Today the US Centers for Disease Control and Prevention (CDC) issued its first set of evidence-based recommendations for health care professionals in the US on contraceptive safety. The US Medical Eligibility Criteria for Contraceptive Use, 2010 offers guidance to physicians and health care professionals when providing family planning counseling and services to women, especially to those with specific existing medical conditions.

"These new CDC contraception guidelines have considerable implications for ob-gyns in the US because we are the primary physicians for the majority of reproductive-age women," said Richard N. Waldman, MD, President of The American Congress of Obstetricians and Gynecologists (ACOG).

The CDC recommendations were adapted from the guidance previously developed by the World Health Organization and will be regularly updated to reflect the latest published evidence. The US version adapts some of the guidance for better alignment with recommendations from ACOG and to better fit the US health care system.

The new recommendations will help providers and patients in choosing a safe and effective method of contraception, given each individual's unique health circumstances. Approximately 1,800 combinations of contraceptive methods and medical conditions are given a rating of 1 to 4 in terms of safety, with a 1 rating having no restrictions and a 4 rating representing a condition that has an unacceptable health risk with the use of a specific contraceptive. The CDC recommendations note that, in addition to safety concerns, determining an appropriate contraceptive method also should take into consideration availability, acceptability, and personal preference.

"About half of all pregnancies in the US are unplanned," said Dr. Waldman. "These new recommendations should help improve contraceptive counseling and encourage more widespread use of effective contraception. This is particularly important for women with certain medical conditions for whom an unplanned pregnancy could be especially risky. The bottom line is that most women, including those with chronic diseases, can safely use most types of contraception."

The full recommendations are available here. Updates and supporting information for clinicians are available here.

Source
American Congress of Obstetricians and Gynecologists