Medical eligibility criteria for contraceptive use the table on the following pages summarizes the world health organization medical eligibility criteria for using contraceptive methods. Progestogensused in contraceptives chapter 7 contraception. There are two forms of emergency contraception available today. 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. 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 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. This is an alphabetical listing of every publication on our website. This document, selected practice recommendations for contraceptive use. Medical eligibility criteria for contraceptive use, 2010, from guidance developed by the world health organization who and. 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. Contraception for adolescents american academy of pediatrics. Medical eligibility criteria for contraceptive use updated july 2017. 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. 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.
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 initiating contraception. In the absence of contraindications 17, patient choice should be the principal factor in prescribing one method of contraception over another. A comprehensive dissemination and evaluation plan will be implemented. 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. These criteria are the basis for the medical eligibility criteria checklists in chapters 1 through 19. Medical eligibility criteria for contraceptive use, 2016. This document is part of the process for improving the quality of care in family planning. Medical eligibility criteria for contraceptive use fifth edition 2015. Contraception for women with systemic lupus erythematosus.
Women completed four online surveys one every six months between 2012 and 2014. 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. Final 20 september 2016 option c 2016 who medical eligibility. All four cornerstones are best interpreted and used in a broader context of reproductive and sexual health care. Implementing teenage pregnancy prevention programs march 1214, 2012 baltimore, md. 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. 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. Additional guidance on starting and switching contraceptive methods can be found in the package insert of the contraceptive method. This is the fifth edition of the mec the latest in the series of periodic updates. Medical eligibility criteria for contraceptive use u. Development of earlier editions of the medical eligibility criteria for contraceptive use. Development of the medical eligibility criteria for.
Mec comprises recommendations for the use of specific contraceptive methods by women and men who have certain characteristics or medical conditions. Medical eligibility criteria for contraceptive use fifth. Sep 25, 2015 latest advances in the treatment of women with polycystic ovarian syndrome pcos ucla obgyn duration. Dissemination and evaluation of the medical eligibility criteria for contraceptive use, fifth edition. Use research findings to inform policy development and programme planning. This summary sheet only contains a subset of the recommendations from the usmec. We also had, prior to the cdc medical eligibility criteria, the world health organization medical eligibility criteria for contraceptive use who mec. Cdc updates eligibility criteria for contraceptive use. This summary sheet only contains a subset of the recommendations from the us mec. The efficacy of intrauterine devices for emergency. Selected practice recommendations for contraceptive use, 2016 2016 u. The medical eligibility criteria wheel for contraceptive use. 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 updated junekey 2012.
Medical eligibility criteria for contraceptive use, 2010 this summary sheet only contains a subset of the recommendations from the us mec. Medical eligibility criteria for contraceptive use, published in 2000. Who medical eligibility criteria for contraceptive use. It is color coded in the left column to match the corresponding question of the oregon selfscreening risk assessment questionnaire. Contraception is a pillar in reducing adolescent pregnancy rates. 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. Recommendations related to contraception and pregnancy. 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.
In great britain, increasingly women now choose to obtain ec from a pharmacy. 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 college supports access for adolescents to all contraceptive methods approved by the fda. We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Collaborate with other government departments and agencies to expand and strengthen contraceptive services. Pages 3,4 arranged alphabetically by disease state updated november 2016. Medical eligibility criteria for contraceptive use updated june 2012. 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. Appendix d medical eligibility criteria for contraceptive. 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 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. Medical eligibility criteria for contraceptive use fifth edition isbn 978 92 4 1549158 fifth edition, 2015 medical eligibility criteria for contraceptive use. Adapted from the world health organization who may 28, 2010 vol. This pdf contains the files necessary to print the mec wheel.
Strategies for objective 2 to increase public knowledge of clients rights, contraceptive methods and services 18 1. This executive summary contains all the new recommendations that will be incorporated into the fifth edition of the medical eligibility. The medical eligibility criteria for contraceptive use mec provides guidance regarding which clients can use contraceptive methods safely. 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. Introducing the who medical eligibility criteria for.
Categories of medical eligibility criteria for contraceptive use 1 a condition for which there is no restriction for the use of the contraceptive method. Individual considerations and contraindications regarding the use of specific contraceptives are detailed in the u. 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. Criteria for contraceptive use, 5th edition 2015, one of whos evidencebased guidelines. Medical eligibility criteria wheel for contraceptive. National contraception and fertility planning policy and.
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. 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. 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. These criteria are the basis for the medical eligibility criteria checklists in most chapters of this handbook on family planning methods. We urgently need to deal more effectively with the challenges facing our country in terms of unacceptably. Medical eligibility criteria for contraception was developed by the. Quick reference chart for the who medical eligibility. How to use whos family planning guidelines and tools. Medical eligibility criteria for contraceptive use rhl. Medical eligibility criteria for contraceptive use.
Safety and effectiveness data for emergency contraceptive. Medical eligibility criteria for contraceptive use, 2016 revised recommendations for the use of hormonal contraception among women at high risk for hiv infection. Contraceptive use among women at risk for unintended pregnancy in the context of public health emergencies united states, 2016 2018 u. You may also explore using menu to the right if you prefer. Us 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.
Selected practice recommendations for contraceptive use rhl. Contraceptive availability during an emergency response in. United states medical eligibility criteria for contraceptive use. Uk medical eligibility criteria for contraceptive use. To help the patient make this choice, the obstetriciangynecologist should do the following. 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. Using the recommendations medical eligibility criteria for. Medical eligibility criteria for contraceptive use 5th ed.
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. This chart shows a complete list of all conditions classified by who as category 3 and 4. Medical eligibility criteria for contraceptive use, 2016 2016. 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. Us medical eligibility criteria for contraceptive use kathryn m. Centers for disease control and prevention cdc subject. This publication was more comprehensive than the acog guidance, and it was regularly updated. Medical eligibility criteria for contraceptive use pages 1,2color coded in the left column to match the corresponding key. It guides family planning providers it guides family planning providers in recommending safe and effective contraception methods for women with medical conditions or medicallyrelevant.
United states medical eligibility criteria for contraceptive use, 2016 affirmation of value, november 2016 the updated u. Contraceptive use among women presenting to pharmacies for. 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. In the who and cdc eligibility criteria, the use of contraceptive methods was considered for cases of cervical, breast, endometrial, ovarian, and liver cancer. 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.
Apr 27, 2020 whereas overall use of dmpa in the united states was low 4. This guidance comprises recommendations for the use of speci. Implementation guide for the medical eligibility criteria and selected practice recommendations for contraceptive use guidelines. Mec categories for contraceptive eligibility 1 a condition for which there is no restriction for the use of the contraceptive method. Over the past 10 years, a number of new contraceptive methods have become available to adolescents, newer. Medical eligibility criteria for contraceptive use, 2010 u. Adapted from medical eligibility criteria for contraceptive use, 5th edition. 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. Curtis, phd division of reproductive health, cdc expanding our experience and expertise. Medical eligibility criteria for contraceptive use keywords. This document builds on a process initiated in 1994 to develop the first edition. The longitudinal data collected allow examination of patterns of. Medical eligibility criteria for contraceptive use springerlink. Medical eligibility criteria for contraceptive use, 2010.
It makes finding the document youre looking for a breeze. 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. 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. Medical eligibility criteria for contraceptive use who.
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