Self-Assessment Questions (SAQs) for Study Session 11

Now that you have completed this study session, you can assess how well you have achieved its Learning Outcomes by answering these questions. Write your answers in your Study Diary and discuss them with your Tutor at the next Study Support Meeting. You can check your answers with the Notes on the Self-Assessment Questions at the end of this Module.

SAQ 11.1 (tests Learning Outcomes 11.1 and 11.2)

Why is it recommended to use contraception immediately following an abortion in the first trimester (first three months), compared with an abortion in the second trimester?


Following an abortion in the first trimester (first three months of pregnancy), a woman’s fertility resumes almost immediately and usually within two weeks. However, following an abortion in the second trimester, a woman’s fertility usually resumes within four weeks, allowing slightly longer to begin appropriate contraception.

SAQ 11.2 (tests Learning Outcome 11.3)

What are the essential components of postpartum and post-abortion family planning?


The essential components of postpartum and post-abortion family planning are:

  • Discussing family planning needs, and protection against sexually transmitted infections (STIs).
  • Counselling about short- and long-term family planning method choices, their effectiveness, and side effects.
  • Provision of appropriate and available family planning methods or contraceptives.
  • Appointment for a follow-up meeting.

SAQ 11.3 (tests Learning Outcome 11.4)

Briefly explain the potential advantages of postpartum and post-abortion family planning services.


The potential advantages of postpartum and post-abortion family planning services are:

  • Opportunities to contact clients in order to introduce family planning services.
  • Subsequent opportunities to offer information about breastfeeding and family planning.

SAQ 11.4 (tests Learning Outcomes 11.2, 11.3, 11.4 and 11.5)

W/ro Bekelech gave birth in your health post and now she is six hours postpartum. Before she leaves for home, she asks you to restart her former contraceptive pills (Microgynon). W/ro Bekelech has already started breastfeeding her infant following delivery. During a previous birth she breastfed her first child exclusively for six months without problems. How would you manage W/ro Bekelech’s postpartum family planning request?


  • Explain to W/ro Bekelech that her current pill, Microgynon, could affect her breastmilk and is not the best contraceptive choice.
  • Discuss with W/ro Bekelech the effectiveness of using the LAM method, and mention to her the importance of maintaining a full breastfeeding pattern over the next six months if she does.
  • Inform W/ro Bekelech about the effect of oestrogen on breastmilk production.
  • If W/ro Bekelech wants to use LAM, provide detailed instructions, and the criteria for starting a complementary method.
  • If W/ro Bekelech does not want to use LAM, and wants to use contraceptive pills, counsel her on the progestin-only methods. If she accepts progestin-only pills, provide her with a supply.
  • Discuss with W/ro Bekelech any risks concerning STIs, and provide her with condoms if needed.

Summary of Study Session 11