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Postpartum contraception — DRCOG MCQ

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EasyPostnatalPostpartum contraceptionDRCOG

A 25-year-old woman gave birth 10 days ago and is breastfeeding. She wants effective contraception now and has no contraindications to progestogen. She asks whether she must wait until her 6-week check. What would you advise?

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Correct answer: D — She can start a POP now

Progestogen-only contraception can be started immediately postpartum, including during breastfeeding. Combined hormonal contraception is generally avoided early postpartum because of VTE risk and breastfeeding considerations. Lactational amenorrhoea is effective only when strict criteria are met and should not be assumed. Contraception should be discussed before the 6-week check.

Reference: FSRH Contraception After Pregnancy; NICE NG194