Community Medicine (PSM) · Family Planning and Contraceptives

A 25-year-old woman undergoes medical termination of pregnancy at 7 weeks gestation. She desires immediate long-acting contraception. Which option is appropriate at this time?

  • A Copper IUD insertion immediately after MTP completion
  • B Wait for 6 weeks postpartum for IUCD insertion
  • C DMPA injection only after her next menstrual period
  • D Combined oral contraceptive pills starting 3 months after MTP
Correct answer: A. Copper IUD insertion immediately after MTP completion

Explanation

IUCD can be inserted immediately after first-trimester medical or surgical abortion provided there is no evidence of infection. Immediate post-abortion insertion is safe, convenient, and does not increase the risk of perforation, expulsion, or infection compared to interval insertion.

Reference: WHO Medical Eligibility Criteria for Contraceptive Use, 5th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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