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Postpartum sterilisation consent — DFSRH MCQ

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ModerateSterilisationPostpartum sterilisation consentDFSRH

A 30-year-old requests sterilisation during emergency caesarean section while in severe pain and distressed. There has been no prior counselling. What is the most appropriate management?

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

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Correct answer: C — Do not proceed and arrange later counselling if she wishes

Sterilisation requires valid informed consent, and acute distress without prior counselling is a poor context for an irreversible decision. Convenience during caesarean section does not override consent quality. Later counselling protects autonomy.

Reference: FSRH Male and Female Sterilisation Guideline; NICE Contraception guidance