World health organization who family planning 2020. This wheel is based on similar medical eligibility criteria. Medical eligibility criteria wheel for contraceptive use who 2015 c o n v u l s a n ts t t p pdf contains the files necessary to print the mec wheel. Quick reference chart for category 3 and 4 to initiate or continue use of. Medical eligibility criteria for contraceptive use who. 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 main product revision, improvements were made by adding information and images about contraceptive methods. Medical eligibility criteria for contraceptive use mec. Using the recommendations medical eligibility criteria. 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. 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. The medical eligibility criteria for contraceptive use mec provides guidance regarding which clients can use contraceptive methods safely. Medical eligibility criteria for implants family planning. 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.
Medical eligibility criteria for contraceptive use, published in 2000. Who guidance on the safety of various contraceptive methods in the context. Contraception for women with systemic lupus erythematosus. Medical eligibility criteria for contraceptive use, 2016. Mec comprises recommendations for the use of specific contraceptive methods by women and men who have certain characteristics or medical conditions. Fsrh uk mec faculty of sexual and reproductive healthcare. One example of a resource is the medical eligibility criteria for contraceptive use mec, which exists in multiple formats.
Medical eligibility criteria usmec for contraceptive use, 2016 1, which has been endorsed by the american college of obstetricians and gynecologists, is a published guideline based on the best available evidence and expert opinion to help health care providers better care for women with chronic medical problems who need contraception. However, people with medical conditions may need to have contraceptive options tailored around their specific needs. It guides family planning providers in recommending safe and effective contraception methods for women with medical. Medical eligibility criteria for contraceptive use the table on the following pages summarizes the world health organization medical eligibility criteria for using contraceptive methods.
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. This document builds on a process initiated in 1994 to develop the first edition. 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. Uk medical eligibility criteria ukmec for combined oral contraceptive use2 ukmec category 1 unrestricted use age menarche to 6. Development, updates, and future directions of the world. Medical eligibility criteria for contraceptive use sharenet. It guides family planning providers in recommending safe and effective contraception methods for women with medical conditions. Medical eligibility criteria for contraceptive use. 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. Be sure to explain the health benefits and risks and the side effects of the method that the client will use. Revised recommendations for the use of contraceptive methods during the postpartum period.
Quick reference chart for category 3 and 4 to initiate or continue use of combined oral contraceptives cocs, depotmedroxyprogesterone. Medical eligibility criteria for contraceptive use fifth. Penelitianthis researchini invent the design of application based medical eligibility model of contraceptive use titled application of clinical decision making system of contraceptive use. Use of the world health organizations medical eligibility. Aug 15, 2014 the who medical eligibility criteria for contraceptive use who mec provides evidencebased recommendations to ensure that patients are medically fit to use a particular method and can safely. First published in 1996, revised through expert meetings held in 2000, 2003, and 2008. 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. Development of earlier editions of the medical eligibility criteria for contraceptive use. Medical eligibility criteria for contraceptive use, fifth. Us medical eligibility criteria us mec 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 5th ed. Medical eligibility criteria for contraceptive use fifth edition 2015. Medical eligibility criteria for contraceptive use, 2010. Use of hormonal contraception in women with coexisting. Executive summary medical eligibility criteria for. This pdf contains the files necessary to print the mec wheel. A recent study found that among a cohort of women with sle and at risk of unintended pregnancy, including many on teratogenic medications, 59% reported no contraceptive counselling within the past year and 53% relied solely on barrier contraceptive methods. Whos global family planning guidance, which includes four documents. The recommendations in this report are intended to assist health care providers when they counsel women, men, and couples about contraceptive. Final 20 september 2016 option c 2016 who medical eligibility. Medical eligibility criteria for contraceptive use mec, the first edition of which. This is the fifth edition of the mec the latest in the. This summary sheet only contains a subset of the recommendations from the usmec.
Medical eligibility criteria for combined oral contraceptives. Development of the medical eligibility criteria for. Contraceptive eligibility for women at high risk of hiv. For complete classifications, see medical eligibility criteria for contraceptive use. The 2009 edition of mec for contraceptive use is now available online see. 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. This chart shows a complete list of all conditions classified by who as category 3 and 4. 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 organization. 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 depot. 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 uk medical eligibility criteria for contraceptive use ukmec the uk medical eligibility criteria for contraceptive use ukmec offers guidance to providers of contraception regarding. Who medical eligibility criteria wheel for contraceptive use. The us medical eligibility criteria for contraceptive use mec and us selected practice recommendations for contraceptive use spr provide evidencebased guidance to safely provide contraception counseling and services.
