Individual considerations and contraindications regarding the use of specific contraceptives are detailed in the u. Strategies for objective 2 to increase public knowledge of clients rights, contraceptive methods and services 18 1. Collaborate with other government departments and agencies to expand and strengthen contraceptive services. Medical eligibility criteria wheel for contraceptive use who 2015 8 e c o n v u l s a n t s t a 2 5 c a 3 3 m 2 2 i c o n t r o l e d f a c t o r s n d i e a s e i m m o b l i z a i o n r e t u t e 2 m i a r 3 4 f h a t eligibility criteria wheel for contraceptive use. Development of earlier editions of the medical eligibility criteria for contraceptive use. Medical eligibility criteria for initiating contraception. Appendix d medical eligibility criteria for contraceptive. Selected practice recommendations for contraceptive use rhl. Medical eligibility criteria for contraceptive use, 2010 u. Contraceptive use among women presenting to pharmacies for. A great reference tool for health care providers who want to check a patients medical eligibility for various forms of contraception as they relate to absolute and relative contraindications. Medical eligibility criteria for contraceptive use condition subcondition cuiud lngiud implant dmpa pop chc i c i c i c i c i c i c age menarche to centers for disease control and prevention cdc subject.
Selected practice recommendations for contraceptive use, 2016 2016 u. Medical eligibility criteria for contraceptive use mec, the first edition of which was published in 1996, presents current who guidance on the safety of various contraceptive methods for use in the context of specific health conditions and characteristics. Medical eligibility criteria wheel for contraceptive. How to use whos family planning guidelines and tools. Medical eligibility criteria for contraceptive use fifth edition isbn 978 92 4 1549158 fifth edition, 2015 medical eligibility criteria for contraceptive use. This document is part of the process for improving the quality of care in family planning. In the 2009 update of the world health organization medical eligibility criteria for contraceptive use whomec,5 sle was included for the first time as a condition. Medical eligibility criteria for contraceptive use, 2010 this summary sheet only contains a subset of the recommendations from the us mec.
It updates the third edition of medical eligibility criteria for contraceptive use, published in 2004, and summarizes the main recommendations of an expert working group meeting held at the world health organization, geneva,14 april 2008. Medical eligibility criteria for contraceptive use, 2010, from guidance developed by the world health organization who and. Us medical eligibility criteria for contraceptive use. Medical eligibility criteria for contraceptive use, 2016 revised recommendations for the use of hormonal contraception among women at high risk for hiv infection. National contraception and fertility planning policy and service delivery guidelines department of health now, more than ever, the successful implementation of this policy is of critical importance. Medical eligibility criteria wheel for initiating contraceptive use july 2017 tr ea tm e n t c ur re n t o c e d u r e s s s t d s f e e d i n g f e e di n g s f e e d i n go r c h l a m y d ia d c n c r p rec a nc e r t i v e o n v u l s a n t s n r l a doi nf e c t on g o n o r rh e a b r e a s t eligibility criteria for contraceptive use 5th ed. This executive summary contains all the new recommendations that will be incorporated into the fifth edition of the medical eligibility. Medical eligibility criteria for contraceptive use the table on the following pages summarizes the world health organization medical eligibility criteria for using contraceptive methods. Medical eligibility criteria for contraceptive use who. It guides family planning providers it guides family planning providers in recommending safe and effective contraception methods for women with medical conditions or medicallyrelevant.
This summary sheet only contains a subset of the recommendations from the us mec. A comprehensive dissemination and evaluation plan will be implemented. Mec 2010, the centers for disease control and prevention cdc has monitored the literature for new evidence relevant to the recommendations through the world health organization whocdc continuous identification of research evidence cire system. United states medical eligibility criteria for contraceptive use.
This is the fifth edition of the mec the latest in the series of periodic updates. Quick reference chart for category 3 and 4 to initiate or continue use of combined oral contraceptives cocs, depotmedroxyprogesterone acetate dmpa, progestinonly implants, copper intrauterine device. Medical eligibility criteria for contraceptive use updated junekey 2012. To help the patient make this choice, the obstetriciangynecologist should do the following. Medical eligibility criteria for contraceptive use fifth edition 2015.
