Postnatal Contraception Quiz

Postnatal Contraception Quiz
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1. How many weeks after birth can fertility return?*

Immediately3 weeks6-8 weeks6 months
2. How soon after birth can periods return?*

3 weeks5-6 weeks4 months1 year
3. What are the benefits of having postnatal contraception?*

Reduces unwanted pregnancyLowers termination rateHelps women delay, space or limit their pregnanciesReduces harm from short inter-pregnancy spacingAll of the above
4. What does the Word Health Organisation recommend as an optimal spacing after the birth of a baby?*

6 months12 months18-24 months3 years
5. What risks are there to a mother or baby from short inter-pregnancy spacing?*

Higher risk of preterm birthHigher risk if low birth weight of SGA babyHigher rates of stillbirthHigher rates of neonatal deathAll of the above
6. How soon should women start taking the Progesterone only Pill (POP) after birth?*

Anytime after birth and less than 21 daysAfter their first periodWhen they stop breastfeedingAfter 3 months
7. How effective is the POP if taken correctly?*

Less than 75%80%95%Over 99%
8. How do POP work?*

Prevent ovulationThickens mucus around the cervix to prevent sperm from reaching the eggThin the lining of the uterus to reduce chance of implantationAll of the above
9. Select the potential side effects from taking the POP Desogestrel? (select 1 or more)*

InsomniaAcne, mood/ libido changes, weight changesBlood clots, nose bleedsIrregular bleeding, headache, breast tenderness
10. True or False- if a women take Desogestrel more than 3 hours later there is a risk of pregnancy?*

TrueFalse
11. If a women is more than 12 hours late taking the pill, Desogestrel 75mg will be effective at preventing pregnancy if... (select 2)*

She takes is correctly for 48hoursShe uses alternative contraception/ abstains from sex in the meantimeShe takes it correctly for 72hoursShe is also breastfeeding exclusively
12. True or False, Cerelle or Cerazette may be prescribed for women with peanut or soya allergy instead of Desogestrel?*

TrueFalse
13. Which of these is a contraindication for Desogestrel?

Previous stroke/ TIA when taking contraception in the pastPrevious or current breast cancerMay not be able to absorb the pill due to gastrointestinal problems or surgeryBMI over 30
14. How effective is Depo Provera injection if used correctly?*

95%Less than 75%80%Over 99%
15. How should you give Depo Provera injections? (select 2 or more)*

Shake the syringe/ vial vigorously before administrationDeep IM injection into the gluteal (preferred) or deltoid muscleEnsure that the full contents of the syringe/ vial is administeredMassage the injection site to help absorption
16. How soon after birth can you administer a Depo injection?*

After her first periodAfter 3 monthsAnytime after birthWhen she stop breastfeeding
17. How long with a Depo injection last?*

4 weeks8 weeks13-14 weeks6 months
18. Select the possible side effects of the Depo injection?*

Headaches, dizziness, mood/ libido changesWeight changes, breast tenderness, abdominal discomfort/ distensionDisturbance bleeding, nausea, alopecia, acne, rashLoss of bone mineral density, acne, genitourinary tract infectionsAll of the above
19. Which side effect may be worse in Depo is given soon after birth?*

RashNauseaDisturbed bleeding- may be heavy and irregularWeight changes
20. Which of the following are risks with Depo injections*

Small risk or reduced bone mineral density due to lower oestrogen levelsFertility may take up to a year to returnWeak association with increased breast cancer riskAll of the above
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