Not all contraceptives are suitable immediately postpartum. Both documents were updated in 2016 and are endorsed by the north american society for pediatric and adolescent gynecology. Adapted from medical eligibility criteria for contraceptive use, 5th edition. 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. How to access the fsrh uk medical eligibility criteria for contraceptive use uk mec the uk mec helps clinicians decide what contraceptives they can safely recommend based on the medical. Resources exist for patients and providers to help tailor methods. In 1996, the world health organization created a set of guidelines called medical eligibility criteria for contraceptive use for family planning and reproductive health programs and providers in order to guide provision of contraceptive care worldwide. Medical eligibility criteria for contraceptive use updated july 2017. 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. Uk medical eligibility criteria ukmec for combined oral. Only correct and consistent use of condoms, male or female, protect against stihiv.
Significance of the medical eligibility for contraceptive use and the. The medical eligibility criteria for contraceptive use. Medical eligibility criteria for contraceptive use share. Medical eligibility criteria for contraceptive use, 2010 description of resource. This wheel contains the medical eligibility criteria for starting use of contraceptive methods, based on medical eligibility. The whos medical eligibility criteria for contraceptive. Medical eligibility criteria for initiating contraception. 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. Guidance statement recommendations on contraceptive methods used by women at high risk of hiv. In 2012, the world health organization committed to working with countries to integrate the who medical eligibility criteria family planning wheel and related tools and guidelines into health systems to expand access to, and quality of, family planning services. Contraception is typically considered safer than pregnancy, especially in patients with medical conditions such as high blood pressure or diabetes. Medical eligibility criteria for contraceptive use 2010. The medical eligibility criteria for contraceptive use mec provides guidance.
How to use whos family planning guidelines and tools. Also, point out any conditions that would make the method inadvisable, when relevant to the client. Pip medical barriers to family planning fp are identified as. 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. Applicationbased medical eligibility criteria model of. This document is part of the process for improving the quality of care in family planning. A great reference tool for health care providers who want to check a patients medical eligibility for various forms of contraception.
Medical eligibility criteria for contraceptive use wikipedia. Acknowledgements the medical eligibility criteria for contraceptive use and this version of the medical eligibility criteria wheel were developed by the world health organizations department of reproductive health and research. 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. Who medical eligibility criteria for contraceptive use.
Us medical eligibility criteria us mec for contraceptive use, 2016. Mar 22, 2017 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. 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 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. To provide policy and decisionmakers, and the scientific community, with recommendations that can be used to develop or revise national guidelines on medical eligibility criteria for contraceptive use recommendations on safety of methods for people with certain health conditions 12. Medical eligibility criteria for contraceptive use world health. For accessible version of the mec summary chart, please see the full recommendations here. Reproductive health access project medical eligibility for.
Centers for disease control and prevention cdc subject. Us medical eligibility criteria for contraceptive use, 2016 cdc. 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. If there is a risk of stihiv, condom use is recommended. Uk medical eligibility criteria ukmec for combined oral contraceptive use2 ukmec category 1 unrestricted use age menarche to 6 months postpartum postpartum 21 days if not breastfeeding postabortion immediately first and second trimester, and postseptic. This is the fifth edition of the mec the latest in the series of periodic updates. 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. Medical eligibility criteria for contraceptive use u. This guidance comprises recommendations for the use of specific contraceptive methods by women and men who have certain characteristics or medical conditions. How to access the fsrh uk medical eligibility criteria for contraceptive use uk mec the uk mec helps clinicians decide what contraceptives they can safely recommend based on the medical conditions of patients in their care. The goal of the document is to improve access to, and quality.
Medical eligibility criteria for contraceptive use rhl. Mec comprises recommendations for the use of specific contraceptive methods by women and men who have certain characteristics or medical. This summary sheet only contains a subset of the recommendations from the us mec. Quick reference chart for the who medical eligibility. It is color coded in the left column to match the corresponding question of the oregon selfscreening risk assessment questionnaire. The present study explored the medical eligibility for contraceptive use, preferences for contraceptives, and acceptance of the iud among a cohort of hivinfected women receiving art who presented for. Medical eligibility criteria for contraceptive use, 2016 revised recommendations for the use of hormonal contraception among women at high risk for hiv infection. 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 5th ed. These criteria are the basis for the medical eligibility criteria checklists in chapters 1 through 19. Implementation guide for the medical eligibility criteria and selected practice recommendations for contraceptive use. The whos medical eligibility criteria for contraceptive use. Medical eligibility criteria for contraceptive use keywords. 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. Who medical eligibility criteria wheel world health.
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