Puerperium: postpartum contraception: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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OBG · Puerperium: postpartum contraception

Sample item

Which contraceptive can be offered to a fully breastfeeding woman immediately after delivery of the placenta, before discharge?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Copper IUCD (postpartum IUCD within 48 hours)

Postpartum IUCD can be inserted within 10 minutes of placental delivery or up to 48 hours, and is a major national strategy. Oestrogen-containing methods reduce milk volume and add thrombotic risk in the first 6 weeks, so they are avoided.

Option by option

  • A. Copper IUCD (postpartum IUCD within 48 hours) (correct)

    Correct. PPIUCD is safe and does not affect lactation.

  • B. Combined oral contraceptive pill

    Combined pills are avoided due to thrombosis risk and lactation suppression.

  • C. Combined vaginal ring

    The combined ring also contains oestrogen.

  • D. Combined injectable

    Combined injectables also contain oestrogen.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More OBG questions

Questions about this OBG question

What is the answer to this OBG question?

The best answer is A, Copper IUCD (postpartum IUCD within 48 hours). Postpartum IUCD can be inserted within 10 minutes of placental delivery or up to 48 hours, and is a major national strategy.

Why is "Combined oral contraceptive pill" not the answer?

Combined pills are avoided due to thrombosis risk and lactation suppression.

Why is "Combined vaginal ring" not the answer?

The combined ring also contains oestrogen.

Why is "Combined injectable" not the answer?

Combined injectables also contain oestrogen.

What concept does this question test?

It tests Puerperium: postpartum contraception in OBG. Oestrogen-containing methods reduce milk volume and add thrombotic risk in the first 6 weeks, so they are avoided.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Puerperium: postpartum contraception?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.