{"id":429,"date":"2020-12-17T15:20:42","date_gmt":"2020-12-17T21:20:42","guid":{"rendered":"http:\/\/natural-womanhood.local\/?p=429"},"modified":"2025-02-04T10:34:30","modified_gmt":"2025-02-04T16:34:30","slug":"allaitement-sensibilisation-a-la-fertilite-ne-pas-tomber-enceinte","status":"publish","type":"post","link":"https:\/\/naturalwomanhood.org\/fr\/breastfeeding-fertility-awareness-not-getting-pregnant\/","title":{"rendered":"Peut-on vraiment utiliser l'allaitement comme moyen de contraception naturel ?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">If you are pregnant, there is a great chance that your OB\/GYN or a nurse will ask you what form of contraceptives you\u2019re going to use after you deliver.\u00a0 If you\u2019re planning on nursing your baby, you can tell them with confidence that breastfeeding is your method of \u201cbirth control,\u201d along with a fertility awareness method (FAM).\u00a0\u00a0<\/span><\/p>\n<h2 id=\"common-questions-about-using-breastfeeding-for-birth-control\"><span style=\"font-weight: 400;\">Common questions about using breastfeeding for birth control\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Fertility awareness while breastfeeding may sound counterintuitive to some women, because when you\u2019re breastfeeding, your cycles usually change and the observable signs of fertility are affected. That\u2019s why women considering using breastfeeding as birth control have questions like:\u00a0<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Is breastfeeding alone an effective method of natural birth control?\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Can I still be fertile and get pregnant while I\u2019m breastfeeding?\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Can I chart my cycles accurately enough to know if I\u2019m fertile or not while I\u2019m breastfeeding?\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Does my current method of fertility awareness or natural family planning (NFP) still work while I\u2019m breastfeeding or will I need to change what I\u2019m doing?\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Where can I go for reliable information on breastfeeding, fertility, and family planning?\u00a0<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">This article is not a scientific white paper on the extensive topic of using breastfeeding for family planning, but an effort to answer the above questions in a succinct way and to guide you to additional useful, evidence-based information on the subject.\u00a0<\/span><\/p>\n<h2 id=\"1-is-breastfeeding-an-effective-natural-birth-control\"><span style=\"font-weight: 400;\">1. Is breastfeeding an effective natural birth control?\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Yes, breastfeeding does affect your fertility, and therefore <em>under some specific conditions<\/em>, breastfeeding alone can be an effective form of birth control\/pregnancy spacing.\u00a0 Lactational Amenorrhea is a complicated-sounding term used to describe the connection between breastfeeding and the continued absence of periods (and fertility).\u00a0 <\/span><a href=\"https:\/\/naturalwomanhood.org\/fabm-postpartum-nfp-does-breastfeeding-prevent-pregnancy\/\"><span style=\"font-weight: 400;\">Ecological Breastfeeding<\/span><\/a><span style=\"font-weight: 400;\"> (EBF) and Lactational Amenorrhea Method (LAM) are two evidence-based methods of family planning that involve specific conditions for breastfeeding. Both methods have been proven to be highly effective when their respective required conditions are met, and both are widely used to postpone a pregnancy.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Here are a few encouraging statistics about LAM and EBF:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/9262927\/\"><span style=\"font-weight: 400;\">1997 study of LAM<\/span><\/a><span style=\"font-weight: 400;\"> involving 519 sexually active women in 11 sites throughout the world showed a 98% success rate at preventing pregnancy [1].