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Breastfeeding and UPA — DFSRH MCQ

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ModerateEmergency contraceptionBreastfeeding and UPADFSRH

A 31-year-old breastfeeding woman needs EC 72 hours after UPSI and declines a copper IUD. She asks whether ulipristal means stopping breastfeeding. What would you advise this patient?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Ulipristal can be used without interrupting breastfeeding

Current FSRH advice states breastfeeding interruption is not required after a single ulipristal EC dose. Earlier advice to avoid breastfeeding for a week is outdated. The method choice should still include Cu-IUD discussion.

Reference: FSRH Emergency Contraception Guideline 2017 amended 2023; FSRH UPA breastfeeding statement 2025; BNF