[Verified Answer]: A 30-year-old woman gravida 2 para 2…

A 30-year-old woman gravida 2 para 2 presents to a medical clinic to discuss contraception options. She had a normal vaginal delivery of a healthy baby boy with no complications 2 weeks ago. She is currently doing well and is breastfeeding exclusively. She would like to initiate a contraceptive method other than an intrauterine device, which she tried a few years ago, but it made her uncomfortable. Her medical history includes migraine headaches without aura, abnormal liver function with mild fibrosis, and epilepsy as a teenager. She sees multiple specialists because of her complicated history, but is stable and takes no medications. There is a history of breast cancer on the maternal side. On physical examination, her temperature is 36.5deg C (97.7deg F), blood pressure is 150/95 mm Hg, pulse is 89/min, and respiratory rate is 16/min. After discussing the various contraceptive methods available, the patient decides to try combination oral contraceptive pills (OCPs). Which of the following is an absolute contraindication to starting the patient on combination OCPs? A. less than 21 days postpartum B. History of epilepsy C. Elevated blood pressure D. Mild liver fibrosis E. Migraine headaches