<prompt> A para 2 poorly compensated cardiac patient has delivered 2 days back. You will advice her to:Undergo sterilization tubectomy after 1 weekUndergo sterilization after 6 weeksSuggest her husband to undergo vasectomyTake oral contraceptive pills after 6 months  <response>: Contraception in patient of heart disease:Temporary contraception of choice:Barrier contraceptives condoms but they have high failure rate, so nowadays progesterone only contraceptives like minipills are being advised Ref Mgt of high risk pregnancy, Manju puri, S Strivedi p376Contraception to be avoided: OCPs Intrauterine devicesPermanent contraception of choice:Best: Husband should be advised vasectomy especially in patients whose heart is not well-compensated.If husband refuses or, if heart of the patient is well-compensated-Tubectomy is advised.Female sterilisation:Best time: At the end of first post partum week.Method: Mininlaparotomy never do laproscopic sterilisation in heart disease patient.Anaesthesia of choice: Local anaesthesia. 