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Obesity postpartum implant — DFSRH MCQ

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HardSpecial circumstancesObesity postpartum implantDFSRH

A 34-year-old with BMI 42 kg/m2 is day 2 after vaginal birth and wants a highly effective method before discharge. She is breastfeeding, has no infection and no postpartum haemorrhage. What is the most appropriate contraceptive method?

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

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Correct answer: A — Etonogestrel implant before discharge

An implant can be inserted immediately postpartum, is compatible with breastfeeding and avoids oestrogen-related VTE risk in obesity. CHC is inappropriate immediately postpartum, especially with obesity. Copper IUD timing at day 10 is not a standard interval insertion window.

Reference: FSRH Contraception After Pregnancy; FSRH Progestogen-only Implant