Lactation :
The lactational
amenorrhea method involves the use of a woman's natural postpartum
infertility which occurs after delivery and may be extended
by breastfeeding. This usually requires the presence of
no periods, exclusively breastfeeding the infant, and a child younger than
six months. The World Health Organization states that if
breastfeeding is the infant's only source of nutrition, the failure rate is 2%
in the six months following delivery. Six uncontrolled studies of lactational
amenorrhea method users found failure rates at 6 months postpartum between 0%
and 7.5%. Failure rates increase to 4–7% at one year and 13% at two years.
Feeding formula, pumping instead of nursing, the use of a pacifier, and
feeding solids all increase its failure rate. In those who are exclusively
breastfeeding, about 10% begin having periods before three months and 20%
before six months. In those who are not breastfeeding, fertility may
return four weeks after delivery.
The total
medical cost for a pregnancy, delivery and care of a newborn in the United States
is on average $21,000 for a vaginal delivery and $31,000 for a Caesarean
section as of 2012. In most other countries the cost is less than
half. For a child born in 2011, an average US family will spend $235,000 over
17 years to raise them.
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