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': 'Best mode of contraception for a newly married lady with rheumatic heart disease: \nSelect and explain. \nA. Oral pills, B. Norplant, C. IUCD, D. Condom', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Barrier contraceptives (diaphragm/condom) are the ideal contraceptives for patients with medical complications such as heart disease.\n“The primary advantage of the diaphragm is the almost total absence of risks and medical contraindications.”\n\nCombined oral contraceptive pills are contraindicated in a woman with cardiac disease.\xa0\nIUCD is carefully considered in a cardiac and diabetic woman because of the possibility of pelvic infection.\nDepoprovera (DMPA) a progesterone only injectable contraceptive also is not a preferred agent for patients with cardiac disease although it is not contraindicated.\nSterilization should be considered with completion of family at the end of first week\xa0in the puerperium under local anesthesia\xa0through abdominal root by minilap technique.\nIf the heart is not well compensated, the husband is advised for vasectomy.', 'role': 'assistant'}]