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. Medical eligibility criteria for contraceptive use, 2010 us mec, providing evidencebased guidance for the safe use of contraceptive methods among women with certain. Development of earlier editions of the medical eligibility criteria for contraceptive use. Providers may use the following resources as needed for information on. Family planning client assessment and medical eligibility criteria 57 these guidelines, which are updated regularly, reflect the consensus of experts from the worlds leading health organisations and are based on the latest clinical and epidemiological data. The medical eligibility criteria for contraceptive use mec provides guidance regarding which clients can use contraceptive methods safely. Medical eligibility criteria for contraceptive use, 2016. This summary sheet only contains a subset of the recommendations from the usmec. This chart shows a complete list of all conditions classified by who as category 3 and 4. Medical eligibility criteria for contraceptive use u. American college of obstetricians and gynecologists acog, committee on gynecologic practice. Who medical eligibility criteria update contraception.
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 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 the context of specific health conditions and characteristics. Medical eligibility criteria for combined oral contraceptives. A great reference tool for health care providers who want to check a patients medical eligibility for various. 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. This lrp was updated in 2015 to reflect revisions to whos medical eligibility criteria for contraceptive use, 5th edition that have implications for contraceptive implant use. Who medical eligibility criteria wheel for contraceptive use, 2015 update. Improving access to quality care on family planning. Medical eligibility criteria for contraceptive use world health. Contraceptive use by iranian women with hypertension, diabetes and obesity. This guidance comprises recommendations for the use of specific contraceptive methods by women and men who. Clinical performance measures of contraceptive care. This pdf contains the files necessary to print the mec wheel.
May 20, 2019 the spermicide is put deeply inside the vagina and works to prevent pregnancy by stopping and killing sperm before they can reach an egg and fertilize it. Medical eligibility criteria for contraception was developed by the. Medical eligibility criteria for contraceptive use who. Quick reference chart for category 3 and 4 to initiate or continue use of. Medical eligibility criteria for contraceptive use, 2010 description of resource. The 2009 edition of mec for contraceptive use is now available online see. Weight bmi measurement is not needed to determine medical eligibility for any methods of contraception because all methods can be used us medical eligibility criteria 1 or generally can be used us medical eligibility criteria 2 among obese women. Blood pressure measurement and careful evaluation of a medical history are well within the capabilities of a pharmacist.
Use of hormonal contraception by women at high risk of hiv continues to be a category 1. Members enrolled in the family planning eligibility program are eligible for one annual examination in a 12month period. Be sure to explain the health benefits and risks and the side effects of the method that the client will use. Adapted from medical eligibility criteria for contraceptive use, 5th edition. 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 pdf contains the files necessary to print the mec wheel. Weight bmi measurement is not needed to determine medical eligibility for any methods of contraception because all methods can be used us medical eligibility criteria 1 or generally can be.
These criteria are the basis for the medical eligibility criteria checklists in chapters 1 through 19. Mec comprises recommendations for the use of specific contraceptive methods by women and men who have certain characteristics or. Medical eligibility criteria for contraceptive use page 3 goal the goal of this document is to provide policy and decisionmakers and the scientific community with a set of recommendations that can be used for developing or revising national guidelines on medical eligibility criteria for contraceptive use. It is color coded in the left column to match the corresponding question of the oregon.
In 2014, the world health organization who revised its medical eligibility criteria mec and considered new studies on this issue. Members enrolled in the family planning eligibility program are eligible for one annual examination in a 12. United states medical eligibility criteria for contraceptive use, 2016 affirmation of value, november 2016 the updated u. The medical eligibility criteria for contraceptive use mec provides guidance. Reproductive health access project medical eligibility. Fsrh uk mec faculty of sexual and reproductive healthcare. Final 20 september 2016 option c 2016 who medical eligibility. Medical eligibility criteria for contraceptive use. This document builds on a process initiated in 1994 to develop the first edition. Postpartum contraception, family planning methods and birth. Medical eligibility criteria for contraceptive use updated july 2017.
Medical eligibility criteria for contraceptive use, 2010 author. Medical eligibility criteria for contraceptive use, 2016 revised recommendations for the use of hormonal contraception among women at high risk for hiv infection. Who medical eligibility criteria wheel for contraceptive use. 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.
