Combined Contraceptive Pill: Postpartum Guidelines
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Questions and Answers

When can a non-breastfeeding person typically start taking the combined pill after giving birth?

  • On day 7 after birth.
  • 6 weeks after birth, without consulting a midwife.
  • Immediately after birth.
  • On day 21 after birth. (correct)

If someone starts taking the combined pill more than 5 days after a miscarriage or abortion which occurred before 24 weeks, what is the recommended procedure?

  • They are protected from pregnancy immediately.
  • No additional contraception is needed.
  • They should use another form of contraception for 7 days after starting the pill. (correct)
  • They should not start the combined pill.

What is a common side effect that can occur when a person first starts taking the combined contraceptive pill?

  • Significant weight gain.
  • No side effects are ever associated with the combined pill.
  • Bleeding between periods or changes to periods. (correct)
  • Increased sex drive.

A person wants to start the combined pill 3 days after a miscarriage that occured at 10 weeks gestation, when will they be protected from pregnancy?

<p>Immediately. (D)</p> Signup and view all the answers

When should a breastfeeding person wait before starting the combined pill?

<p>They should wait 6 weeks after giving birth (C)</p> Signup and view all the answers

What is the approximate risk of a person using the combined pill experiencing a blood clot?

<p>1 in 1,000 (B)</p> Signup and view all the answers

Which type of cancers is associated with a slightly increased risk due to the use of the combined pill?

<p>Breast and cervical cancers (C)</p> Signup and view all the answers

What is a potential benefit of taking the combined pill in terms of cancer risks?

<p>Reduced risk of ovarian cancer (D)</p> Signup and view all the answers

If a person takes an extra combined pill, which of the following is MOST likely to occur?

<p>They might experience nausea or some vaginal bleeding. (C)</p> Signup and view all the answers

What should a person do if they miss one or more combined pills?

<p>Refer to the information leaflet that comes with the pills or consult a pharmacist. (B)</p> Signup and view all the answers

What is the typical duration of an IUD fitting procedure?

<p>The procedure itself takes 5 to 10 minutes, but the overall appointment should be at least 30 minutes. (A)</p> Signup and view all the answers

What should a person do if they feel pain during an IUD fitting?

<p>Ask the healthcare provider to pause or stop the procedure. (D)</p> Signup and view all the answers

When is it suitable to have an IUD fitted after experiencing pregnancy loss?

<p>Straight after an abortion or miscarriage. (D)</p> Signup and view all the answers

What is the best way for someone to verify that their IUD is correctly positioned?

<p>By performing regular self-checks through feeling for the IUD strings. (A)</p> Signup and view all the answers

What is the impact of other medicines on an IUD's effectiveness?

<p>Other medicines, including herbal remedies, and prescriptions do not affect its effectiveness. (C)</p> Signup and view all the answers

Flashcards

Combined pill after childbirth (non-breastfeeding)

After giving birth and not breastfeeding, you can start taking the combined pill on day 21, but use other contraception for 7 days after starting.

Combined pill after childbirth (breastfeeding)

After giving birth and breastfeeding, wait 6 weeks before starting the combined pill and use other contraception for 7 days after starting.

Combined pill after miscarriage or abortion (before 24 weeks)

You can start taking the combined pill immediately after a miscarriage or abortion if it was before 24 weeks. If you start within 5 days, you're protected immediately. If you start after 5 days, use another type of contraception for 7 days.

Combined pill after miscarriage or abortion (after 24 weeks)

After a miscarriage or abortion beyond 24 weeks, you can start taking the combined pill on day 21. Use another contraception method for 7 days.

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Common side effects of the combined pill

Common side effects of the combined pill include breakthrough bleeding, changes in periods, and potentially higher blood pressure. Other possible side effects include headaches, nausea, dizziness, and sore breasts.

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Combined Pill: Cancer Risk

Taking the combined pill can slightly increase your risk of getting breast cancer or cervical cancer, but your risk returns to normal 10 years after stopping the pill.

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Combined Pill: Cancer Protection

The combined pill can lower your risk of getting womb (uterus) cancer, ovarian cancer and bowel cancer.

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Combined Pill: Blood Clot Risk

The combined pill can increase the risk of developing a blood clot in your leg, lung, or heart, but the chance is small (up to 1 in 1000).

