Impact of uk medical eligibility criteria implementation. Objectives this article provides evidencebased guidance on contraceptive options, and information to support decisionmaking about stopping contraception at menopause. Contraceptive method patient characteristics age, smoking status, etc. Medical eligibility criteria for contraceptive use u. Adapted from medical eligibility criteria for contraceptive use, 5th edition. Medical eligibility criteria usmec for contraceptive use guidelines, developed by the world health organization and adapted by the centers for disease control and prevention, assign the. Medical eligibility criteria for contraceptive use springer publishing. Medical eligibility criteria for contraceptive use subcondition i c condition i c i c i c i c i c cuiud lngiud implant dmpa pop chc chc a on immunosuppressive therapy 2 1 2 1 1 23 1 1. Recommendations for other hormonal contraceptive methods including combined. Using the recommendations medical eligibility criteria for. Adapted from the world health organization medical eligibility criteria for contraceptive use, 4th edition prepared by division of reproductive health, national center for chronic disease prevention and health promotion summary cdc created u. Medical eligibility criteria for contraceptive use, 2010. Cocs barrier methods iuds fertility awarenessbased. Contraceptive choice can be limited by increased comorbidities, but the uk medical eligibility criteria ukmec system provides a framework for safe prescribing.
Who medical eligibility criteria wheel for contraceptive use. Medical eligibility criteria for contraceptive use world health. Categories of medical eligibility criteria for contraceptive use. Medical eligibility criteria for contraceptive use, 2010 keywords. During 2012 20, cdc went through a formal process to adapt the global guidance for best.
Adding to these global frameworks, in 2012 governments, donors. Only correct and consistent use of condoms, male or female, protect against stihiv. Editorial the new uk medical eligibility criteria ukmec. In addition to the recommendations themselves, the summary provides an introduction to the guideline, a description of the methods used to develop the recommendations for this fifth edition, and a summary of changes from the fourth edition to the fifth edition of the mec. Who medical eligibility criteria for contraceptive use. 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. Criteria use a numeric scheme to provide the recommendations for contraceptives being used for contraceptive purposes only, not for treatment of medical conditions. It contains the medical eligibility criteria for starting use of contraceptive methods, based on medical eligibility criteria for contraceptive use, 5th edition 2015, one of whos evidencebased guidelines. Medical eligibility criteria for contraceptive use wikipedia. The objective of this study was to assess the potential change in chc prescribing among higherrisk women following publication of the uk medical eligibility criteria for contraceptive use ukmec in 2006. 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 methods safely and the selected practice.
Evidence based guidance for common, yet controversial, contraceptive management questions. Medical eligibility criteria for contraceptive use part ii 99 2. Who medical eligibility criteria wheel for contraceptive use, 2015 update. Selected practice recommendations for contraceptive. Medical eligibility criteria for contraceptive use updated junekey 2012. Medical eligibility criteria for contraceptive use 5th ed. Medical eligibility criteria for contraceptive use, 2010 created date.
Fhi 360 created a quick reference guide, in the form of a chart, that summarizes the who medical eligibility criteria for combined oral contraceptives, the injectable contraceptive depotmedroxyprogesterone acetate dmpa, progestinonly implants, copper intrauterine devices or a levonorgestrel intrauterine system lngius. Medical eligibility criteria for contraceptive use part i 17 1. In the interim, the fourth edition of the guideline, along with this summary of new recommendations provides the complete set of who recommendations on medical eligibility criteria for contraceptive use. This chart shows a complete list of all conditions classified by who as category 3 and 4. Blood pressure measurement and careful evaluation of a medical history are well within the capabilities of a pharmacist. Also, point out any conditions that would make the method inadvisable, when relevant to the client. Although these recommendations are meant to serve as a source of. 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. It guides family planning providers in recommending safe and effective contraception methods for women with medical conditions. Contraceptive use, 20 follow up to us medical eligibility criteria for contraceptive use, 2010 us mec.
Medical eligibility criteria for contraceptive use condition subcondition cuiud lngiud. Jan 07, 20 use is associated with significant cardiovascular risk for women with some medical conditions and risk factors. These evidencebased recommendations do not indicate a. Medical eligibility criteria for contraceptive use r. Us medical eligibility criteria us mec for contraceptive use, 2016. The goal of the document is to improve access to, and quality of, family planning. It guides family planning providers in recommending safe and effective contraception methods for women with medical conditions or medicallyrelevant characteristics. The chinese version is published by the national research institute for family planning, china. Racgp contraception common issues and practical suggestions. Since publication of the uk medical eligibility criteria for contraceptive use. The first cornerstone, the medical eligibility criteria for contraceptive use mec, now in its fifth edition 1, provides thorough information and 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 us mec 2010. Although oral contraceptives are a great choice for many women, it is important to understand the conditions that may increase risk for the user.
It is anticipated that the medical eligibility criteria for contraceptive use, fifth edition will be available online by 1 july 2015. The full print document of the us medical eligibility criteria is intended to describe in further detail the medical evidence for each recommendation. Medical eligibility chart english age summary chart of u. 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. The objective of our study was to examine provision of contraception to women. The recommendations in this report are intended to assist health care providers when they counsel women, men, and couples. Us medical eligibility criteria us mec for contraceptive. Current contraceptive management in general practice. Who recommendations for provision of emergency contraception.
