Contraception elligability criteria WHO: Aboubakr Elnashar

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Transcript of Contraception elligability criteria WHO: Aboubakr Elnashar

  • 1.Understanding and using WHO Medical Eligibility Criteria for Contraceptive Use (WHO MEC, 2010) Prof. Aboubakr Elnashar [email protected]

2. Objective Understanding and using Tables Wheel 3. Contraceptive Method Choice 1. Safety 2. Effectiveness 3. Availability (accessibility and affordability) 4. Acceptability. 4. Copper IUD Levonor gestrel IUD ImplantInjectionPOPCombined pill; Patch Ring 5. Based on the current scientific evidence Category 1: Safe No restriction for use Category 2: Usable Advantages outweigh risks (theoretical or proven): careful follow-up may be required Category 3: Not recommended Risks(theoretical or proven) outweigh advantages Category 4: No use Unaccepted health risk 6. I= Initiation of contraception C= Continuation of contraception, NA= Not applicable 7. Breastfeeding: CHC < 1 month postpartum: Category 3 >1 month postpartum: Category 2 8. DVT & PE: CHC Acute DVT/PE: Category 4 DVT/PE on anticoagulant for at least 3 months Higher risk of recurrence Thrombophilia Cancer Recurrence : Category 4 Lower risk of recurrence : Category 3 9. Bariatric Surgery: CHC Restrictive procedures: (gastric band or sleeve): Category 1 Malabsorptive procedures Malabsorption from method or SE of long term vomiting/diarrhea : COCs: Category 3 : P/Ring: Category 1 10. Hypertension: CHC Adequately controlled: Category 3 Elevated BP levels: S 140-159 OR D 90-99 : Category 3 S > 160 OR D > 100 : Category 4 Vascular disease: Category 4 Hypertension during pregnancy: Category 2 11. Obesity: CHC BMI > 30: Category 2 {Possible increased risk of VTE, MI, stroke} 12. Rheumatic Diseases: CHC SLE Positive or unknown APL antibodies: C4 Thrombocytopenia: C2 Immunosuppression: C2 None of above: C2 Rheumatoid Arthritis Immunosuppression: C2 Non-suppressed: C2 13. Age: CHC Menarche to 40 years old: Category 2 Smoking: CHC 35 and smoke 35 and smoke > 15/day: 4 14. Thank you Aboubakr Elnashar