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 |
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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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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. 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This article reviews the changes and additions to WHO MEC found in the US MEC.</description><subject>Birth control</subject><subject>breastfeeding</subject><subject>Changes</subject><subject>contraception</subject><subject>Contraception - methods</subject><subject>Contraceptive Agents, Female - adverse effects</subject><subject>Contraceptive Agents, Female - therapeutic use</subject><subject>Contraceptives</subject><subject>Contraindications</subject><subject>Criteria</subject><subject>Drug Interactions</subject><subject>Eligibility</subject><subject>Eligibility Determination</subject><subject>Evidence-based medicine</subject><subject>Evidence-Based Practice</subject><subject>Female</subject><subject>Heart diseases</subject><subject>Humans</subject><subject>MEC</subject><subject>Medical disorders</subject><subject>Nursing</subject><subject>postpartum</subject><subject>Practice Guidelines as Topic</subject><subject>Rheumatoid arthritis</subject><subject>United States</subject><subject>United States Medical Eligibility Criteria for Contraceptive Use</subject><subject>Women</subject><subject>Women's Health</subject><subject>World Health Organization</subject><issn>1526-9523</issn><issn>1542-2011</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkcFv0zAYxSMEYmPwLyCLC7ukfLYTO0ZcpmiswDokWFWJi-U4X4ZLmhQ73dr_HncZPXBA8-HZkn_vfbZekhAKExrXu-WE5hlLGVA6uRcAUHyyfZIcHy6e7s9MpCpn_Ch5EcISgEpQ8Dw5YgwERDlOfsw7N2BNvg9mwEBmWDtrWnLeuhtXudYNO1L6SHhnSNN7Uvbd4I3F9eBukcwDkjgL3pMz8g1vHd6RviHlT9PdYHiZPGtMG_DVw36SzD-eX5fT9PLrxafy7DK1mSp4KvO8RmUgrxmVTGYoMyUzi6yoOKMFMmuzqmGVFGBUYUWeZVIobitT0AxzwU-St2Pu2ve_NxgGvXLBYtuaDvtN0ApYAaoQLJKn_yUpMA6KCqkegQIwCVwUEX3zD7rsN76LX46jBZc5lzRCxQhZ34fgsdFr71bG72KS3neql3pfnd5XN8p9p3obra8f8jfVCuuD8W-JEfgwAneuxd2jg_Xn2WKqeLSno92FAbcHu_G_tJDx-XpxdaGnlH9ZzNS1vuJ_AJTQugg</recordid><startdate>201111</startdate><enddate>201111</enddate><creator>Jacobson, Janet C.</creator><creator>Aikins Murphy, Patricia</creator><general>Blackwell Publishing Inc</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201111</creationdate><title>United States Medical Eligibility Criteria for Contraceptive Use 2010: A Review of Changes</title><author>Jacobson, Janet C. ; 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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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