Many moms think that breastfeeding will stop them from getting pregnant. But that is not always true.

Maybe you've heard a story like this: A mom was breastfeeding her baby, she had not gotten her period back, and she thought she could not get pregnant. Then she found out she was expecting another baby.

If that sounds surprising, this article is for you.

What Is LAM? 🔬

There is a birth control method called the Lactational Amenorrhea Method (LAM). When used correctly, it can work very well. But it only works if all three of these things are true:

• Your baby is younger than 6 months old.
• You are only breastfeeding (no formula or regular bottle feedings).
• Your period has not come back yet.

If even one of these changes, LAM may no longer protect you from pregnancy.

By 5 months after birth, many moms no longer meet all three rules. Some babies get formula. Some moms get their period back. Some babies are almost 6 months old.

That means breastfeeding alone may not prevent pregnancy.

The Important Thing Most People Don't Know 🥚

You release an egg before you get your period.

This means you can get pregnant before you ever see your first postpartum period.

Many women think, "I haven't had a period, so I can't get pregnant."

But that's not always true.

Your body may start ovulating again before you notice any signs that your fertility has returned.

Why This Matters After Gestational Diabetes 🩸

If you had gestational diabetes during pregnancy, giving your body time to recover is important.

Research shows that getting pregnant again too soon can increase the chance of:

• Gestational diabetes in the next pregnancy
• Premature birth
• A baby with a low birth weight

Experts recommend waiting at least 18 months between giving birth and getting pregnant again.

This is not about avoiding pregnancy forever. It is about having the information you need to plan for the timing that is best for you and your family.

Birth Control Options That Work With Breastfeeding 💊

The good news is that many birth control options are safe to use while breastfeeding.

Mini Pill

• Safe while breastfeeding
• Does not usually affect milk supply
• Must be taken at the same time every day

Hormonal IUD

• Very effective
• Works for several years
• Usually does not affect milk supply

Copper IUD

• Contains no hormones
• Very effective
• Does not affect milk supply or blood sugar

Birth Control Shot

• Effective
• May cause irregular bleeding
• May have some side effects with long-term use

Condoms or Diaphragm

• No hormones
• Safe while breastfeeding
• Work best when used correctly every time

Combination Birth Control Pill

• Contains estrogen and progestin
• May lower milk supply, especially in the first months after birth

What About Blood Sugar? 🩸

Some birth control methods that contain hormones can affect how your body uses insulin.

If you had gestational diabetes, talk with your healthcare provider about which option may work best for you.

Non-hormonal methods, like the copper IUD and condoms, have the least effect on blood sugar.

A Good Conversation to Have This Week 💛

If you do not have a birth control plan yet, now is a good time to think about one.

The goal is not to avoid pregnancy forever. The goal is to make sure any future pregnancy happens when you feel ready.

Breastfeeding can be wonderful for you and your baby, but it is not always reliable birth control.

Your fertility may return before you expect it. Having a plan can help you make the choices that are right for you and your family. 🌱