\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"http:\/\/www.nfpandmore.org\/The%20Seven%20Standards%20Summary.pdf\"><span style=\"font-weight: 400;\">Ecological Breastfeeding<\/span><\/a><span style=\"font-weight: 400;\"> reports a 0% chance of pregnancy for first 3 months, 1% chance for the next 3 months, and 6% chance after six months (assuming no abstinence, no fertility charting at all, and that the mother\u2019s cycles haven\u2019t yet returned) [2].\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Keep in mind, too, that these family planning methods are accomplished without contraceptives. That means they do not require putting any chemicals or devices into (or on) your body to be effective! However, if you\u2019re not following the LAM or EBF criteria, or if you simply prefer additional insurance against pregnancy, you should be on the lookout for the signs of your body\u2019s cycle returning, which <\/span><a href=\"https:\/\/naturalwomanhood.org\/4-reasons-its-worth-it-to-get-a-fertility-awareness-instructor\/\"><span style=\"font-weight: 400;\">formal training in a FAM or method of NFP can equip you to do<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h2 id=\"2-can-i-still-be-fertile-and-get-pregnant-while-im-breastfeeding\"><span style=\"font-weight: 400;\">2. Can I still be fertile and get pregnant while I\u2019m breastfeeding?\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Yes! You absolutely can still get pregnant while breastfeeding if you are not following the conditions set for by LAM, EBF, or your chosen FAM or method of NFP. For instance, if you\u2019re not feeding at the breast exclusively (or nearly exclusively) and use supplemental bottles of formula or pumped milk, and\/or start early feedings of solids to your baby, there is a much higher chance that your fertility will come back within six months. And this is important: Every woman, regardless of how she feeds her baby, will be fertile <\/span><i><span style=\"font-weight: 400;\">before<\/span><\/i><span style=\"font-weight: 400;\"> her period returns, because a period is always preceded by ovulation. So it is highly beneficial to begin charting again as soon as you can after your baby is born, so that you can catch that first postpartum ovulation (and know when to expect your first postpartum period). You can begin charting your signs of fertility with your chosen method of NFP or FAM from the beginning after delivery of your baby, once bleeding stops and lochia lessens.<\/span><\/p>\n<h2 id=\"3-can-i-chart-accurately-enough-to-know-if-im-fertile-or-not-while-im-breastfeeding\"><span style=\"font-weight: 400;\">3. Can I chart accurately enough to know if I\u2019m fertile or not while I\u2019m breastfeeding?\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Definitely. We surveyed a few natural family planning (NFP) teachers and this is what they had to say about fertility and charting while breastfeeding:\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cI\u2019ve taught many breastfeeding women and they have quickly and confidently learned their days of fertility and infertility,\u201d said Tina Luther, teacher of the Creighton FertilityCare method. \u201cWhile breastfeeding, there is (typically) not a menstrual period, so it\u2019s a continuous chart. Women chart what they see\u2014their most fertile sign at the end of the day. So we teach them how to discern their days of fertility.\u201d\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cThe best way to answer the breastfeeding ladies is to tell them that fertility signs can always be charted, but you need to know what you are looking for,\u201d says Cathy Nix, teacher of the Sympto-Thermal Method with Couple to Couple League. \u201cThe return to fertility is signaled by the presence of [cervical] mucus and the [basal body] temperature sign.\u00a0 At the first sign of mucus, it is recommended that a woman start to chart again and take her temp.\u201d\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The Billings method, another widely used fertility awareness method, offers a similar recommendation on their website: \u201cWhen a woman is breastfeeding she remains infertile for a variable time. During this time she experiences, at the vulva, either a continuing sensation of dryness, or an unchanging discharge. The appearance of blood, or any change in the mucus or sensation alerts her to the possibility of her returning fertility.