Corellation between mother's knowledge and husband's support for the success of the Lactational Amenorrhea Method (LAM)

HIGHLIGHTS 1. Lactational Amenorrhea Method (LAM) is one of the natural contraception methods of postpartum women.2. Mothers' knowledge and husband's support for LAM contraceptive method was suggested to contribute to its success.3. Research and statistical instruments used found that the success of LAM contraceptive was related to mothers' knowledge, but not related to husband's support. ABSTRACTObjectives: This study aims to analyze the relationship between mother's knowledge and husband's support for the success of LAM contraception in Brengkok Village, Brondong District, Lamongan Regency, East Java.Materials and Methods: This study is an analytic observational study with a sample of 46 mothers who gave exclusive breastfeeding to their babies who met the inclusion criteria. The research instrument used a questionnaire to determine the level of mother's knowledge and husband's support about exclusive breastfeeding. Spearman Rank Correlation Test was used for data analysis with a significance level of 0.05.Results: More than 50% of respondents (25 respondents) successfully used the LAM method to prevent pregnancy. Statistical test showed that there was a relationship between mother's knowledge and success of LAM contraception with p value (0.000), with a correlation coefficient of 0.523. Meanwhile, husband's support is not related to the success of LAM contraception with p value (0.461) with a correlation coefficient of 0.111.Conclusion: Mother's knowledge is related to the success of LAM contraception, and there is no relationship between husband's support and the success of LAM contraception.

Ethnomedicinal Plants Used for Cure of Sexual Dysfunctions in Humans by Traditional Hakeem’s of Malegaon Region from Nasik District.

Hakeem is an Arabic word meaning “Physician” or “Practitioner of herbal medicine”. Hakeems are practice Unani medicinal system i.e. the Greco Arabian system of medicine or Islamic medicine. Most of the Hakeems are practice on sexual disorders like Decrease in sperm count, decrease of viscosity of semen, erectile dysfunction, pre mature ejaculation and fluidity of sperms are common sexual dysfunctions of males and Leucorrhoea, Amenorrhea and Lactational amenorrhea (Postpartum infertility) are the common sexual dysfunctions of females of human being. The present study on these diseases is based on the collection of data from Hakeems of Malegaon region who practicing on these diseases from generations about 90 to 150 years.

Breastfeeding Knowledge and Behavior in Lactational Amenorrhea Method (LAM) as a Natural Contraceptive

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.

THE DESCRIPTION OF EXCLUSIVE BREASTFEEDING AS LACTATION AMENORRHEA METHOD CONTRACEPTION)

Background: Exclusive breastfeeding has benefits as a natural contraceptive method, the Lactational Amenorrhea Method (LAM). The coverage of exclusive breastfeeding in East Java Province in 2018 only reached 74.3% and coverage of active family planning was still at 75.3% (Health Office of East Java, 2018). The results of a preliminary study of 10 Children’s Health Specialist Doctor Education Program of Airlangga University showed exclusive breastfeeding, but only 20% managed to menstruate for more than 6 months. This study aims to determine the description of exclusive breastfeeding as LAM at Dr Soetomo Hospital Surabaya. Method: This type of research uses a descriptive method to mix method research with survey analytic methods. The number of samples used was 16 people with simple random sampling technique. Results: PPDS who got LAM success during exclusive breastfeeding, by giving on demand and frequency more than 8 times was only 37.5%, while the remaining 62.5% PPDS failed to achieve LAM. The inhibiting factors are not being able to give immediately, time for pumping, and inadequate rest. The support received by PPDS is tolerance for pumping, high determination of exclusive breastfeeding, and family support. How to give breast milk is to breastfeed directly and by bottle. The reason for using the bottle is to work. The number of PPDS with amenorrhea duration 1-3 months was 7 people, and only 1 PPDS experienced amenorrhea for 12 months. Conclusion: Nearly half of PPDS have successfully used LAM as a contraceptive.

