Contraception: initiation after childbirth: 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 · Contraception: initiation after childbirth

Sample item

A woman who delivered 3 weeks ago, who is not breastfeeding, requests a progestogen-only implant. What is the advice?

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

The answer and the reasoning

B. It can be inserted at any time after childbirth

Progestogen-only methods can be started immediately postpartum, and in non-breastfeeding women ovulation may return as early as 3 to 4 weeks, so earlier contraception is needed. Implants are suitable and do not affect lactation. Combined methods are delayed until at least 6 weeks.

Option by option

  • A. It is contraindicated in the puerperium

    There is no contraindication in the puerperium.

  • B. It can be inserted at any time after childbirth (correct)

    Correct. Progestogen-only implants can be placed at any time postpartum.

  • C. Only after a negative pregnancy test at 4 weeks

    A pregnancy test at 4 weeks is not required if she is not at risk.

  • D. It must be delayed until 6 months

    A six-month delay leaves her at risk of pregnancy.

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.

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Questions about this OBG question

What is the answer to this OBG question?

The best answer is B, It can be inserted at any time after childbirth. Progestogen-only methods can be started immediately postpartum, and in non-breastfeeding women ovulation may return as early as 3 to 4 weeks, so earlier contraception is needed.

Why is "It is contraindicated in the puerperium" not the answer?

There is no contraindication in the puerperium.

Why is "Only after a negative pregnancy test at 4 weeks" not the answer?

A pregnancy test at 4 weeks is not required if she is not at risk.

Why is "It must be delayed until 6 months" not the answer?

A six-month delay leaves her at risk of pregnancy.

What concept does this question test?

It tests Contraception: initiation after childbirth in OBG. Implants are suitable and do not affect lactation. Combined methods are delayed until at least 6 weeks.

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 Contraception: initiation after childbirth?

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.