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Non-breastfeeding postpartum contraception — DFSRH MCQ

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ModerateContraception in special circumstancesNon-breastfeeding postpartum contraceptionDFSRH

A 6-week postpartum woman who is not breastfeeding requests contraception. She had an uncomplicated vaginal birth, BMI 23 kg/m2, and no VTE risk factors. She wants a user-controlled method. What is the most appropriate contraceptive method?

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

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Correct answer: B — Combined oral contraception can be considered after eligibility assessment

At 6 weeks postpartum and not breastfeeding, CHC can be considered if there are no additional contraindications or VTE risks. DMPA is not the sole option, and ovulation may precede the first period. Cu-IUD is not contraindicated solely because of vaginal birth, and UPA is EC rather than a regular method. The pearl is that postpartum method choice depends on breastfeeding status, timing and VTE risk factors.

Reference: UKMEC 2025; FSRH Guideline: Contraception After Pregnancy