The medical eligibility criteria for contraceptive use mec provides guidance regarding which clients can use contraceptive methods safely. Categories of medical eligibility criteria for contraceptive use 1 a condition for which there is no restriction for the use of the contraceptive method. Medical eligibility criteria for contraceptive use mec, the first edition of which was published in 1996, presents current world health organization who guidance on the safety of various contraceptive methods for use in. Medical eligibility criteria for contraceptive use rhl. Adapted from the world health organization who may 28, 2010 vol. Emergency contraception offers women an important strategy to prevent pregnancy after intercourse in cases of contraceptive accidents or non use, or in situations of sexual violence. The continuity and change in contraceptive use study assessed contraceptive use patterns in the united states by collecting data from a nationally representative probability sample of more than 4,600 women who were aged 1839 at baseline. The first two cornerstones of this evidencebased series figure 1 are this document, the medical eligibility criteria for contraceptive use, which provides guidance regarding who can use contraceptive.
Medical eligibility criteria for contraceptive use pages 1,2 color coded in the left column to match the corresponding question of the oregon hormonal contraception selfscreening tool questionnaire. All four cornerstones are best interpreted and used in a broader context of reproductive and sexual health care. Medical eligibility criteria for contraceptive use, 2010. Contraceptive availability during an emergency response in.
Medical eligibility criteria for contraceptive use, published in 2000. Dissemination and evaluation of the medical eligibility criteria for contraceptive use, fifth edition. Adapted from medical eligibility criteria for contraceptive use, 5th edition. Medical eligibility criteria for contraceptive use 5th ed. Cdc updates eligibility criteria for contraceptive use. Implementing teenage pregnancy prevention programs march 1214, 2012 baltimore, md. Medical eligibility criteria for contraceptive use fifth. Contraceptive eligibility for women at high risk of hiv guidance statement recommendations on contraceptive methods used by women at high risk of hiv 29 august 2019. Medical eligibility criteria for contraceptive use updated july 2017.
Contraceptive use among women at risk for unintended pregnancy in the context of public health emergencies united states, 2016 2018 u. Safety and effectiveness data for emergency contraceptive. This publication was more comprehensive than the acog guidance, and it was regularly updated. Development of the medical eligibility criteria for. Mec, which provided recommendations on safe use of contraceptive methods for women with various medical conditions and other characteristics and was adapted from global guidance developed by the world health organization who mec 4, 5. Use research findings to inform policy development and programme planning. Additional guidance on starting and switching contraceptive methods can be found in the package insert of the contraceptive method.
The american academy of pediatrics recommends that pediatricians develop a working knowledge of contraception to help adolescents reduce risks of and negative health consequences related to unintended pregnancy. The efficacy of intrauterine devices for emergency. Quick reference chart for the who medical eligibility. Us medical eligibility criteria for contraceptive use kathryn m. Final 20 september 2016 option c 2016 who medical eligibility. Contraception is a pillar in reducing adolescent pregnancy rates. This is an alphabetical listing of every publication on our website.
Progestogensused in contraceptives chapter 7 contraception. It is color coded in the left column to match the corresponding question of the oregon selfscreening risk assessment questionnaire. Since that time, who has regularly updated its guidance on the basis of new evidence, and the who mec is now in its fourth edition. This chart shows a complete list of all conditions classified by who as category 3 and 4. There are two forms of emergency contraception available today. Medical eligibility criteria for contraceptive use, 2016 2016. This document, selected practice recommendations for contraceptive use. Women completed four online surveys one every six months between 2012 and 2014. Mec categories for contraceptive eligibility 1 a condition for which there is no restriction for the use of the contraceptive method.
The medical eligibility criteria wheel for contraceptive use. We use cookies to distinguish you from other users and to provide you with a better experience on our websites. We also had, prior to the cdc medical eligibility criteria, the world health organization medical eligibility criteria for contraceptive use who mec. Medical eligibility criteria for contraceptive use pages 1,2color coded in the left column to match the corresponding key. Medical eligibility criteria selected practice recommendations decisionmaking tool global handbook who guidelines and tools the medical eligibility criteria wheel reproductive choices and family planning for people with hiv cire guide to family planning for health care providers and new their clients 4th edition just published.
In the absence of contraindications 17, patient choice should be the principal factor in prescribing one method of contraception over another. Medical eligibility criteria for contraceptive use 325 condition combined oral contraceptives monthly injectables combined patch and combined vaginal ring progestinonly pills progestinonly injectables implants emergency contraceptive pills copperbearing intrauterine device levonorgestrel intrauterine device female sterilization. Of these tumor types, breast even if the patient has been considered cured after five years of treatment and liver cancer hepatocellular carcinoma are contraindications for the use. Implementation guide for the medical eligibility criteria and selected practice recommendations for contraceptive use guidelines. The college supports access for adolescents to all contraceptive methods approved by the fda. The world health organization who medical eligibility criteria for contraceptive use, 2009 mec and the us medical eligibility criteria for contraceptive use, 2010 provide recommendations for the safe use of the following contraceptives among women with obesity.