Depending on pt preference, she can be offered pill, patch, or ring. Cdc updates eligibility criteria for contraceptive use. In 2014, the world health organization who revised its medical eligibility criteria mec and considered new. It updates the third edition of medical eligibility criteria for contraceptive use, published in 2004, and summarizes the main.
Use of the world health organizations medical eligibility criteria for. Hormonal contraceptive eligibility for women at high risk. Known as the medical eligibility criteria for contraceptive use mec, this guidance offers national. Medical eligibility criteria for initiating contraception. Also, point out any conditions that would make the method inadvisable, when relevant to the client. Mec comprises recommendations for the use of specific contraceptive methods by women and men who have certain characteristics or medical conditions. There are three different ways you can access the ukmec including for the first time a digitally designed version enabling you to access a searchable online mec. Medical eligibility criteria for contraceptive use fifth. 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 the table on the following pages summarizes the world health organization medical eligibility criteria for using contraceptive methods. Development of the medical eligibility criteria for.
Ch ccombined hormonal contraception pill, p a tch, and, ring. The world health organization who has published 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 ncbi. Mec comprises recommendations for the use of specific contraceptive methods in individuals with certain medical conditions. 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. 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. These two documents provide evidencebased guidance for choosing the medical eligibility criteria for contra. This guidance, the medical eligibility criteria for contraceptive use or mec, offers. A comprehensive dissemination and evaluation plan will be implemented, which will include widespread dissemination through the who regional and country offices, who member states. The goal of the document is to improve access to, and quality of. This guidance comprises recommendations for the use of specific contraceptive methods by women and men who have certain characteristics or medical conditions. Womens health 9 centers for disease control and prevention, us medical eligibility criteria for contraceptive use, selected practice recommendations for contraceptive use, and providing quality family planning preventive care and health screening 9. 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. Medical eligibility criteria for contraceptive use, published in 2000.
Medical eligibility criteria for contraceptive use, 2010. This executive summary contains all the new recommendations that will be incorporated into the fifth edition of the medical eligibility. Womens health 9 centers for disease control and prevention, us medical eligibility criteria for contraceptive use, selected practice recommendations for contraceptive use, and providing quality. Medical eligibility criteria for contraceptive use, 2010 us mec, providing evidencebased guidance for the safe use of contraceptive methods among women with certain characteristics or medical conditions, including women who are at high risk for hiv infection or are hiv infected. Spermicide can be insertedused up to one hour before having sex. Postpartum contraception, family planning methods and. Checklists for family planning and related preventive health. Uk medical eligibility criteria for contraceptive use ukmec 2009. Checklists for family planning and related preventive. Family planning client assessment and medical eligibility criteria 57 these guidelines, which are updated regularly, reflect the consensus of experts from the worlds leading health organisations and. Using the recommendations medical eligibility criteria for.
For complete classifications, see medical eligibility criteria for contraceptive use. The first two cornerstones of this evidencebased series figure 1 are. It is color coded in the left column to match the corresponding question of the oregon selfscreening risk assessment questionnaire. Using the recommendations medical eligibility criteria. Quick reference chart for category 3 and 4 to initiate or continue use of combined oral contraceptives cocs, depotmedroxyprogesterone. Iud and implant removal is an essential reproductive health service. Instructions can be different for each type of spermicide, so read the label carefully before use.
The family planning eligibility program covers pap smears if performed. Please note that these job aids do not address medical decision making about prescribing birth control methods for individual patients with medical conditions. United states medical eligibility criteria for contraceptive use. Guideline for contraception promote planned pregnancy. Mec, which provided recommendations on safe use of contraceptive methods for women with various medical conditions and other. The spermicide is put deeply inside the vagina and works to prevent pregnancy by stopping and killing sperm before they can reach an egg and fertilize it. 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. Medical eligibility criteria for contraceptive use 5th ed. Progestin only method minipill, contraceptive implant, progestin ius minipill any day, start the day after last pill taken implant ius start on day device is removed. Reproductive health access project medical eligibility for. Medical eligibility criteria for contraceptive use page 3 goal the goal of this document is to provide policy and decisionmakers and the scientific community with a set of recommendations that can be. Ask about birth control at every visit and start a method today. Explaining contraception job aids for healthcare providers. Us medical eligibility criteria for contraceptive use.
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