This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
[{'content': 'A para 2 poorly compensated cardiac patient has delivered 2 days back. You will advice her to: \nSelect and explain. \nA. Undergo sterilization (tubectomy) after 1 week, B. Undergo sterilization after 6 weeks, C. Suggest her husband to undergo vasectomy, D. Take oral contraceptive pills after 6 months', 'role': 'user'}, {'content': 'Answer: C \nExplanation: Contraception in patient of heart disease:\nTemporary contraception of choice:\n\nBarrier contraceptives (condoms) but they have high failure rate, so nowadays progesterone only contraceptives like minipills are being advised (Ref Mgt of high risk pregnancy, Manju puri, S Strivedi p376)\nContraception to be avoided:\n\n– OCPs\n– Intrauterine devices\nPermanent contraception of choice:\n\nBest: Husband should be advised vasectomy especially in patients whose heart is not well-compensated.\nIf husband refuses or, if heart of the patient is well-compensated-Tubectomy is advised.\n\nFemale sterilisation:\n\nBest time: At the end of first post partum week.\nMethod: Mininlaparotomy (never do laproscopic sterilisation in heart disease patient).\nAnaesthesia of choice: Local anaesthesia.', 'role': 'assistant'}]