\u201d<\/span><\/p>\n<h2 id=\"4-does-my-current-method-of-fertility-awareness-or-natural-family-planning-still-work-while-im-breastfeeding-or-will-i-need-to-change-what-im-doing\"><span style=\"font-weight: 400;\">4. Does my current method of fertility awareness or natural family planning still work while I\u2019m breastfeeding or will I need to change what I\u2019m doing?\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">As mentioned above, FAM and NFP methods have individual processes to help you observe and interpret the signs of your fertility with a high degree of accuracy, and many have specific protocols to follow while postpartum and\/or breastfeeding. If you haven\u2019t learned a method yet, now is a great time to start\u2014and to benefit from the pregnancy prevention efficacy rates, you must learn from a certified instructor in your chosen method. Some methods even have extensive classes specifically geared towards the postpartum period, which will teach you more about LAM and EBF. And if you choose not to follow LAM or EBF criteria, most methods will teach you specific protocols to follow in order to manage and chart the return of your fertility. Most of the major methods of NFP and FAM will help you with the specifics of charting, especially how to identify true cervical mucus after childbirth (the notable exception of which is the ClearBlue Fertility Monitor-based Marquette Method, which encourages mucus monitoring, but does not require it).\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Another good reason to consider methods of NFP or FAM for postpartum family planning, compared with conventional forms of birth control, is that <\/span><a href=\"https:\/\/www.llli.org\/breastfeeding-info\/birth-control\/\"><span style=\"font-weight: 400;\">hormonal contraceptives can have a negative impact on breast milk production<\/span><\/a><span style=\"font-weight: 400;\">, supply, and duration. This problem seems more common with estrogen-containing combination pills (which is why the \u201cmini-Pill,\u201d i.e., the pill that only contains progestin, is recommended for new mothers who desire to breastfeed), but some women have reported similar issues with progestin-only pills as well. It is also likely that some small amount of the synthetic hormones contained within birth control pills <\/span><a href=\"https:\/\/www.askdrsears.com\/topics\/feeding-eating\/breastfeeding\/while-taking-medication\/taking-oral-contraceptives-while-breastfeeding\"><span style=\"font-weight: 400;\">passes through breast milk to the baby<\/span><\/a><span style=\"font-weight: 400;\"> (although it is unknown what\u2014if any\u2014effect this may have on the baby).\u00a0<\/span><\/p>\n<h2 id=\"5-where-should-i-go-for-reliable-information-on-breastfeeding-fertility-and-family-planning\"><span style=\"font-weight: 400;\">5. Where should I go for reliable information on breastfeeding, fertility, and family planning?\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">If you have a FAM or NFP teacher already, you should talk to them while you are pregnant, so that you will be prepared to chart postpartum. If you don\u2019t already have a method or an instructor, or want to learn more about breastfeeding and fertility, here are a few good sources of information:\u00a0<\/span><\/p>\n<h3 id=\"books\"><b>Books:\u00a0<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.amazon.com\/Womanly-Art-Breastfeeding-Completely-Revised\/dp\/0345518446\/ref=sr_1_1?crid=1KKV3ESLEPKL&amp;dchild=1&amp;keywords=the+womanly+art+of+breastfeeding&amp;qid=1608147792&amp;s=books&amp;sprefix=the+womanly+art%2Cstripbooks%2C221&amp;sr=1-1\"><span style=\"font-weight: 400;\">The Womanly Art of Breastfeeding<\/span><\/a><span style=\"font-weight: 400;\"> (note: general breastfeeding guidance)\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.amazon.com\/exec\/obidos\/tg\/detail\/-\/1583331824\/qid=1073952085\"><span