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Contraception postpartum — DRCOG MCQ

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EasyPostnatalContraception postpartumDRCOG

A 22-year-old woman is breastfeeding four weeks after birth and asks when contraception can be started. When should this patient be referred?

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Correct answer: C — Advise that progestogen contraception can be started immediately postpartum

Advise that progestogen contraception can be started immediately postpartum is the best answer because the vignette is testing Contraception postpartum and the recommended approach is consistent with FSRH Postnatal Contraception. The other referral timings are either too slow for the risk described or use a pathway intended for a different presentation. Specifically, Refer routinely to gynaecology; Refer urgently for safeguarding assessment; Refer within two weeks on a suspected cancer pathway; Refer same day to the maternity assessment unit would be suboptimal in this scenario. Referral timing is determined by red flags, pregnancy stage and suspected cancer or emergency pathways.

Reference: FSRH Postnatal Contraception