Failure of Lactational Amenorrhea Method (LAM) in Yogyakarta

Background: The lactational amenorrhea method (LAM) is modern contraceptives that rely on exclusive breastfeeding for six months without additional food or beverage. The mother is in a state of amenorrhea and delays arranging birth to a quality family. Aim: The study aimed to determine the cause of the failure of LAM. Method: Study design with the cross-sectional analytic survey, conducted on mothers who have babies 6-24 months of age as 79 respondents. The sampling technique using purposive sampling, data analysis chi-square, and logistic regression. Result: This study showed parity (OR = 4.861; 95% CI = 0.991 - 23.852), education (OR = 0.525; 95% CI 0.073 - 3.758), work (OR = 2.087; 95% CI = 0.241 - 18.064), knowledge (OR = 20.481; 95% CI = 2.459 – 170.608), additional contraception other than LAM (OR = 2.894; 95% CI = 0.365 – 22.965), menstruation before six months (OR = 10.265; 95% CI = 1.283 – 82.150), breast pump ( OR = 1.843; 95% CI = 0.189 – 17.990) and socio-economic (OR = 9.843; 95% CI = 1.029 – 94.134). Conclusion: In conclusion, all variables influenced LAM's failure, but the most influential was knowledge, menstruation before six months, and social-economic. Keyword: LAM, breastfeeding, failure

Knowledge and use of lactational amenorrhea as a family planning method among adolescent mothers in Uganda: a secondary analysis of Demographic and Health Surveys between 2006 and 2016

Objective: To assess the level of knowledge and use of lactational amenorrhea method (LAM) among adolescents in Uganda between 2006 and 2016 using nationally representative data from Demographic and Health Surveys (DHS). Design: Cross-sectional design involving analysis of three DHS (2006, 2011, and 2016) in Uganda. Setting: The data was collected in Uganda. The DHS are nationally representative surveys on a wide range of indicators including contraception knowledge and use. Participants: A total of 8,250 adolescents (15-19 years) and 7,110 young women (20-24 years) were included. Primary outcome measure: Use of LAM among adolescents and young women with a livebirth within six months before each survey. Results: In 2016, less than 1% of eligible adolescents correctly used LAM and 56% were passively benefitting from LAM. The median duration of postpartum amenorrhea (PPA) among adolescents in 2016 was 6.9 months, declining from 8.3 months in 2006. Compared to adolescents, eligible young women had higher knowledge of LAM and higher medianPPA duration in 2016. The percentage of eligible adolescents who met the LAM criteria irrespective of whether they reported LAM use (protected by LAM) decreased from 76% in 2006 to 57% in 2016. More than 50% of eligible adolescents were aware of LAM in 2016, increasing from 6% in 2006, potentially in part due to change in survey question. Conclusion: Despite increasing awareness of LAM, reported and correct use of LAM was low among adolescents who could benefit from this method in Uganda, and declining over time. Support for adolescents to harness the benefits of correct LAM use should be increased. Additional research is needed to better understand the dynamics of LAM use in adolescents, including the transition to use of other modern contraceptive methods.

Predictors of contraceptive discontinuation among postpartum women in Arusha region, Tanzania

Background Postpartum contraceptive discontinuation refers to cessation of use following initiation after delivery within 1 year postpartum. Discontinuation of use has been associated with an increased unmet need for family planning that leads to high numbers of unwanted pregnancies, unsafe abortion or mistimed births. There is scant information about contraceptive discontinuation and its predictors among postpartum women in Tanzania. This study aimed to determine predictors of contraception discontinuation at 3, 6, 12 months postpartum among women of reproductive age in Arusha city and Meru district, Tanzania. Methods This was an analytical cross-sectional study which was conducted in two district of Arusha region (Arusha city and Meru district respectively). A multistage sampling technique was used to select 13 streets of the 3 wards in Arusha City and 2 wards in Meru District. A total of 474 women of reproductive age (WRAs) aged 16–44 years residing in the study areas were included in this analysis. Data analysis was performed using STATA version 15. Odds ratios (ORs) with 95% confidence interval (CI) for the factors associated with contraceptives discontinuation (at 3, 6 and 12 moths) were estimated in a multivariable logistic regression model. Results Overall, discontinuation rate for all methods at 3, 6, and 12 months postpartum was 11, 19 and 29% respectively. It was higher at 12 months for Lactational amenorrhea, male condoms and injectables (76, 50.5 and 36%, respectively). Women aged 40–44 years had lower odds of contraceptive discontinuation at 3 months as compare to those aged 16 to 19 years. Implants and pills users had also lower odds of contraceptive discontinuation compared to injectable users at 3, 6 and 12 months respectively. Conclusion Lactational amenorrhea, male condoms and injectables users had the highest rates of discontinuation. Women’s age and type of method discontinued were independently associated with postpartum contraceptive discontinuation. Addressing barriers to continue contraceptive use amongst younger women and knowledge on method attributes, including possible side-effects and how to manage complications is warranted.

