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IUC postpartum timing — DFSRH MCQ

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HardIntrauterine methodsIUC postpartum timingDFSRH

A 31-year-old who is breastfeeding attends 10 days after caesarean birth requesting a copper IUD. She has light lochia, no fever and no sex since delivery. What is the most appropriate management?

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Correct answer: D — Offer interim contraception and arrange IUD insertion from 4 weeks postpartum

IUC can be inserted immediately postpartum in appropriate windows or from 4 weeks after birth; insertion at 10 days is not standard because risks are higher. Interim progestogen-only or barrier contraception can be offered. CHC is not appropriate at 10 days postpartum and EC is unnecessary without intercourse.

Reference: FSRH Guideline Contraception After Pregnancy; FSRH Intrauterine Contraception