Choice of contraception in recently delivered lactating mother: (Repeat)
## **Core Concept**
The core concept here revolves around selecting an appropriate contraceptive method for a lactating mother who has recently delivered. The primary concern is to choose a method that does not interfere with lactation or infant growth.
## **Why the Correct Answer is Right**
The correct answer, **Progesterone-only pill (POP)**, is suitable for lactating mothers because it does not affect milk supply significantly and is effective as a contraceptive. Progesterone-only pills primarily work by thickening cervical mucus to prevent sperm penetration and may also inhibit ovulation. They are recommended for breastfeeding mothers because they have minimal impact on milk production.
## **Why Each Wrong Option is Incorrect**
- **Option A:** Combined Oral Contraceptives (COCs) are not recommended as the first choice for breastfeeding mothers in the early postpartum period because estrogen can decrease milk supply. COCs are better suited for non-breastfeeding mothers or after the lactation is well established.
- **Option B:** Intrauterine Devices (IUDs) can be used in lactating women but are not typically the first line of contraception immediately postpartum unless specified conditions are met. They do not affect lactation but might not be immediately available or suitable for all recently delivered mothers.
- **Option D:** Depot medroxyprogesterone acetate (DMPA) or Depo-Provera can affect menstrual cycles and may decrease milk supply if initiated too early postpartum. It's often recommended to wait until after the baby is 6 weeks old before starting DMPA.
## **Clinical Pearl / High-Yield Fact**
A key point to remember is that **progesterone-only contraceptives** are generally recommended for breastfeeding mothers because they do not adversely affect milk supply. The **American College of Obstetricians and Gynecologists (ACOG)** and the **World Health Organization (WHO)** provide guidelines that support the use of progestin-only contraceptives in lactating women.
## **Correct Answer:** . Progesterone-only pill.