O&G Cases · Postpartum care — contraception and reproductive planning
Postpartum contraception counselling — communication station
Communication station testing postpartum contraceptive counselling in a young Aboriginal woman: opening with a reproductive-intention question, defending the implant against the lactogenesis myth with evidence, addressing the historical weight of coercive practice, and demonstrating non-coercive, culturally safe shared decision-making. Includes assessor key and marking domains.
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Station brief
Format. Communication station, approximately 12 minutes. You are the registrar; an actor plays the patient; an Aboriginal health worker is in the room (played by the assessor or a second actor). The candidate leads the counselling. [1]
Candidate instruction. Conduct a non-coercive, culturally safe postpartum contraceptive counselling conversation. Address her reproductive intention, her worry about the implant and her milk supply, and the choice of method. Do not push any method. Document her autonomous decision. [1]
References5ShowHide
- [1]Lopez LM, Bernholc A, Hubacher D, et al. Immediate postpartum insertion of intrauterine device for contraception Cochrane Database Syst Rev, 2015.PMID 26115018
- [2]Lopez LM, Grey TW, Stuebe AM, et al. Combined hormonal versus nonhormonal versus progestin-only contraception in lactation Cochrane Database Syst Rev, 2015.PMID 25793657
- [3]Krashin JW, Rivera-Montalvo M, Leeman L, et al. Breastfeeding after immediate vs delayed postpartum contraceptive implant placement: a noninferiority randomized controlled trial Am J Obstet Gynecol, 2025.PMID 40120732
- [4]Jackson E, Glasier A Return of ovulation and menses in postpartum nonlactating women: a systematic review Obstet Gynecol, 2011.PMID 21343770
- [5]Kennedy KI, Labbok MH, Van Look PF Lactational amenorrhea method for family planning Int J Gynaecol Obstet, 1996.PMID 8842819