Predictors of Contraceptive Discontinuation among Postpartum Women in Arusha Region, Tanzania

BackgroundPostpartum contraceptive discontinuation refers to cessation of use following initiation after delivery within one year postpartum. Discontinuation of use has been associated with an increased unmet need for family planning that leads to high numbers of unwanted pregnancies, unsafe abortion or mistimed births. There is scant information about contraceptive discontinuation and its predictors among postpartum women in Tanzania. This study aimed to determine predictors of contraception discontinuation at 3, 6, 12 months postpartum among women of reproductive age in Arusha city and Meru district, Tanzania.MethodsThis was an analytical cross-sectional study which was conducted in two district of Arusha region (Arusha city and Meru district respectively). A multistage sampling technique was used to select 13 streets of the 3 wards in Arusha City and 2 wards in Meru District. A total of 474 women of reproductive age (WRAs) aged 16-44 years residing in the study areas were included in this analysis. Data analysis was performed using STATA version 15. Odds ratios (ORs) with 95% confidence interval (CI) for the factors associated with contraceptives discontinuation (at 3, 6 and 12 moths) were estimated in a multivariable logistic regression model.ResultsOverall, discontinuation rate for all methods at 3, 6, and 12 months postpartum was 11%, 19% and 29% respectively. It was higher at 12 months for Lactational amenorrhea, male condoms and injectables (76%, 50.5% and 36%, respectively). Women aged 40-44 years had lower odds of contraceptive discontinuation at 3 months as compare to those aged 16 to 19 years. Implants and pills users had also lower odds of contraceptive discontinuation compared to injectable users at 3, 6 and 12 months respectively.ConclusionLactational amenorrhea, male condoms and injectables users had the highest rates of discontinuation. Women’s age and type of method discontinued were independently associated with postpartum contraceptive discontinuation. Addressing barriers to continue contraceptive use amongst younger women and knowledge on method attributes, including possible side-effects and how to manage complications is warranted.

Awareness of the Multi-para Mothers on Family Planning Methods

Awareness of the Multi-para Mothers onFamily Planning MethodsJessica Athena S. VillaflorMauro Allan P. AmparadoAbstractObjectives: The study determined the awareness of the multi-para mothers on natural and artificial methods of family planning at Village Basak San Nicolas, Cebu City, Cebu, Philippines. The findings of the study served as basis for a proposed enhanced family planning education manual.Specifically, the study answered the following queries:1.What is the profile of the multi-para mothers as to:1.1.age; 1.2.educational attainment; 1.3.number of children; and1.4.monthly income?2.What is the level of awareness of the multi-para mothers on natural family planning methods in the aspects of:2.1.Lactational Amenorrhea method; 2.2.cervical mucus; 2.3.coitus interruptus;2.4.abstinence; and2.5.rhythm method?3.What is the level of awareness of the multi-para mothers on artificial family planning methods in the aspects of:3.1.intrauterine device;3.2.condom;3.3.bilateral tubal ligation;3.4.pills; and 3.5.Depo-medroxyprogesterone Acetate?4.Is there a significant relationship between the level of awareness on natural family planning methods and their:4.1.age;4.2.educational attainment;4.3.number of children; and4.4.monthly income?5.Is there a significant relationship between the level of awareness on artificial family planning methods and their:5.1.age;5.2.educational attainment;5.3.number of children; and5.4.monthly income?6.What enhanced family planning education manual can be proposed based on the findings of the study?7.What client service seminar can be proposed based on the findings of the study?Methods:The descriptive-correlational design was utilized as research design. The study was conducted in Village Basak San Nicolas, Cebu City, Cebu, Philippines. The respondents of the study were 371 multi-para mothers with two or more children. The study used a researcher-made instrument. Treatment of data used were simple percentage, weighted mean, and chi-square Test of Independence.Findings and Conclusion:Majority of the multi-para mothers belong to the 30-49 years old, high school graduates, with 2-4 children, and monthly income below 10,000 Philippine pesos. They were less aware on Lactational Amenorrhea method, Cervical Mucus, Coitus Interruptus, abstinence, and Rhythm method. They were moderately aware on IUD, condom, bilateral tubal ligation, pills, and Depo-medroxyprogesterone acetate. In general, they were less aware on natural family planning methods and moderately aware on artificial family planning methods.There were significant relationships between the level of awareness on the natural family planning methods and: age, educational attainment, number of children, and monthly income. In addition, there were significant relationships between the level of awareness on artificial planning methods and: educational attainment, number of children, and monthly income. Recommended citation:Villaflor, J. A. S. & Amparado, M. A. P. (2009, March). Awareness of the Multi-para Mothers on Family Planning Methods. 2009 Southwestern University Research Congress, 1(1), 26-28.