Contraception USMEC | Unintended Pregnancy Prevention | CDC Reproductive Health

Update to CDC's U.S. Medical Eligibility Criteria for Contraceptive Use, 2010: Revised Recommendations for the Use of Contraceptive Methods During the Postpartum Period

Initiation of contraception during the postpartum period is important to prevent unintended pregnancy and short birth intervals. As an update to CDC's U.S. Medical Eligibility Criteria for Contraceptive Use, 2010, CDC is issuing revised recommendations for the use of combined hormonal contraceptives among postpartum women, based on new scientific evidence. Postpartum women should not use combined hormonal contraceptives during the first 21 days after delivery because of the high risk for venous thromboembolism (VTE). During 21–42 days postpartum, women without risk factors for VTE generally can initiate combined hormonal contraceptives, but women with risk factors for VTE generally should not use these methods. After 42 days postpartum, no restrictions based on postpartum status apply. Recommendations for other contraceptives, including progestin-only contraceptives and intrauterine devices, remain unchanged; these methods are safe for postpartum women, including women who are breastfeeding, and can be initiated immediately postpartum.

full-contents ► Contraception USMEC | Unintended Pregnancy Prevention | CDC Reproductive Health: "United States Medical Eligibility Criteria (USMEC) for Contraceptive Use

United States Medical Eligibility Criteria (USMEC) for Contraceptive Use

In 1996, the World Health Organization (WHO) published the first edition of the Medical Eligibility Criteria for Contraceptive Use, which gave evidence-based global guidance on the safety of contraceptive method use for women with specific characteristics and medical conditions. WHO has always intended for its global guidance to be used by policy makers, family planning program managers, and the scientific community as a reference when developing family planning guidance at the country or program level.

CDC went through a formal adaptation process to create the United States Medical Eligibility Criteria for Contraceptive Use (USMEC). This document is intended to assist family planning providers when counseling women, men, and couples about contraceptive method choice. This document is not intended to be a substitute for professional medical advice; persons should seek advice from their health care providers when determining family planning options.

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