**Question:** Female health worker does all except -

A. Provide male patients with condoms
B. Recommend breastfeeding for postpartum contraception
C. Instruct male partners to withdraw during intercourse
D. Recommend copper intrauterine device (IUD) placement for postpartum contraception

**Correct Answer:** D. Recommend copper intrauterine device (IUD) placement for postpartum contraception

**Core Concept:** Postpartum contraception refers to methods used to prevent pregnancy within six weeks or 12 weeks after childbirth, depending on the method.

**Why the Correct Answer is Right:** Copper intrauterine devices (IUDs) are a commonly used long-acting reversible contraceptive method for preventing pregnancy. They work by releasing copper ions which can cause inflammation and tissue growth in the uterus, making it less suitable for implantation of an embryo. IUDs can be inserted within 42 days after delivery, making option D the correct answer.

**Why Each Wrong Option is Incorrect:**

A. Provide male patients with condoms: Condoms are a barrier method that protects both partners from sexually transmitted infections (STIs) and pregnancy, but they do not prevent conception.

B. Recommend breastfeeding for postpartum contraception: Breastfeeding alone does not provide reliable contraception, as the lactational amenorrhea method (LAM) can fail due to inconsistent breastfeeding or early resumption of menses.

C. Instruct male partners to withdraw during intercourse: This method is known as withdrawal and has extremely low effectiveness, resulting in a high failure rate for preventing pregnancy.

**Clinical Pearl:**

In postpartum contraception, combining methods is recommended to increase effectiveness. Options A, B, and C are not reliable contraceptive methods on their own and should be used in conjunction with other methods, such as barrier methods or hormonal contraceptives, to achieve a higher success rate.