For accessible version of the mec summary chart, please see the full recommendations here. To arrive at the top five similar articles we use a wordweighted. Combined hormonal contraception use in reproductiveage women. Medical eligibility criteria wheel for contraceptive use who 2015 g i v u l s a n t s t a 2 3 1 n r g 3 s ms 2 b e l o r t n o c d n s r ot c a f e s a e i d o m im n. Also, point out any conditions that would make the method inadvisable, when relevant to the client. Who medical eligibility criteria wheel world health. 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 contraceptive use u.
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. Medical eligibility criteria for contraceptive use, 2010 created date. The whos medical eligibility criteria for contraceptive. Development of the medical eligibility criteria for. Medical eligibility criteria for contraceptive use. Knowledge of normal postpartum events allows appropriate care, reassurance and early recognition of. 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. Adapted from medical eligibility criteria for contraceptive use, 5th edition. Medical eligibility criteria for contraceptive use, 2010 keywords. Provide contraceptive counseling while the patient is still in the hospital. Medical eligibility criteria for contraceptive use pages 1,2color coded in the left column to match the corresponding key.
Resolutiontoendorsetheunitedstatesmedicaleligibilitycriteria forcontraceptive use whereastheamericanacademyoffamily. Who medical eligibility criteria for contraceptive use. Appendix g part 1 summary of us contraceptive use medical eligibility criteria. The goal of the guidance is to improve the quality of family planning care and expand. Thank you for your interest in spreading the word about global health. Be sure to explain the health benefits and risks and the side effects of the method that the client will use. Whos global family planning guidance, which includes four documents. Medical eligibility criteria for contraceptive use the table on the following pages summarizes the world health organization medical eligibility criteria for using contraceptive methods. Contraceptive definition of contraceptive by medical. Us medical eligibility criteria 2016 category definition recommendation 1 no restriction in contraceptive use use the method 2 advantages generally outweigh theoretical or proven risks more than usual followup needed 3 theoretical or proven risks outweigh advantages of the method clinical judgment that this patient can safely use.
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. Medical eligibility criteria for contraceptive use keywords. 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. The us medical eligibility criteria for contraceptive use mec and us selected practice recommendations for contraceptive use spr. It is color coded in the left column to match the corresponding question of the oregon selfscreening risk assessment questionnaire. Include the cdc recommendations for timing of initiation of postpartum contraception to minimize the risk of dvt and methods appropriate for a history of dvt according to the cdc us medical eligibility criteria for contraceptive. Medical eligibility criteria for contraceptive use, 2010. For complete classifications, see medical eligibility criteria for contraceptive use.
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. 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. Medical eligibility criteria for contraceptive use, 2010 description of resource. Contraception prescribing credentialing for maryland. 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. 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. As soon as the client answers yes to any question, stop and follow the instructions below. Given a patient case and using the united states medical eligibility criteria us mec and the maryland algorithm for hormonal contraception, assess whether a screened. Chccombined hormonal contraceptive pill, patch, and ring. Mec comprises recommendations for the use of specific contraceptive methods by women and men who have certain.
These criteria are the basis for the medical eligibility criteria checklists in chapters 1 through 19. This is the fifth edition of the mec the latest in the series of periodic updates. Medical eligibility criteria for contraceptive use fifth. Mec comprises recommendations for the use of specific contraceptive methods in individuals with certain medical conditions. Ukmec april 2016 summary sheet amended september 2019. Part i development of the medical eligibility criteria for contraceptive use, fifth edition for pdf, 571kb 95 pages, pdf 848 kb part ii using the recommendations pdf, 1.
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. 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. Only correct and consistent use of condoms, male or female, protect against stihiv. Fsrh uk mec faculty of sexual and reproductive healthcare.
Medical eligibility criteria for contraceptive use updated july 2017. Development of earlier editions of the medical eligibility criteria for contraceptive use. It guides family planning providers in recommending safe and effective contraception methods for women with medical conditions or medicallyrelevant characteristics. The first edition of the whos medical eligibility criteria for contraceptive use, 1996 mec has improving access to quality care in family planning written in capital letters across the top of the front cover. This summary sheet only contains a subset of the recommendations from the usmec. 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. 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. Medical eligibility criteria for contraceptive use, 2010 author. Approximately 6,400 out of 7,400 hiv diagnoses in 2015. In the late 1990s, the world health organization who created the medical eligibility criteria for contraceptive use mec, which provide evidencebased recommendations for safe and effective. Who guidance on the safety of various contraceptive methods in the context.
Use online tools to allow patients to complete forms and sign electronically i. If there is a risk of stihiv, condom use is recommended. Medical eligibility criteria for contraceptive use 5th ed. Contraception prescribing credentialing for maryland pharmacists. This chart shows a complete list of all conditions classified by who as category 3 and 4. 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. All four cornerstones are best interpreted and used in a broader context of reproductive and sexual health care. Using the recommendations medical eligibility criteria. Cdc medical eligibility criteria for contraceptive use. Who medical eligibility criteria wheel for contraceptive use. Maintain roles allowing staff to complete intakes, screening, medical history in advance.
This guidance 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 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. 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. 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 recommends that com bined hormonal. Us medical eligibility criteria us mec for contraceptive use, 2016.
Chccombined hormonal contraception pill, patch, and, ring. Family planning client assessment and medical eligibility criteria. Recommendations for other hormonal contraceptive methods. Us medical eligibility criteria us mec for contraceptive. It guides family planning providers in recommending safe and effective contraception methods for women with medical conditions. This wheel is based on similar medical eligibility criteria wheels developed independently in ghana and jordan. Use of the world health organizations medical eligibility criteria for. Every now and then, repeat what you have heard, paraphrasing in your own words what. Pages 3,4 arranged alphabetically by disease state updated november 2016.
Who medical eligibility criteria wheel for contraceptive use 2015 update. 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. Family planning reference guide intrahealth international. This document builds on a process initiated in 1994 to develop the first edition. Summary chart of us medical eligibility criteria for contraceptive use. Medical eligibility criteria for combined oral contraceptives. Medical eligibility criteria for initiating contraception. Appendix g part 2 mmwr us medical eligibility criteria for contraceptive use. Centers for disease control and prevention cdc subject. The medical eligibility criteria for contraceptive use mec provides guidance regarding which clients can use contraceptive methods safely. This is an alphabetical listing of every publication on our website. Medical eligibility criteria for contraceptive use who.