Contraception · NEET PG Preparation Obstetrics & Gynaecology
A 28-year-old postpartum woman who is exclusively breastfeeding her 6-week-old infant wishes to start hormonal contraception. She has no significant…
Practice question from Contraception (NEET PG Preparation Obstetrics & Gynaecology), with the correct answer and a step-by-step solution.
easy · MCQ · Q-643BF1
A 28-year-old postpartum woman who is exclusively breastfeeding her 6-week-old infant wishes to start hormonal contraception. She has no significant medical history. Which of the following is the most appropriate contraceptive choice at this stage?
- A.Combined oral contraceptive pills (COCs)
- B.Progestin-only pills (POPs)Correct answer
- C.Medroxyprogesterone acetate initiated immediately
- D.Transdermal contraceptive patch
Solution
Progestin-only pills (POPs) or minipills do not affect breast milk production and can be safely used during lactation, even within the first 6 weeks postpartum. Combined hormonal contraceptives (COCs, patches, rings) are generally avoided during the first 3 weeks postpartum due to the high risk of venous thromboembolism, and between 3 to 6 weeks if there are other risk factors for VTE, and they may also negatively impact milk supply.
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