You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is A Para 2 Live 2, with last child bih 1 year back, wants immediate contraception following the second vaginal delivery. Which of the following is the most ideal method? and explain in detail?
Post placental IUCD having average life span of 3 year as the mechanism of action is spermicidal and the presence of a foreign body in the uterine cavity renders the migration of spermatozoa difficult. the failure rate of retention is 12 % and IUCD is relative contraindication for postpaum 48 hours - 4 weeks. As sterilization is the best method and according to history patient has completed family so rather than giving patient other type of contraception sterilization is best method with very less percent of failure rate ( 0.4 % ).postpaum sterilization is done within the first week of delivery when the patient is already hospitalized