style=\"font-weight: 400;\">The Garden of Fertility: A Guide to Charting Your Fertility Signals to Prevent or Achieve Pregnancy&#8211;Naturally&#8211;and to Gauge Your Reproductive Health<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.amazon.com\/Seven-Standards-Ecological-Breastfeeding-Frequency\/dp\/1435746228%22%20\/l%20%22:~:text=Chapters%20include%20the%20Seven%20Standards,avoid%20any%20practice%20that%20restricts\"><span style=\"font-weight: 400;\">The Seven Standards of Ecological Breastfeeding: The Frequency Factor<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.amazon.com\/Breastfeeding-Natural-Spacing-Sheila-Kippley\/dp\/1435746546\/ref=pd_bxgy_img_2\/143-9119839-5498834?_encoding=UTF8&amp;pd_rd_i=1435746546&amp;pd_rd_r=53b144c0-af02-4548-b501-35406a6f2554&amp;pd_rd_w=SEHiD&amp;pd_rd_wg=PTEn2&amp;pf_rd_p=f325d01c-4658-4593-be83-3e12ca663f0e&amp;pf_rd_r=DTJM6VZ2BTA7C2SV5GZD&amp;psc=1&amp;refRID=DTJM6VZ2BTA7C2SV5GZD\"><span style=\"font-weight: 400;\">Breastfeeding and Natural Child Spacing<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/li>\n<\/ul>\n<h3 id=\"studies\"><b>Studies:\u00a0<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0010782497000401\"><span style=\"font-weight: 400;\">Multicenter study of the Lactational Amenorrhea Method (LAM): I. Efficacy, duration, and implications for clinical application<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.tandfonline.com\/doi\/abs\/10.3109\/13625189709167463\"><span style=\"font-weight: 400;\">Postpartum contraception: The lactational amenorrhea method<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/link.springer.com\/article\/10.1007\/BF01978103\"><span style=\"font-weight: 400;\">The Lactational Amenorrhea Method (LAM): A postpartum introductory family planning method with policy and program implications<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0010782400001700\"><span style=\"font-weight: 400;\">The efficacy of the lactational amenorrhea method (LAM) among working women<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/li>\n<\/ul>\n<h3 id=\"personal-testimonies-about-breastfeeding-and-fertility\"><b>Personal testimonies about breastfeeding and fertility:\u00a0<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.carrotsformichaelmas.com\/2012\/07\/17\/my-experience-practicing-ecological-breastfeeding\/\"><span style=\"font-weight: 400;\">\u201cMy Experience Practicing Ecological Breastfeeding\u201d<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u201c<\/span><a href=\"http:\/\/holistichormonalhealth.com\/fertility-awareness-in-the-life-of-a-breastfeeding-mom\/\"><span style=\"font-weight: 400;\">Fertility Awareness in the Life of a Breastfeeding Mom<\/span><\/a><span style=\"font-weight: 400;\">\u201d\u00a0<\/span><\/li>\n<\/ul>\n<h3 id=\"to-learn-more-about-the-different-methods-of-fam-or-nfp-click-here\"><b>To learn more about the different methods of FAM or NFP, <\/b><a href=\"https:\/\/naturalwomanhood.org\/topic\/learn-a-method\/\"><b>click here<\/b><\/a><b>.\u00a0\u00a0<\/b><\/h3>\n<h3 id=\"to-find-an-instructor-of-fam-or-nfp-click-here\"><b>To find an instructor of FAM or NFP, <\/b><a href=\"https:\/\/naturalwomanhood.org\/find-a-fam-instructor\/\"><b>click here<\/b><\/a><b>.\u00a0\u00a0<\/b><\/h3>\n<h2 id=\"empowering-yourself-against-the-postpartum-contraception-push\"><span style=\"font-weight: 400;\">Empowering yourself against the postpartum contraception push\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">We&#8217;ve heard stories from mothers who describe how hospital staff would push the Pill or the IUD on them a little before or after they had delivered. Women have even shared with us how they\u2019ve been <\/span><a href=\"https:\/\/naturalwomanhood.org\/problem-offering-tubal-ligation-tubes-tied-delivery-room-labor-birth-2020\/\"><span style=\"font-weight: 400;\">pressured to have their tubes tied after delivery<\/span><\/a><span style=\"font-weight: 400;\">! This push toward contraception or sterilization so close to the emotionally fraught time of delivery can be quite