I wrote this letter [Free link] with Emma Pickett after reading this research about improving access to postpartum contraception.
 
We suggest that breastfeeding, and so child health, could be supported more effectively if those providing postpartum contraception:

1. Routinely offered the Lactational Amenorrhea Method (LAM) as a contraceptive option. LAM can be over 98% effective so long as a woman meets all three lam rules: fully breastfeeding, her child being less than six months old, and her periods not returning. The "fully  breastfeeding" rule means it supports good practice in terms of breastfeeding.  LAM is not always communicated effectively, but that seems like grounds for research into effective communication, not a reason to dismiss it.

2. Adopted a more cautious approach to prescribing hormonal postpartum contraception. There is substantial anecdotal evidence that this can cause breastfeeding problems for some women. Problems are less likely if women who want to use hormonal contraception start with the progestogen-only pill before moving on to the injection or implant. 
 
Please see this web page for further information.

As mentioned in the above post, I wrote this letter with Emma Pickett after reading this research about how to improve postnatal contraception. The full text is here, in case the other link doesn't work:

Reading this book made me realise how lucky I was with my breastfeeding experience. Thanks to absorbing information from friends and ante-natal classes, I expected breastfeeding to be a doddle and it was. Time-consuming but a doddle. There's worse things than having to sit around for hours at a time with a baby attached to your boob.

Unfortunately, not everyone has it so easy. We might be designed to breastfeed but we are also from the generation that was most likely to be fed formula ourselves. What was once routine can now seem mysterious and intimidating.

We hear the glib message “breast is best” but that doesn’t always help. "Best" is all very well but who achieves that? Women need support not just slogans. That's what this book is all about.

BPAS kindly nominated me a Champion of Choice for my fertility awareness work so I wrote this:

Fertility awareness (natural family planning) is not a contraceptive choice for the faint-hearted.

This isn’t because the method is difficult or ineffective. You need to know what you’re doing, and you need to be able to handle your fertile time, but it’s not rocket science.

The hardest part is probably telling your doctor (and your friends) that you’re relying on it to avoid pregnancy.

I’ve heard reports of eye-rolling and angry sighs from some doctors, or more dramatically “Well, don’t come back to me if you need an abortion”. [Not all doctors are like this, mine was lovely]