had a period after 56 days post-partum (when determining fertility, bleeding prior to 56 days post-partum can be ignored). And to take full advantage of LAM, it is best that the baby's face not be covered when feeding. Routinely covering the baby reduces the baby's access to oxygen and visual contact with the mother, which trains the baby to speed up the suckling process and thus reduces the time period, rendering LAM less effective. If not combined with barrier contraceptives, spermicides, hormonal contraceptives, or intrauterine devices, LAM may be considered natural family planning by the Roman Catholic Church. Cross cultural use of lactational amenorrhea The use of lactational amenorrhea method (LAM) can be seen across the world. It is used in many different societies to varying extents. LAM can be used by itself or in combination with other methods. There are multiple examples of LAM use covered in studies conducted about postpartum birth control methods in various countries and areas of the world. Additionally, the connection between LAM use and infant nutrition and health has been examined in different contexts. Beyond the physiological factors that influence lactational amenorrhea, cross cultural differences can help account for many of the variations in lactational amenorrhea. In Turkey, exploration of LAM has exposed a distinct lack of knowledge surrounding the connection between lactational amenorrhea and birth control. However, these findings are contrasted with the fact that mothers demonstrated a desire to learn about LAM as a method of contraception. This lack of knowledge is not necessarily evident in other parts of the globe as exemplified in South-Eastern Hungary with the use of post-partum contraceptives. There is an imbalance of birth control method usage postpartum. LAM makes up nearly double the usage of other contraceptive usages. One of the primary factors influencing choice of contraceptive in this area is level of education. A higher level of education correlates to a bigger chance of utilizing effective contraception methods rather than LAM. Nutrition and health of both the mother and infant are connected to the use of LAM in the international community. By promoting LAM, exclusive breastfeeding for the infant becomes more prominent in order to make LAM as effective as possible. In Egypt, this has been shown to combat poor nutritional practices of mothers. To make sure infants are getting fully enriching breast milk, mothers must take their own nutritional practices seriously, leading to an overall