Which family planning method is considered most appropriate to discuss with a woman during the normal puerperium if she desires long-term, reversible contraception?
Intrauterine contraceptive device (IUCD)
A postpartum woman who wants long-term but reversible contraception is best counselled about an intrauterine contraceptive device (e.g. Copper-T 380A), which can be inserted after delivery (PPIUCD) and protects for 5–10 years.
It does not affect breastfeeding, and fertility returns soon after removal.
Tubal ligation is permanent; injectables and oral pills are shorter-acting, and combined pills can reduce milk supply.
Hence, Intrauterine contraceptive device (IUCD).
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Important Questions from Midwifery and Obstetrical Nursing
A 29-year-old woman presents with primary infertility and regular cycles. Her hysterosalpingography reveals bilateral tubal blockage. Which investigation should be prioritized next for management?
During infertility assessment, a female is diagnosed with Asherman's syndrome. What is the primary mechanism by which this condition causes infertility?
Which hormone fluctuation is primarily linked to premenstrual syndrome symptoms?
A 30-year-old pregnant woman with hyperemesis gravidarum is at risk for Wernicke's encephalopathy. Which vitamin supplement is essential in her treatment plan?
During assessment, a midwife observes a blood-tinged mucus discharge, known as the 'show,' in a pregnant woman. What is the significance of this finding?
