A breastfeeding woman is 3 weeks after delivery and requests a combined oral contraceptive. Which response is most appropriate?
Correct answer: B. Delay it and discuss a progestin-only or nonhormonal method
- A. Start it today because breastfeeding prevents blood clots
- B. Delay it and discuss a progestin-only or nonhormonal method
- C. Use it only on days when intercourse is expected
- D. Take two pills daily to improve milk production
Explanation
Combined hormonal contraception is generally avoided early after birth because postpartum venous thromboembolism risk is increased, and estrogen may affect milk production. A progestin-only or nonhormonal method is usually more suitable at this stage.
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About Family Planning
Family planning covers fertility awareness, lactational amenorrhoea, condoms, oral pills, injectables, implants, intrauterine devices, emergency contraception, sterilisation and postpartum options. Questions address mechanisms, effectiveness, contraindications, adverse effects, counselling and follow-up, with careful distinction between contraception, emergency contraception and treatment for infertility.
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