QuestionSBA
QuestionChoice
The patient would like oral contraceptives which have higher success rates than barrier methods.
10035946
e
Advise barrier methods
QuestionChoice
The patient does not want long-term options. IUC can be safely inserted immediately after birth (within 10 minutes of delivery of the placenta) or within the first 48 hours after uncomplicated caesarean section or vaginal birth as per the FSRH.
10035945
d
Offer intrauterine device insertion
QuestionChoice
The Lactational Amenorrhea Method is suitable for fully or almost fully breastfeeding mothers who experience amenorrhea. It relies on exclusive breastfeeding to suppress ovulation. It can be highly effective but relies on factors such as strict adherence to breastfeeding alone. In this case, this patient has asked for contraception.
10035944
c
Advise no contraception is needed until 6 months due to breastfeeding
QuestionChoice
As per the FSRH, the combined hormonal contraceptive pill should not be restarted until 6 weeks postpartum in breastfeeding women.
10035943
b
Offer the combined hormonal contraceptive pill
QuestionChoice
This is correct. According to the FSRH, the progesterone-only pill can be started at any time after childbirth, including immediately after delivery. No contraception is required in the first three weeks after birth.
10035942
a
Offer the progesterone-only pill
QuestionComment
if she has said she wants to combined oral contraceptive .. would you still give the POP? 
62089
User
subscriber
Hypertension Kinase
Concept
Chapter
2693
6170
Post-partum contraception
Topic
333
Obstetrics and Gynaecology
19592
The progesterone-only pill is the recommended contraceptive method for breastfeeding women postpartum, as it can be initiated anytime after childbirth.
A 30-year-old woman attends the GP enquiring about postpartum contraception as she gave birth three weeks ago. She is breastfeeding and does not want any long-term contraceptive options. She was on the combined oral contraceptive pill before conceiving and tolerated it well and would like to restart it.

What is the most appropriate management?
a