A 26-year-old woman with two living children, youngest aged 3 years, wants permanent sterilization. She is 8 weeks postpartum and breastfeeding. The appropriate method is:

• A Postpartum sterilization immediately
• B Interval laparoscopic tubectomy now ✓
• C Postpartum minilap within 48 hours
• D Continue breastfeeding for sterilization protection

Explanation

Postpartum sterilization is performed within 7 days of delivery. At 8 weeks postpartum, the patient is in the 'interval' period, and interval laparoscopic tubectomy is the appropriate method. Postpartum minilap is not feasible beyond 7 days as the uterus has involuted. Lactational amenorrhoea method requires specific criteria (amenorrhoea, exclusive breastfeeding, within 6 months) and is not a permanent method.

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.