A 24-year-old woman undergoes an uncomplicated first-trimester medical abortion. She requests immediate post-abortion contraception. The MOST appropriate option for immediate IUCD insertion is:
- A IUCD insertion is contraindicated after abortion
- B IUCD should be inserted only after 6 months of abortion
- C Immediate post-abortion IUCD insertion is safe if no infection is suspected ✓
- D IUCD can be inserted only after resumption of menstruation
Correct answer: C. Immediate post-abortion IUCD insertion is safe if no infection is suspected
Explanation
Immediate post-abortion IUCD insertion (within 12 days of abortion) is safe and recommended when infection and excessive bleeding are absent. It avoids a return visit and reduces the risk of repeat unintended pregnancy. WHO MEC categorizes post-abortion IUCD insertion as Category 1 (no restriction) for first-trimester uncomplicated abortion. Delaying until menstruation resumption or 6 months is unnecessary.
Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.