A breastfeeding 27-year-old is 6 weeks after an uncomplicated birth and requests a 52 mg LNG-IUD. She has no postpartum sepsis or abnormal bleeding,

Question

A breastfeeding 27-year-old is 6 weeks after an uncomplicated birth and requests a 52 mg LNG-IUD. She has no postpartum sepsis or abnormal bleeding, pregnancy can be excluded, and uterine involution is clinically satisfactory. Which classification and action are correct?

Accepted Answer

Classify as UKMEC 1 and offer insertion now after routine counselling and assessment

Answer

Classify as UKMEC 4 and avoid LNG-IUD during the first postpartum year

Answer

Classify as UKMEC 3 and use a POP until breastfeeding has stopped

Answer

Classify as UKMEC 2 and defer insertion until 12 weeks because she is breastfeeding

Answer

No UKMEC category applies until spontaneous menstruation has returned

Postpartum IUD 6 weeks — DFSRH MCQ

A breastfeeding 27-year-old is 6 weeks after an uncomplicated birth and requests a 52 mg LNG-IUD. She has no postpartum sepsis or abnormal bleeding, pregnancy can be excluded, and uterine involution is clinically satisfactory. Which classification and action are correct?