G19 contraception PP

Question 1

further history to establish

Answer 1

1. preference and need
2. future children
3. PMHx; hypertension, migraine, VTE
4. history of periods prior to pregnancy
5. planned feeding method

Question 2

COCP

Answer 2

COPC is not usually recommended unless the more appropriate option is not available or acceptable

• there is a conflicitng results from clinical trials on the effect of COPC on the volume of milk produced in lactating women,
• there is no effect of infant weight reported
• not recommendend 6 weeks PP increased risk of VTE

Question 3

contraceptive options

Answer 3

1. implants 99% safe immediate
2. IUD 99% but post placental higher rated vs @6weeks
3. mirena. help with heavy bleeding 99% expulsion and perforation with BF
4. barriers - 82%
5. depo provera 97% 12 weeks
6. POP 91%
7. lactation amenorrhoea 98% if amenorrhoic 52d, exclusively breastfeeding, < 6weeks PP