Weis P
Health, Population and Nutrition Division, Deutsche Gesellschaft für Technische Zusammenarbeit, Eschborn, Germany.
Stud Fam Plann. 1993 Mar-Apr;24(2):100-8.
A consensus statement issued by the World Health Organization and the United Nations Children's Fund at the Bellagio conference in 1988 recommended that women begin practicing contraception six months after childbirth or when their menstrual cycle resumes, whichever occurs first. The question to be resolved is whether this approach, known as the Bellagio mixed-t strategy, should be adjusted to local patterns of lactational amenorrhea. Data from interviews with 4,580 Bangladeshi women with a currently open birth interval were analyzed with respect to the women's current status of breastfeeding, amenorrhea, contraception, and pregnancy. Pregnancies among breastfeeding, amenorrheic women occurred only beyond 12 months postpartum, while some menstruating women were observed to be pregnant from three months postpartum onward. The results of this study give evidence that the Bellagio recommendation can be best applied with country-specific adjustments. Bangladesh, for example, could safely adopt a strategy with a 12-months' cutoff point.
世界卫生组织和联合国儿童基金会于1988年在贝拉吉奥会议上发布的一份共识声明建议，女性应在分娩后六个月或月经周期恢复时（以先发生者为准）开始采取避孕措施。需要解决的问题是，这种被称为贝拉吉奥混合策略的方法是否应根据当地的哺乳期闭经模式进行调整。对4580名目前生育间隔期开放的孟加拉国女性进行了访谈，并就她们目前的母乳喂养、闭经、避孕和怀孕状况进行了数据分析。哺乳期闭经的女性仅在产后12个月后怀孕，而观察到一些月经恢复的女性从产后三个月起就怀孕了。这项研究的结果表明，贝拉吉奥的建议在根据各国具体情况进行调整后能得到最佳应用。例如，孟加拉国可以安全地采用以12个月为截止点的策略。
