About half of all pregnancies in the us are unintended. Medical eligibility criteria for contraceptive use, 2016 mmwr. Mar 28, 2016 cdc emergency response 2016 zika virus. North dakota family planning program clinical protocol manual. The united states medical eligibility criteria for contraceptive use, 2016 us mec includes. The us has one of the highest rates of unintended pregnancy in the developed world. Updated cdc guidelines state that postpartum women should not use combined hormonal contraceptives during the first 21 days after delivery because of a high risk for venous thromboembolism. Division of reproductive health, national center for chronic disease prevention and health promotion, centers for disease control and prevention cdc. Family planning and related preventive health services.
Recommendations of cdc and the healthcare infection control practices. Helping women who want to delay or avoid pregnancy during the zika virus outbreak is a primary strategy to reduce zikarelated adverse pregnancy and birth outcomes, including microcephaly and. Disclosure of relationship cdc, our planners, and our content experts wish to disclose they have no financial interests or other relationships with the. The 2016 cdc contraception guidelines provide numerous evidencebased ways to decrease medical barriers to contraception, helping patients plan, prevent, and space pregnancies. Public health service guidelines for the management of occupational exposures to hbv, hcv, and hiv and recommendations for postexposure prophylaxis it contains recommendations for hepatitis b virus postexposure management including initiation of hepatitis b vaccine series to any susceptible, unvaccinated person who sustains. Linking to a nonfederal website does not constitute an endorsement by cdc or any of its employees of the sponsors or the information and products presented on the website. Summary chart of us medical eligibility criteria for. May 05, 2017 the centers for disease control and prevention cdc protects peoples health and safety by preventing and controlling diseases and injuries.
Major updates include 1 revised recommendations for starting regular contraception after the use of emergency contraceptive pills and 2 new recommendations for the use of medications to ease insertion of intrauterine devices. Selected practice recommendations for contraceptive. The initial encounter and followup visits should include continual reassessment of sexual concerns, behavior, relationships, prevention strategies, and testing and treatment for sexually transmitted infections stis per the centers for disease control and preventions cdc guidelines. Guidelines for environmental infection control in healthcare facilities.
A 28 year old female who is 5 days after the start of normal menses and last had intercourse 10 days ago. Us medical eligibility criteria for contraceptive use, 2010 cdc. Contraception medical information bmj best practice. Us selected practice recommendations for contraceptive. Selected practice recommendations for contraceptive use, 2016. Advise abstinence or backup contraception for 7 days in the following instances.
Introduction 1 explaining contraception job aids 3. Which of the following patients could you be reasonably certain is notpregnant. Medical eligibility criteria for contraceptive use. Recommendations of cdc and the healthcare infection control practices advisory committee hicpac mmwr. Update to us medical eligibility criteria for contraceptive. Evidencebased resource summary healthy people program. Guidelines for preventing the transmission of mycobacterium. The centers for disease control and prevention has released comprehensive recommendations for provision of family planning services.
Explaining contraception job aids for healthcare providers. Emergency contraception emergency contraception can help keep you from getting pregnant if you had sex without using birth control or if your. Adapted from the world health organization medical eligibility criteria for contraceptive use, 4th edition. The mmwr series of publications is published by the center for surveillance, epidemiology. Cdc updates guidelines for postpartum contraceptive use. The mmwr series of publications is published by the center for. In the cdc mmwr hepatitis c birth cohort publication, which of the following most accurately describes the statement in the summary at the beginning of this document related to. When performing iud insertion, routine administration of misoprostol is not recommended. Major updates include 1 revised recommendations for starting regular contraception after the use of emergency contraceptive pills and 2 new recommendations for the use of medications to. Family planning services provide services in accordance with the appropriate clinical recommendation screening components contraceptive services. When switching from another hormonal contraception and not currently bleeding. Emergency contraception is also called the morning after pill. Consider cuiud win 5 days of unprotected intercourse. Medical eligibility criteria for contraceptive use, 2016.
