To make sure the individual isn't Expecting at time of the main injection, the primary injection ought to be supplied ONLY through the to start with 5 times of a normal menstrual interval or within the initially 5-times post‑partum. In submit‑partum moms who exclusively breastfeed, administer Depo‑Provera CI through or after the sixth put up‑partum 7 days.

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In conditions during which the health care company is unsure whether or not the affected person may very well be Expecting, the benefits of starting off DMPA very likely exceed any danger; therefore, starting off DMPA must be regarded as Anytime, using a adhere to-up pregnancy exam in 2–four weeks.

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In case the patient really wants to discontinue DMPA Anytime, supply counseling on alternate contraceptive strategies and initiate A further approach whether it is desired.

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If a client ought to use more contraceptive defense when switching to DMPA from A different contraceptive depo 10 system, take into consideration continuing their previous method for 7 times after DMPA injection. (As appropriate, see recommendations for Emergency Contraception.)