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Using FAM/LAM while Breastfeeding

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[Jan. 13th, 2010|07:00 pm]
Using FAM/LAM while Breastfeeding


I have a brand new baby (1.5 weeks old) who is already sleeping for at least one 6 hour stretch each night. She is puting on weight like a champ so the ped isn't concerned about that and has told me to let her sleep when she wants. I do try and rouse her at abut 4 hours in bt NOTHING works - taking the diaper off, turning the lights on, singing, cold washcloth . . . this child is a sleeper!

I'm assuming this means I can't rely on LAM at all. I'm assuming that fertility is going to return with a vengence. I just can't wrap my head around having to temp already. Do I really start temping now? Do I temp at her first wake-up - the post 6 hour one? It's usually around the same time each day so I guess that would work.

Ugh - breastfeeding is supposed to suppress this! I haven't gotten lucky with any of my children!

[User Picture]From: giraffes08
2010-01-14 01:48 am (UTC)
1.5 weeks is still early in the game. It's early enough to say that you are still infertile. For at least 6-8 weeks postpartum, you will not have fertility return. Any bleeding during this time is likely to be lochia. So you don't have to watch your fertility like a hawk for the first month or so.

Secondly, it's still too early to determine whether or not your daughter will be a sleeper. She is not really forming sleep habits yet and her sleep pattern may change anytime in the next few weeks or months. (Watch out for the 4-month sleep regression!)

Anyway, even if she still continues to STTN after 6 weeks, you can just observe cervical mucus, if you don't want to temp. Sometimes, temping can be hard if your daughter wakes up and you don't get 3 hours of continuous sleep, so observing CM might be better.
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[User Picture]From: my_everafter
2010-01-14 03:16 pm (UTC)
Well I do know someone who was found out she was pregnant at her 6 week post partum so there is still room to be careful even early...
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[User Picture]From: sassie_kat
2010-01-14 03:49 pm (UTC)
I know! My OB told me that one of her patients had twins and came to her 6 week checkup pregnant . . . with another set of twins! Poor momma - it was like having quads but w/o any of the initial support that some moms get.
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[User Picture]From: sassie_kat
2010-01-14 03:47 pm (UTC)
Since this is baby #3 I know all about sleep issues/regressions/etc. Neither of my boys slept for longer than a 3 hour stretch until they were over 6 months which is why 6 hours is shocking me.

I'm planning on obseving my CM as soon as it starts appearing. Problem for me (at least it was with son #2/pregnancy #3) is that my CM didn't return in any predictable pattern until I got pregnant. I wasn't getting 3 hours of sleep so temps weren't reliable and I misjudged my fertility. I don't want that happening again! Looks like we'll probably end up using some sort of back-up.
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[User Picture]From: sassie_kat
2010-01-14 03:50 pm (UTC)
Oh yeah - backup will be used but it sure isn't going to be an issue any time soon!
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[User Picture]From: girlichick
2010-01-14 03:21 am (UTC)
I think you are good for the first 6 weeks. Also if that 6 hour stretch lasts.. I am super jealous of you ;) haha! Do you do cervical checks at all? I relied on those much more when breastfeeding, because I rarely got 4 hours of sleep before it was time to temp. My fertility always returned early (3 months the first time, 4 months the second time) and I would just check my cervix to see if it was high/open or low/closed etc. It took some practice but it was WAY easy and was successful for us in preventing a pregnancy post partum.
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[User Picture]From: sassie_kat
2010-01-14 03:52 pm (UTC)
My cervix is soooo high that even my regular OB has trouble reaching it! Checks were hell during labor as the OB couldn't find my cervix quickly enough to do it in between contractions.

I'm just hoping I don't jinx myself by talking about her sleeping!
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[User Picture]From: jespere
2010-01-14 05:57 am (UTC)
I'd start it after you've had a real "period" (so, pp-bleeding has stopped, and resumed a few weeks later). For one, you're not supposed to have sex those first weeks anyway (and 1.5 weeks after birth I can hardly imagine wanting to have sex anyway, LOL). After that, just use a barrier method until you can get a grip on things. You have more important things on your mind now!
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[User Picture]From: sassie_kat
2010-01-14 03:54 pm (UTC)
There's no sex wanting over here! I'm going to try and calm down a bit. Remember that I can use a backup and just see what happens as far as bleeding/other signs of fertility go.
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