Choice of contraception in recently delivered lactating mother: (Repeat)
Correct Answer: Post Partum IUCD
Description: Ans: C. Post Partum IUCD CONTRACEPTIVE PRESCRIPTION Conventional contraceptives can be safely prescribed during the entire reproductive period. Advice on the usage of pill or IUCD during different phases of reproductive life 1. Post partum Contraception for lactating women Progestin only pill to be started at 2-3 weeks postpartum (best choice) Depot medroxyprogesterone acetate initiated at 6 weeks postpartum Hormonal implants inserted at 6 weeks postpartum Levonorgestrel IUCD inserted at 6 weeks postpartum POP contains LNG 75 microgm taken from day of cycle at same time every day-failure rate 0.5-2 per HMY Depot provera dose 150mg every 3 months within 5th day of cycle, administered i.m - failure rate 0-0.3per HWY NORPLANT contains 75 microgm LNG, releases 50microgm/day for 3 yrs- failure rate 0.1 per HWY LNG-IUD contains 58 mg LNG releases 20 microgm/day Non lactating Contraception started as early as 3 weeks following delivery OCPs /IUCD/ DMPA inj./ Implanon Adolescent girls LD OCPs - most effective Alternatives - DMPA, Norplant Newly married OCPs - most effective Post abortnl Started immediately following abortion OCPs / IUCD Women at risk of STDs Need dual protection against pregnancy and STDs Condom w ith spermicides/ condom w ith any other contraceptive method Women using enzyme inducers High dose OCPs, if prescribed/ IUCD/ DMPA inj.
Category:
Gynaecology & Obstetrics
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