MSRA-2680

A 35-year-old female patient presents to the GP clinic seeking the combined oral contraceptive pill (COCP). She has a BMI of 25 kg/m2 and a history of migraine without aura. She is a smoker, consuming 20 cigarettes a day, and drinks socially. The patient gave birth to her second child 10 weeks ago and is currently breastfeeding. Her mother had a pulmonary embolism at the age of 60 years. Identify the UKMEC 4 contraindication that would make the COCP unsuitable for her.