Selected practice recommendations for contraceptive use, 20. Despite positive trends, the united states continues to have the highest adolescent pregnancy rate among industrialized countries with data. Prevalence, treatment, and control of hypertension united states. These recommendations are a companion document to the cdc u. Contraception recommendations by family medicine physicians were found to be inconsistent with cdc guidelines 23% of the time for oral contraceptives and 40% of the time for intrauterine devices iuds. Us medical eligibility criteria us mec for contraceptive. Clinicians caring for pregnant women and women of reproductive age. Cdc updates eligibility criteria for contraceptive use. Recommendations for other hormonal contraceptive methods including combined hormonal methods, implants, and. Adolescent pregnancy, contraception, and sexual activity. Helping women who want to delay or avoid pregnancy during the zika virus outbreak is a primary strategy to reduce zikarelated adverse pregnancy and birth outcomes, including microcephaly and severe fetal brain defects.
North dakota family planning program clinical protocolmanual contraceptives con 1. Page 3 of 22 data centers for disease control and prevention. Generally safelow risk, w the following exceptions category may vary if initiating vs continuing this method. Department of health and human services centers for disease control and prevention. But you do not need to wait until the morning after unprotected sex to take it. National institutes of health, national heart, lung and blood institute, national high blood pressure education program. Indian health service national pharmacy and therapeutics. The most appropriate method of birth control depends on an individuals overall health, age, frequency of sexual activity, number of sexual partners, desire to have children in the future, and family history of certain diseases. Checklists for family planning and related preventive health. String checks serve as a surrogate for assessing an iuds position and function. We modeled the potential costeffectiveness of increasing access to contraception in puerto rico during a zika virus outbreak. This summary sheet only contains a subset of the recommendations from the us mec. In the cdc mmwr hepatitis c birth cohort publication, which of the following most accurately describes the statement in the summary at the beginning of this document related to persons born during 19451965.
The american academy of pediatrics recommends that pediatricians develop a working knowledge of contraception to help adolescents reduce risks of and negative health consequences related to unintended pregnancy. June 18, 2010 nyl estradiol combined oral contraceptive pills. Medical eligibility criteria for contraceptive use, 2010. Definition the immediate initiation of combined contraceptives pills, patches, ring or progestin only. Medical eligibility criteria for contraceptive use, 2010, from guidance developed by the world health organization who and finalized the recommendations after consultation with a group of health professionals who met in. There are many different types of contraception, but not all types are appropriate for all situations. Centers for disease control and prevention cdc guidance on contraceptive best practices was highlighted. Recommendations from centers for disease control and prevention and the us office of population affairs qfp pdf 1. Powerpoint presentation available in ppt or pdf formats. The centers for disease control and prevention cdc cannot attest to the accuracy of a nonfederal website. Print version of the mmwr us selected practice recommendations for contraceptive use, 2016. Spr addresses a select group of common, yet sometimes controversial or complex, issues regarding initiation and use of specific contraceptive methods. Chccombined hormonal contraception pill, patch, and, ring. Oahs library of federal adolescent health provides resources on reproductive health, including contraceptive and condom use.
These are provisional cases of selected national notifiable diseases, from the national notifiable diseases surveillance system nndss. Nndss data reported by the 50 states, new york city, the district of columbia, and the u. Selected practice recommendations for contraceptive use. Links with this icon indicate that you are leaving the cdc website. Selected practice recommendations for contraceptive use u.
The office of populations affairs has a full list of contraception fact sheets that includes details on the effectiveness, advantages, and drawbacks of different methods. Chccombined hormonal contraceptive pill, patch, and ring. Basic infertility services preconception health services. Contraception is a pillar in reducing adolescent pregnancy rates. A string check can be performed by a clinician, who observes the iud strings on speculum exam or palpates the strings on bimanual exam, or by the patient doing a selfexam. The qfp provide recommendations for use by all reproductive health and primary care providers with. Han archive centers for disease control and prevention. When to start using specific contraceptive methods. Costeffectiveness of increasing access to contraception. Us medical eligibility criteria for contraceptive use, 2016 cdc. This report from cdcs morbidity and mortality weekly report mmwr addresses a select. Tips for counseling hypertensive patients on contraception.
1154 565 160 231 1316 1285 349 1261 635 1034 828 787 704 627 598 163 83 172 23 750 1302 1225 495 636 558 624 103 1471 19 1260 781 568