Postpartum contraception

Question 1

overall structure

Answer 1

focussed hx
brief info giving
options available

Question 2

info to supply at start

Answer 2

breastfeeding vs formula feeding
if started up to 21 days post - immediate effect
encourage LARCs

Question 3

lactational amenorrhoa summary

Answer 3

exclusively breastfeeding
<6m postpartum
amonerrhoeic
<2% pregnancy risk

Question 4

IUD preg-specific info

Answer 4

fitted within 48hrs or 4 weeks later
increased risk expulsion if within 4hrs
increased risk perforation if breastfeeding

Question 5

prog only info

Answer 5

start anytime
okay in breastfeeding
progesterone implant preferred to be started 4 weeks pp in breastfeeding mothers

Question 6

COCP preg info

Answer 6

at 6w PP if breastfeeding
from 3w if not breastfeeding
rule out VTE risk

Question 7

early pregnancy loss contraception

Answer 7

within 5 days (effective immediately) post miscarriage/ectopic/molar
for 3 months following methotrexate

Question 8

gastric sleeve contraindicates

Answer 8

oral contraceptives