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Early postpartum contraception — DRCOG MCQ

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HardContraception and Sexual HealthEarly postpartum contraceptionDRCOG

A woman is 6 weeks postpartum, fully breastfeeding on demand, has had no bleeding after day 21 and wants to avoid pregnancy. What is the most appropriate advice?

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Correct answer: E — Use LAM while amenorrhoeic, fully breastfeeding and under six months

The best answer is “Use LAM while amenorrhoeic, fully breastfeeding and under six months”. The lactational amenorrhoea method can be used when all three criteria are met: the baby is under 6 months, the person is amenorrhoeic and fully or nearly fully breastfeeding. It becomes less reliable as any criterion changes, so ongoing discussion of a preferred contraceptive method and pregnancy testing when indicated remains important.

Reference: FSRH: Contraception after pregnancy: https://www.fsrh.org/standards-and-guidance/fsrh-guidelines-and-statements/contraception-after-pregnancy-guideline-january-2017/