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UPA breastfeeding update — DFSRH MCQ

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HardEmergency contraceptionUPA breastfeeding updateDFSRH

A fully breastfeeding patient 4 months postpartum requires emergency contraception, declines a copper IUD and chooses ulipristal acetate. What breastfeeding advice is current?

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Correct answer: C — Continue breastfeeding without interruption after the single dose

The best answer is “Continue breastfeeding without interruption after the single dose”. The January 2025 FSRH statement says that no interruption is required after a single dose of ulipristal for emergency contraception; drug and metabolite exposure in milk is negligible. The older advice to express and discard for a week is superseded. Method choice still considers timing, prior contraception and the need to delay starting progestogen for 5 days.

Reference: CoSRH/FSRH, Ulipristal Acetate and Breastfeeding statement (January 2025): https://www.cosrh.org/Common/Uploaded%20files/documents/FSRH-Statement-Ulipristal-Acetate-and-Breastfeeding.pdf