This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: All India exam, Subject name: Pharmacology
Most preferable contraceptive device for a female suffering from Rheumatic Hea Disease who has completed her family is 
Select and explain. 
A. IUCD, B. Tubal ligation, C. Norplant, D. Barrier method
B: Tubal ligation
Answer: B: Tubal ligation 
Explanation: Tubal ligation under local anaesthesia by minilap technique is the procedure of choice for permanent sterilization in a female with RHD who has completed her family. The best time for the procedure is at the end of the first week in the puerperium when the hea is well compensated. REF Katzung 12th ed.