CHC postpartum 4 weeks with VTE risk — DFSRH MCQ

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HardUKMECCHC postpartum 4 weeks with VTE riskDFSRH

A 37-year-old woman is 4 weeks postpartum, not breastfeeding, BMI 38 kg/m2 and had emergency caesarean section. She requests CHC. What is the UKMEC category for CHC?

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Correct answer: C — UKMEC 3

At 21-42 days postpartum, additional VTE risk factors make CHC UKMEC 3. Early postpartum and obesity/caesarean factors combine clinically. The most appropriate method may be non-oestrogen even if not category 4.

Reference: UK Medical Eligibility Criteria for Contraceptive Use (UKMEC) 2025; FSRH Clinical Guidelines