Postpartum breastfeeding CHC — DFSRH MCQ

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ModerateCombined hormonal contraceptionPostpartum breastfeeding CHCDFSRH

A 30-year-old woman is 4 weeks postpartum, fully breastfeeding and asks to restart her combined pill. She has no other risk factors. What is the UKMEC category for CHC?

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Correct answer: A — UKMEC 4

Breastfeeding under 6 weeks postpartum is UKMEC 4 for CHC. The issue is not just milk supply but thrombotic and early postpartum risk. Progestogen-only options can usually be discussed.

Reference: FSRH Combined Hormonal Contraception Guideline; UKMEC 2025; BNF