Aug 17, 2016 twelve month followup of a contraceptive implant outreach service in rural papua new guinea 12 april 2017 australian and new zealand journal of obstetrics and gynaecology, vol. Medical eligibility criteria for contraceptive use. Nonhormonal contraceptive methods july 2012 8 medical eligibility criteria categories 1 a condition for which there is no restriction for the use of the contraceptive method. This guidance comprises recommendations for the use of speci. Who medical eligibility criteria for contraceptive use. Objectives most women who use emergency contraception ec do so because of unprotected sexual intercourse or condom failure and so remain at risk of pregnancy unless they commence an effective method of contraception. Sep 25, 2015 latest advances in the treatment of women with polycystic ovarian syndrome pcos ucla obgyn duration.
Introducing the who medical eligibility criteria for. Medical eligibility criteria for contraceptive use u. National contraception and fertility planning policy and. Medical eligibility criteria for contraceptive use springerlink. Quick reference chart for category 3 and 4 to initiate or continue use of combined oral contraceptives cocs, depotmedroxyprogesterone acetate dmpa, progestinonly implants, copper intrauterine device cuiud, levonorgestral intrauterine system lngius. Medical eligibility criteria for contraceptive use updated june 2012. We urgently need to deal more effectively with the challenges facing our country in terms of unacceptably. Mec comprises recommendations for the use of specific contraceptive methods by women and men who have certain characteristics or medical conditions. The goal of the document is to improve access to, and quality of, family planning services by providing policymakers, decisionmakers and the scientific community with recommendations that can be used for developing or revising national guidelines on the. Adolescent pregnancy, contraception, and sexual activity. Centers for disease control and prevention cdc subject. Medical eligibility criteria for contraceptive use condition subcondition cuiud lngiud implant dmpa pop chc i c i c i c i c i c i c age menarche to eligibility criteria for contraceptive use mec, which gave evidencebased guidance on the safety of contraceptive method use for women and men worldwide who had specific characteristics and medical conditions. The first cornerstone, the medical eligibility criteria for contraceptive use mec, now in its fifth edition, provides thorough information and guidance on the safety of various contraceptive methods for use in the context of specific health conditions and characteristics. Appendix d medical eligibility criteria for contraceptive use the table on the following pages summarizes the world health organization medical eligibility criteria for contraceptive use.
Over the past 10 years, a number of new contraceptive methods have become available to adolescents, newer. This pdf contains the files necessary to print the mec wheel. Medical eligibility criteria for contraceptive use executive summary 1 acknowledgements the world health organization who would like to thank the members of the guideline development group and the evidence secretariat for their contributions throughout the development of these recommendations. Jun 27, 2016 the medical eligibility criteria for contraceptive use mec, the first edition of which was published in 1996, presents current world health organization who guidance on the safety of various. Using the recommendations medical eligibility criteria for. Medical eligibility criteria for contraception was developed by the. Recommendations related to contraception and pregnancy.
Curtis, phd division of reproductive health, cdc expanding our experience and expertise. Contraception for women with systemic lupus erythematosus. These criteria are the basis for the medical eligibility criteria checklists in chapters 1 through 19. This document builds on a process initiated in 1994 to develop the first edition. It makes finding the document youre looking for a breeze. This summary sheet only contains a subset of the recommendations from the usmec. Medical eligibility criteria for contraceptive use, 2016. In great britain, increasingly women now choose to obtain ec from a pharmacy. You may also explore using menu to the right if you prefer. The initial process involved comparing the eligibility criteria used by different agencies for various contraceptives, preparing summaries of published medical and epidemiological literature relevant to medical. Contraception for adolescents american academy of pediatrics. Criteria for contraceptive use, 5th edition 2015, one of whos evidencebased guidelines.
In the who and cdc eligibility criteria, the use of contraceptive methods was considered for cases of cervical, breast, endometrial, ovarian, and liver cancer. The recommendations in the medical eligibility criteria for contraceptive use, fifth edition guidance were released during a global live facebook chat on 1 june 2015. Uk medical eligibility criteria for contraceptive use. The longitudinal data collected allow examination of patterns of. Pages 3,4 arranged alphabetically by disease state updated november 2016. Apr 27, 2020 whereas overall use of dmpa in the united states was low 4.
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