washington, D.C.: Georgetown University. 2009 p. 1–44.

41. Panzetta S, Shawe J. Lactational amenorrhoea method: the evidence is there, why aren’t we using it? Journal of Family Planning and Reproductive Health Care. 2013; 39 (2): 136–8.

42. Howie PW, McNeilly AS, Houston MJ, Cook A, Boyle H. Fertility after childbirth: postpartum ovulation and menstruation in bottle and breast feeding mothers. Clinical Endocrinology (Oxf). 1982; 17 (4): 323–32.

43. Kouyaté RA, Ahmed S, Haver J, McKaig C, Akter N, Nash-Mercado A, et al. Transition from the lactational amenorrhea method to other modern family planning methods in rural Bangladesh: barrier analysis and implications for behavior change communication program intervention design. Evaluation and Program Planning. 2015; 50: 10–7.

Share

COinS