After a normal delivery, combined oral contraceptives can be staed for non breast feeding mother, after:
Post paum use of combined oral contraceptives COC are contraindicated in breast feeding mothers (causes breast milk suppression) and can be staed after 6 weeks post paum COC can be used in non breast feeding mothers after 3 weeks if there are no persisting risk factors for VTE such as smoking, history of DVT, known thrombogenic mutations, peripaum cardiomyopathy COC can be safely staed after 6 weeks in non breast feeding mothers Here in this question, since there is no history suggestive of any risk factors for VTE, the better answer would have been 3 weeks, but since it is not in the options, the answer would be 6 weeks. Please note that COC should never be staed immediately post paum in any scenario since post paum period in itself is a high risk state for thromboembolism, maximum risk being in the first week. Progesterone only pills can be safely used in lactation, and can be staed as soon as contraception is required.
2 weeks
6 weeks
12 weeks
Immediately after delivery
FMGE 2018