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Combined Pill: Missed Pills

Missing pills can affect the effectiveness of the combined pill, and you may require emergency contraception. Consult a pharmacist for guidance.

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Combined Pill: Taking an Extra Pill

Taking an extra pill won't harm you, but may cause side effects like nausea or vomiting. If you experience any symptoms, contact a doctor or pharmacist.

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What is an IUD?

An IUD, also known as a copper coil, is a small, T-shaped device inserted into the uterus to prevent pregnancy.

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How long does it take to get an IUD fitted?

Having an IUD fitted usually takes 5-10 minutes, but the appointment may take 30 minutes.

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Where can I get an IUD fitted?

You can get an IUD fitted at a GP surgery or a sexual health clinic by a specially trained doctor or nurse.

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What are some common pre-IUD fitting procedures?

Before getting an IUD fitted, you may need to undergo a pregnancy test and a test for sexually transmitted infections.

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How is the IUD inserted during the procedure?

The IUD is inserted into the womb through the cervix.

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Study Notes

Contraception Methods

  • Combined Pill: Contains progestogen and oestrogen hormones. Prevents pregnancy by stopping the ovaries from releasing an egg each month. Effectiveness is over 99% with correct use. Fertility usually returns to normal within a month after stopping. May help with acne, heavy/painful periods, PMS, and endometriosis. Does not protect against STIs.
  • Progestogen-only Pill (Mini Pill): Contains only progestogen. Prevents pregnancy by stopping the release of an egg. Effectiveness is over 99% with correct use. Fertility may take up to a month to return to normal after stopping. May help with period pain and endometriosis. Does not protect against STIs.
  • IUD (Intrauterine Device) or Copper Coil: A small, plastic T-shaped device inserted into the uterus. Prevents pregnancy by releasing copper into the uterus. Over 99% effective. Safe for breastfeeding. Does not protect against STIs.
  • IUS (Intrauterine System) or Hormonal Coil: A small, plastic T-shaped device inserted into the uterus that releases progestogen. Over 99% effective. Safe for breastfeeding. Does not protect against STIs.
  • Contraceptive Implant: A small rod inserted under the skin of the arm that releases progestogen. Over 99% effective for 3 years. Safe for breastfeeding. Does not protect against STIs.
  • Contraceptive Patch: A small patch worn on the skin that releases progestogen and oestrogen into the bloodstream. 99% effective with correct use. Does not protect against STIs.
  • Vaginal Ring: A flexible ring inserted into the vagina that releases progestogen and oestrogen into the bloodstream. Over 99% effective. Does not protect against STIs.
  • Condoms: Worn on the penis (male condoms) or inside the vagina (female condoms). Prevent pregnancy and reduce the risk of STIs.
  • Internal Condoms: Made of thin, soft plastic or rubber, inserted into the vagina. Help prevent pregnancy and the risk of STIs.
  • Female Sterilisation: A procedure to permanently block the fallopian tubes. Prevents eggs from meeting sperm. More than 99% effective.
  • Vasectomy: A procedure to permanently block the vas deferens, preventing sperm from reaching the ejaculate.
  • Diaphragm or Cap: Are inserted into the vagina. Need to be used with spermicide. Less effective than methods with higher effectiveness rates but helpful when other methods aren't suitable.
  • Natural Family Planning: Tracking menstrual cycles to avoid sex during the fertile period. Effectiveness depends on correct use. Does not protect against STIs.
  • Emergency Contraceptive Pill (Morning-After Pill): Taken within 3 or 5 days after unprotected sex, to prevent pregnancy. Effectiveness and side effects vary. Does not protect against STIs.

General Contraceptive Information

  • Risks: All methods of contraception have risks and side effects. Risks may include, but are not limited to: blood clots, cancer, infection, pain.
  • Risks of individual methods: Each method listed above has its own specific risks associated with it. Seek guidance from healthcare providers.

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Related Documents

Methods of Contraception PDF

Description

Test your knowledge about the combined contraceptive pill, particularly its use after childbirth and miscarriage. This quiz covers important guidelines, risks, and side effects to help you understand reproductive health better. Discover when protection starts and the implications of starting or missing doses.

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