North American Registry of Midwives (NARM) Practice Exam

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How soon after a first-term abortion can a woman begin taking combination oral contraceptives?

  1. 1 week

  2. 2 weeks

  3. Immediately

  4. 1 month

The correct answer is: Immediately

Immediately after a first-term abortion, a woman can begin taking combination oral contraceptives. Starting contraception right away can help prevent unintended pregnancy, which is particularly important for women who are sexually active following an abortion. Additionally, using combination oral contraceptives can help regulate menstrual cycles that may have been disrupted by the abortion. Medical guidelines often recommend initiating contraceptive methods as soon as a woman feels ready or is medically cleared, and given that the body is typically ready to use these methods right away, there is no medically required waiting period. This approach also aligns with the general practice of providing women with immediate access to birth control options to support their reproductive health decisions post-abortion.