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Postpartum LAM criteria broken — DFSRH MCQ

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HardSpecial circumstancesPostpartum LAM criteria brokenDFSRH

A 5-month postpartum woman is mostly breastfeeding but gives formula overnight and had her first period last week. She had UPSI 2 days ago and wants advice. What is the most appropriate management?

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Correct answer: E — Offer EC and ongoing contraception because LAM criteria are not met

LAM requires full breastfeeding, amenorrhoea and less than 6 months postpartum. Formula feeding and return of menstruation mean criteria are not met, so EC and ongoing contraception should be discussed. Being under 6 months postpartum alone is insufficient.

Reference: FSRH Emergency Contraception; FSRH Contraception After Pregnancy