Question

A primipara with a cardiac lesion (MI) has come on the 40th day of delivery asking for contraception. The contraceptive of choice is

• A. Condom with spermicidal jelly
• B. Oral contraceptive pill
• C. Intrauterine contraceptive device
• D. Laparoscopic sterilization

Hint:

Pick the method with no hormonal, surgical, or instrumentation risk for a cardiac patient.

Answer 1

The Correct Option is A

Step 1: Understanding the Concept:
A woman with a heart valve problem needs a contraceptive that does not add any extra load on her heart, whether through clotting risk, infection risk, or the stress of surgery.

Step 2: Key Formula or Approach:
Go through each method and ask if it adds a hormonal, infective, or surgical risk to a heart patient so soon after childbirth.

Step 3: Detailed Explanation:
The pill's estrogen component raises clot risk, which is unwanted in a heart patient.
An IUCD can trigger a vasovagal response or infection at insertion, both unwelcome risks this early postpartum.
Tubal ligation by laparoscopy needs anaesthesia and gas distension of the abdomen, both a strain on a compromised heart, and can wait until she is more stable.
A condom used along with spermicidal jelly needs no drugs, no surgery, and no instruments, so it places no extra burden on the heart at all.

Step 4: Final Answer:
The safest choice here is a condom with spermicidal jelly, option (A).