WHO Medical Eligibility Criteria Wheel for Contraceptive Use, 2008 Update. Pack of 20 Wheels
Nonserial Publication
World Health Organization
ISBN-13    9789241547710 ISBN-10    9241547715
Order Number    11502688   
Price    CHF    60.00 / US$    72.00 Developing countries:    CHF    42.00
English     2009
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Summary
This pack of 20 wheels contains the medical eligibility criteria for starting use of contraceptive methods. It is based on the Medical Eligibility Criteria for Contraceptive Use, 3rd edition and its 2008 Update. This update of the MEC Wheel contains 25 new recommendations that tell family planning providers whether a woman presenting with a known medical or physical condition is able to use various contraceptive methods safely and effectively. Notable changes include no restrictions on the use of any method for women diagnosed with mild cirrhosis, chronic hepatitis or who are carriers of viral hepatitis. In addition, the updated wheel includes new guidance on drug interactions. Now, women who take anticonvulsants (except lamotrigine), who are on antiretroviral therapy (except ritonavir-boosted ARVs), or have a deep vein thrombosis and are taking anticoagulant therapy are generally able to use any contraceptive method.

The wheel includes recommendations on initiating use of six common types of contraceptives:
1. Combined pills (low dose combined oral contraceptives)
2. Combined injectable contraceptives
3. Progestogen-only pills
4. Progestogen-only injectable, DMPA and NET-EN
5. Progestogen-only implants
6. Copper-bearing IUD.