Contraceptive method of choice in lactating mothers is:
Ans. is b, i.e. Progesterone only pillRef: Williams Obs, 23/e, p 694, Dutta Obs, 7/e, p 558"According to the American college of obstetries and gynecologist (2000), progestin only contraceptives are the preferred choice in most of the cases. In addition IUD's may be recommended for the lactating sexually active woman after uterine involution." --Williams, Obs 24/e, p 715Lactational amenorrhea"For mothers who are nursing exclusively, ovulation occurring during the first 10 weeks after delivery is unlikely. But it is not a reliable method if mother is nursing only in day time. Waiting for first menses involves a risk of pregnancy because ovulation usually antedates menstruation." -- Wiliams 24/e, p 715Safe period method - In this method the fertile period is calculated and the female should refrain from having sex during that periodThe basic prerequisite of this method is that cycles should be regular which is usually not the case with lactating mothers - safe period method is not applicable in them.IUCD's - According to Williams 23/e p 644 IUCD's can be used as an alternative to progesterone only pills by lactating mothers but only following complete uterine involution in woman who are sexually active.Remember in Nutshell1st contraceptive of choice in lactating mother - Progesterone only pill or progesterone implant or DMPA injection. IUCD can also be used.
Barrier method
Progesterone only pill
Oral contraceptive pills
Lactational amenorrhea
Abnormality of Puerperium