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Demography & Family Welfare

Question
6 out of 27
 

Contraceptive of choice in lactating female:


A Lactational amenorrhoea
B Barrier method
C Progesterone only pill
D OCP

Ans. C Progesterone only pill Ref: Park: 22nd edi; Pg: 456-463

a. Progesterone only pills are advocated usually in older women (age > 40 yrs), lactating women in the first 6 months of lactation or even in young women with risk of neoplasia.

b. But these pills could not become very popular due to poor cycle control and risk of pregnancy but definitely a contraceptive of choice in lactating women.(option c)

c. OCPs are by far the contraceptive of choice in a young newly married couple wherein the wife does not suffer from any of the contraindications but combined pills are not recommended during lactation as it is known to suppress lactation.

d. The single most significant benefit of the pill is its almost 100 % effectiveness in preventing pregnancy and thereby removing the anxiety about the risk of unplanned pregnancy.

e. Another advantage of OCPs is that the contraceptive effect is fully reversible and nearly 98% of women conceive within 3 months of discontinuation of these pills which is most desirable in newly married couples.

f. However, its use is still very limited in the developing countries. (option d)

g. Although barrier methods (however the question does not specify it as condom) and to be more precise condoms are the most commonly used method of contraception worldwide, its failure rate (ranging from 4 to 14 per HWY ) is very high if not used appropriately, which precludes its usefulness in a lactating women.(option b)

h. Lactational amenorrhea is never a recommended method for contraception because of its very high failure rate although it has no side effects.

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