Quick reference chart for the who medical eligibility. The us medical eligibility criteria for contraceptive use mec identified 20 medical conditions that increase a womans risk for adverse outcomes in pregnancy. Who medical eligibility criteria update contraception. These criteria are the basis for the medical eligibility criteria checklists in chapters 1. Be sure to explain the health benefits and risks and the side effects of the method that the client will use. Mec, focuses on who can safely use specific methods of contraception and provides recommendations for the safety of contraceptive methods for women with various medical conditions e. If there is a risk of stihiv, condom use is recommended. Quick reference chart for the who medical eligibility criteria for contraceptive use 2016 the world health organization who develops detailed criteria that health care workers can follow to determine which contraceptive methods are medically suitable for their clients. Risk of venous thromboembolism among users of drospirenone. Medical eligibility criteria for contraceptive use fifth. This wheel contains the medical eligibility criteria for starting use of contraceptive methods, based on medical eligibility criteria for contraceptive use, 5th edition 2015, one of whos evidencebased guidelines.
This executive summary contains all the new recommendations that will be incorporated into the fifth edition of the medical eligibility criteria for contraceptive use. Medical eligibility criteria wheel for contraceptive use who 2015 c o n v u l s a n ts t t p medical eligibility criteria for contraceptive use. Medical eligibility criteria for contraceptive use keywords. Medicaid claims for contraception among women with. Use of key contraception methods overview of who medical eligibility criteria for contraceptive use 3 definitions postpartum contraception is the initiation and use of family planning methods during the first year after delivery postplacental within 10 minutes after placenta delivery immediate postpartum within 48 hours after. Us medical eligibility criteria for contraceptive use, 2016 cdc. We will outline some of the risks below and the cdc medical eligibility criteria chart can be referenced for more information. Ed, fnp, bc, faanp nurse practitioner for 36 years newton wellesley obgyn, newton, ma 20 lifetime achievement award, mcnp massachusetts coalition of nps coauthor, the gyn exam, 2012, springer. 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. Mec recommends that women with these conditions use longacting, highly effective contraceptive methods.
Medical eligibility criteria for contraceptive use, 2010 author. The recommendations in this report are intended to assist health care providers when they counsel women, men, and couples about contraceptive method choice. Medical eligibility criteria for implants family planning. Medical eligibility criteria for contraceptive use for women with other factors related to stds, and the u. Postpartum contraception, family planning methods and birth. Medical eligibility criteria for contraceptive use, 2010, from guidance developed by the world health. This summary sheet only contains a subset of the recommendations from the u.
Medical eligibility criteria for contraceptive use pages 1,2color coded in the left column to match the corresponding key. Selected practice recommendations for contraceptive use on std screening before iud insertion 1, 3. Evidence based guidance for common, yet controversial, contraceptive. Medical eligibility criteria for contraceptive use executive summary 3 abbreviations art antiretroviral therapy arv antiretroviral medication. As soon as the client answers yes to any question, stop and follow the instructions below. Medical eligibility criteria for contraceptive use subcondition i c condition anatomical abnormalities anemias benign ovarian tumors breast disease breastfeeding cervical cancer cervical ectropion cervical intraepithelial neoplasia cirrhosis circystic fibrosis deep. Categories of medical eligibility criteria for contraceptive use 1 a condition for which there is no restriction for the use of the contraceptive method.
The medical eligibility criteria for contraceptive use mec provides guidance regarding which clients can use contraceptive methods safely. 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. This guidance, the medical eligibility criteria for contraceptive use or mec, offers national family. Given recent updates to the postpartum contraception recommendations in the fifth edition of the medical eligibility criteria for contraceptive use mec, published by the world health. Mec 2016 provides evidencebased guidance for the safe use of contraceptive. Summary chart of us medical eligibility criteria for. Us medical eligibility criteria mec us selected practice. Medical eligibility criteria for contraceptive use, 2010 u. The uk medical eligibility criteria for contraceptive use ukmec the uk medical eligibility criteria for contraceptive use ukmec offers guidance to providers of contraception regarding. Medical eligibility criteria for contraceptive use, 2016. 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 medical eligibility criteria for contraceptive use updated june 2012. Improving access to quality care on family planning. It guides family planning providers in recommending safe and effective contraception methods for women with medical conditions or. 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.
For complete classifications, see medical eligibility criteria for contraceptive use. A global handbook for providers appendix d medical eligibility criteria for contraceptive use the table on the following pages summarizes the world health organization medical eligibility criteria for using contraceptive methods. Preexisting conditions hypertension, epilepsy, etc. Medical eligibility criteria for contraceptive use, published in 2000.
A welcome update of the uk medical eligibility criteria ukmec will be published in april 2016. Recommendations for who can safely use contraception adapted from world health organization who spr intent. Mec comprises recommendations for the use of specific contraceptive methods by women and men who have certain characteristics or medical conditions. This summary sheet only contains a subset of the recommendations from the us mec. All women and girls at risk of an unintended pregnancy have a right to access emergency contraception and these methods should be routinely included within all national family planning.
Medical 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. 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. Ukmec 2016 is not designed to address the use of contraceptives for non. Blood pressure measurement and careful evaluation of a medical history are well within the capabilities of. The united states medical eligibility criteria for contraceptive use, 2016 us mec includes recommendations for using specific contraceptive methods by women and men who have certain characteristics or medical conditions. The uk medical eligibility criteria for contraceptive use ukmec were first implemented in 2006 and provide evidencebased recommendations for safe provision of contraception to women with a range of medical conditions and personal characteristics. Use of the cdc us medical eligibility criteria for. Medicaid claims for contraception among women with medical. Centers for disease control and prevention cdc subject. Medical eligibility criteria for contraceptive use. Across the lifespan the new us cdc medical eligibility. Medical eligibility criteria exist in multiple formats described below to encourage greater use and access by medical professionals. Russo and others published use of the cdc us medical eligibility criteria for contraceptive use among primary care physicians find, read and cite all the.
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