Skip to main content Accessibility help
×
Home
Hostname: page-component-6c8bd87754-5dxdz Total loading time: 0.347 Render date: 2022-01-18T21:40:47.473Z Has data issue: true Feature Flags: { "shouldUseShareProductTool": true, "shouldUseHypothesis": true, "isUnsiloEnabled": true, "metricsAbstractViews": false, "figures": true, "newCiteModal": false, "newCitedByModal": true, "newEcommerce": true, "newUsageEvents": true }

The recovery of fertility during breast-feeding in Assiut, Egypt

Published online by Cambridge University Press:  31 July 2008

Mamdouh M. Shaaban
Affiliation:
Department of Obstetrics and Gynaecology, Assiut University, Egypt
Kathy I. Kennedy
Affiliation:
Family Health International, Research Triangle Park, NC, USA
Gamal H. Sayed
Affiliation:
Department of Obstetrics and Gynaecology, Assiut University, Egypt
Sharaf A. Ghaneimah
Affiliation:
Department of Biochemistry, Assiut University, Egypt
Aly M. Abdel-Aleem
Affiliation:
Department of Obstetrics and Gynaecology, Assiut University, Egypt

Summary

A longitudinal study of twenty-six breast-feeding and twelve non-breast-feeding postpartum women was conducted in Assiut, Egypt in order to determine the time that ovulation resumed after childbirth, and the effect of breast-feeding frequency on the period of lactational anovulation. Breastfeeding women experienced the onset of follicular development, vaginal bleeding, ovulation and pregnancy significantly later than women who did not breast-feed. Ovulatory and non-ovulatory breast-feeders reported similar frequencies of breast-feeding episodes. The introduction of dietary supplements commonly preceded ovulation. An algorithm using three simple variables observable to the breast-feeding mother was found to predict up to 100% of the first ovulations. All breast-feeding women who did not give supplements and did not have a vaginal bleeding episode by 6 months postpartum were anovular by strict criteria for ovulation. Ovulation did not precede bleeding or supplementation in the women who experienced these events before 6 months, yielding a highly effective formula for preventing unplanned pregnancy by the informed use of breast-feeding.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1990

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Elias, M. F., Teas, J., Johnston, J. & Bora, C. (1986) Nursing practices and lactation amenorrhoea. J. biosoc. Sci. 18, 1.CrossRefGoogle ScholarPubMed
Farid, S. (1986) Fertility and family planning in the Arab region. IPPF Med. Bull. 20, 1.Google ScholarPubMed
Howie, P. W., McNeilly, A. S., Houston, M. J., Cook, A. & Boyle, H. (1981) Effect of supplementary food on suckling patterns and ovarian activity during lactation. Br. med. J. 283, 757.CrossRefGoogle ScholarPubMed
Huffman, S. L., Chowdhury, A., Allen, H. & Nahar, L. (1987) Suckling patterns and postpartum amenorrhoea in Bangladesh. J. biosoc. Sci. 19, 171.CrossRefGoogle ScholarPubMed
Israngkura, B., Kennedy, K. I., Leelapatana, B. & Cohen, H. S. (1989) Breastfeeding and return to ovulation in Bangkok. Int. J. Gynec. Obstet. 30, in press.Google ScholarPubMed
Lee, E. T. (1980) Statistical Methods for Survival Data Analysis, p. 76. Lifetime Learning Publications, Belmont, California.Google Scholar
McNeilly, A. S., Glasier, A. & Howie, P. W. (1985) Endocrine control of lactational infertility. I. In: Maternal Nutrition and Lactational Infertility, p. 177. Edited by Dobbing, J.. Nestlé Nutrition, Verey/Raven Press, New York.Google Scholar
Rivera, R., Kennedy, K. I., Ortiz, E., Barrera, M. & Bhiwandiwala, P. P. (1988) Breast-feeding and the return to ovulation in Durango, Mexico. Fert. Steril. 49, 780.CrossRefGoogle ScholarPubMed
Shaaban, M. M., Hammad, W. A., Ghaneimah, S. A. et al. (1980) Serum prolactin concentration during the ovulatory menstrual cycle. J. Egypt. Soc. Obstet. Gynaec. 2, 19.Google Scholar
Shaaban, M. M., Saved, G. H. & Ghaneimah, S. A. (1987) The recovery of ovarian function during breast-feeding. J. steroid Biochem. 47, 1043.CrossRefGoogle Scholar
Shirkie, R. (1982) A natural contraceptive. IDCR Reports, 11, 17.Google ScholarPubMed
15
Cited by

Send article to Kindle

To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

The recovery of fertility during breast-feeding in Assiut, Egypt
Available formats
×

Send article to Dropbox

To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

The recovery of fertility during breast-feeding in Assiut, Egypt
Available formats
×

Send article to Google Drive

To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

The recovery of fertility during breast-feeding in Assiut, Egypt
Available formats
×
×

Reply to: Submit a response

Please enter your response.

Your details

Please enter a valid email address.

Conflicting interests

Do you have any conflicting interests? *