insensitive, distasteful, and even unethical. Fortunately, women can empower themselves with the knowledge of fertility awareness before they deliver, so that they can better advocate for their own individual needs and family planning desires postpartum. And if your doctor or nurse starts arguing with you and tries to discourage you from using a FAM postpartum, you can refer them to this article! Even if they don\u2019t trust you, know that you can trust yourself, when you have all the information needed to effectively practice fertility awareness postpartum. Don\u2019t let promoters of chemical methods of birth control intimidate you. You and your baby deserve better.\u00a0<\/span><\/p>\n<p><i><span style=\"font-weight: 400;\">References:<\/span><\/i><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">[1] Labbok M, Hight-Laukaran V, Peterson A, Fletcher V, von Hertzen H, Van Look P. Multicenter study of the Lactational Amenorrhea Method (LAM): I. Efficacy, duration, and implications for clinical application. <i>Contraception<\/i>. 1997;55(6):327-336. doi:10.1016\/s0010-7824(97)00040-1<\/span><\/p>\n<p><span style=\"font-weight: 400;\">[2] Bonyata K. Breastfeeding and Fertility \u2022 KellyMom.com. KellyMom.com. https:\/\/kellymom.com\/ages\/older-infant\/fertility\/#LAM. Published 2020. Accessed December 17, 2020.<\/span><\/p>\n<p><i><span style=\"font-weight: 400;\">When this article refers to fertility awareness methods (FAM), or natural family planning (NFP), we are referring to Fertility Awareness-Based Methods, evidence-based methods of cycle charting which can be used as effective forms of natural birth control when learned from a certified instructor.\u00a0<\/span><\/i><\/p>\n<p><b>This article was originally published on December 21, 2014 as written by Natural Womanhood CEO and Co-founder Gerard Migeon. It has since been updated by Natural Womanhood to offer more resources. Last updated December 17, 2020. \u00a0 <\/b><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<h4 id=\"additional-reading\"><b>Additional reading:<\/b><span style=\"font-weight: 400;\">\u00a0<\/span><\/h4>\n<p><a href=\"https:\/\/naturalwomanhood.org\/fabm-postpartum-nfp-does-breastfeeding-prevent-pregnancy\/\">Does Breastfeeding Prevent You From Getting Pregnant?<\/a><\/p>\n<p><a href=\"https:\/\/naturalwomanhood.org\/problem-offering-tubal-ligation-tubes-tied-delivery-room-labor-birth-2020\/\">The Problem with Offering Tubal Ligation in the Delivery Room<\/a><\/p>\n<p><a href=\"https:\/\/naturalwomanhood.org\/how-breastfeeding-is-similar-to-charting\/\">How breastfeeding is eerily similar to fertility charting<\/a><\/p>\n<p><a href=\"https:\/\/naturalwomanhood.org\/whats-the-best-postpartum-fertility-awareness-based-method\/\">What\u2019s the Best Postpartum Fertility Awareness-Based Method?<\/a><\/p>\n<p><a href=\"https:\/\/naturalwomanhood.org\/good-and-bad-news-concerning-the-lam-method-during-the-postpartum-period\/\">Good and Bad News Concerning the LAM Method During the Postpartum Period<\/a><\/p>\n<p><a href=\"https:\/\/naturalwomanhood.org\/deciphering-the-postpartum-period-with-fabms-fertility-awareness-022019\/\">Deciphering the Postpartum Period with FABMs<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"Si vous \u00eates enceinte, il y a de fortes chances que votre gyn\u00e9cologue ou une infirmi\u00e8re vous demande...","protected":false},"author":2,"featured_media":11281,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","csco_singular_sidebar":"","csco_page_header_type":"","csco_page_load_nextpost":"","csco_post_video_location":[],"csco_post_video_url":"","csco_post_video_bg_start_time":0,"csco_post_video_bg_end_time":0,"footnotes":""},"categories":[5336,5185],"tags":[5411,4421,4110],"class_list":{"0":"post-429","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-breastfeeding","8":"category-pregnancy-childbirth","9":"tag-breastfeeding","10":"tag-natural-birth-control","11":"tag-natural-family-planning","12":"cs-entry","13":"cs-video-wrap"},"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.2) - 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