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This ebook is the spouse instruction to who is clinical Eligibility standards for Contraceptive Use. It goals to enhance entry to caliber care in relatives making plans via offering suggestions at the secure and powerful use of contraceptive tools after they are deemed to be medically acceptable. The publication is meant for use through policy-makers, programme managers, and the medical group, and goals to supply counsel to nationwide kinfolk making plans and reproductive health and wellbeing programmes within the instruction of instructions for provider supply of contraceptives. It comprises 33 particular questions with ideas, together with 10 new questions for this moment version. suggestions are given on initiation/continuation of tools; mistaken strategy use; difficulties in the course of use resembling vomiting and/or diarrhoea, menstrual abnormalities, pelvic inflammatory affliction, and being pregnant; and programmatic matters, resembling assessments and checks required for procedure use. options are in line with the most recent medical and epidemiological information, and constructed via consensus at a global professional operating crew assembly. The publication covers the next relations making plans tools: mixed oral contraceptives, mixed injectable, contraceptives, progestogen-only tablets, DMPA, NET-EN, levonorgestrel implants, emergency contraceptive drugs, copper-bearing IUDs, levonorgestrel-releasing IUDs, fertility awareness-based tools, and male & lady sterilization.
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Additional resources for Selected Practice Recommendations for Contraceptive Use
Example text
However, for programmatic reasons, some contraceptive methods may be provided during this period. For women less than 21 days postpartum, use of CICs is not usually recommended unless other more appropriate methods are not available or not acceptable. Postabortion ♦ She can have the first injection immediately postabortion. No additional contraceptive protection is needed. Switching from another hormonal method ♦ She can have the first injection immediately, if she has been using her hormonal method consistently and correctly or if it is reasonably certain that she is not pregnant.
Does starting each pill pack on a specific day of the week increase consistent, correct and continued use of COCs? How accurately do ultrasound findings, hormonal measurements and evaluation of cervical mucus predict the risk of pregnancy during use of COCs? 2 2 When can a woman start combined injectable contraceptives? 2. When can a woman start combined injectable contraceptives (CICs)? Notes: These recommendations are based on information on CICs containing medroxyprogesterone acetate and estradiol cypionate (Cyclofem/Lunelle) but also apply to CICs containing norethisterone enantate and estradiol valerate (Mesigyna).
Systematic review question How does starting POPs on different days of the menstrual cycle affect contraceptive effectiveness? References from systematic review No studies identified. Other key references 1. McCann MF, Potter LS. Progestin-only oral contraception: a comprehensive review. Contraception, 1994, 50(6 Suppl. 1):S1–195. 2. Wilcox AJ, Dunson D, Baird DD. The timing of the "fertile window" in the menstrual cycle: day specific estimates from a prospective study. British Medical Journal, 2000, 321:1259–1262.
