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Postpartum IUD 72 hours — DFSRH MCQ

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ModerateIntrauterine contraceptionPostpartum IUD 72 hoursDFSRH

A 31-year-old woman delivered vaginally 72 hours ago and requests a copper IUD before discharge. There were no complications. What is the UKMEC category for IUD insertion now?

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

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Correct answer: BUKMEC 3

Postpartum intrauterine insertion is generally suitable within 48 hours or from 4 weeks postpartum, but 48 hours to under 4 weeks is UKMEC 3. Breastfeeding does not change that timing issue. Arrange interval insertion and interim contraception.

Reference: FSRH Intrauterine Contraception Guideline 2023; UKMEC 2025; BNF