United States Medical Eligibility Criteria for Contraceptive Use 2010: A Review of Changes

In the late 1990s, the World Health Organization (WHO) created the Medical Eligibility Criteria for Contraceptive Use (MEC), which provide evidence‐based recommendations for safe and effective contraception in women with medical problems. The WHO MEC incorporate the best available evidence, are peri...

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Veröffentlicht in:Journal of midwifery & women's health 2011-11, Vol.56 (6), p.598-607
Hauptverfasser: Jacobson, Janet C., Aikins Murphy, Patricia
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Aikins Murphy, Patricia
description In the late 1990s, the World Health Organization (WHO) created the Medical Eligibility Criteria for Contraceptive Use (MEC), which provide evidence‐based recommendations for safe and effective contraception in women with medical problems. The WHO MEC incorporate the best available evidence, are periodically updated, and are designed to be modified for specific populations. The US Centers for Disease Control and Prevention published US MEC in 2010. Changes to WHO guidelines for use in the US population include the following areas: breastfeeding, intrauterine device use, valvular heart disease, ovarian cancer, uterine fibroids, and venous thromboembolism. Medical conditions not covered by WHO recommendations but added to the US MEC include contraceptive guidance for women with inflammatory bowel disease, history of bariatric surgery, rheumatoid arthritis, endometrial hyperplasia, history of peripartum cardiomyopathy, and history of solid organ transplant. This article reviews the changes and additions to WHO MEC found in the US MEC.
doi_str_mv 10.1111/j.1542-2011.2011.00093.x
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source MEDLINE; Access via Wiley Online Library; Applied Social Sciences Index & Abstracts (ASSIA)
subjects Birth control
breastfeeding
Changes
contraception
Contraception - methods
Contraceptive Agents, Female - adverse effects
Contraceptive Agents, Female - therapeutic use
Contraceptives
Contraindications
Criteria
Drug Interactions
Eligibility
Eligibility Determination
Evidence-based medicine
Evidence-Based Practice
Female
Heart diseases
Humans
MEC
Medical disorders
Nursing
postpartum
Practice Guidelines as Topic
Rheumatoid arthritis
United States
United States Medical Eligibility Criteria for Contraceptive Use
Women
Women's Health
World Health Organization
title United States Medical Eligibility Criteria for Contraceptive Use 2010: A Review of Changes
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