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Medical Eligibility Criteria for Contraceptive Use reviews the medical eligibility criteria for use of contraception, offering guidance on the safety and use of different methods for women and men with specific characteristics or known medical conditions. The recommendations are based on systematic reviews of available clinical and epidemiological research. It is a companion guideline to Selected Practice Recommendations for Contraceptive Use. Together, these documents are intended to be used by policy-makers, program managers, and the scientific community to support national programs in the preparation of service delivery guidelines. The fourth edition of this useful resource supersedes previous editions, and has been fully updated and expanded. It includes over 86 new recommendations and 165 updates to recommendations in the previous edition. Guidance for populations with special needs is now provided, and a new annex details evidence on drug interactions from concomitant use of antiretroviral therapies and hormonal contraceptives. To assist users familiar with the third edition, new and updated recommendations are highlighted. Everyone involved in providing family planning services and contraception should have the fourth edition of Medical Eligibility Criteria for Contraceptive Use at hand.
This document is one of two evidence-based cornerstones of the World Health Organization's (WHO) new initiative to develop and implement evidence-based guidelines for family planning. The first cornerstone, the Medical eligibility criteria for contraceptive use (third edition) published in 2004, provides guidance for who can use contraceptive methods safely. This document, the Selected practice recommendations for contraceptive use (second edition), provides guidance for how to use contraceptive methods safely and effectively once they are deemed to be medically appropriate. The recommendations contained in this document are the product of a process that culminated in an expert Working Group meeting held at the World Health Organization, Geneva, 13-16 April 2004.
Intrauterine devices (IUDs) have an antifertility effect in every animal tested, but this effect is manifested differently among the species. 6-8 million women use the IUD with a pregnancy rate in the United States of from 1.5-3/100 women during the first year of use. These rates decline with use. 80% will continue with the device in the first year, 70% for the second, and about 50% by the fifth year. Adverse reactions include irregular bleeding and cramps for the first 2-3 months and this accounts for 60% of removal. Pelvic inflammatory disease has been reported to be about 2.5% the first year, 1.5% during the second. Highest incidence was in the first month after insertion. The Committee recommended more stringent standards for inserters and devices and more care in insertion. A survey of the Fellows of the American College of Obstetricians and Gynecologists disclosed 15 instances of intestinal obstruction following perforation of the uterus, 13 in which the closed type IUD was used. "The Committee is adverse to the use of currently available closed devices, except in very unusual circumstances." Monitoring women wearing IUDs for cancer in the same manner as for normal women was suggested. The mortality figure for IUDs was .2/10,000 insertions. The current legislation under consideration by the Food and Drug Administration for certain classes of devices secured or placed in the body was considered satisfactory, with means for confidential reporting of adverse reactions recommended. The Committee recommended areas for further research. Task force reports and a bibliography of clinical reports on IUDs in the English literature 1959-1967 were presented. The report includes a list of available IUDs and exhibits of labeling submitted by some manufacturers.
This volume contains 27 original chapters on British studies in obstetrics and gynecology presented to the Royal College of Obstetrics and Gynaecology in 1995. In the words of Dr. John Studd, volume editor and RCOG publications officer, The Yearbook gives us a unique opportunity to publish some of the fascinating eponymous and historical lectures which deserve a greater audience àIt also allows publication of the best clinical and laboratory research coming from British centres in a way which is easily accessible around the world.
Se estudian las consecuencias sanitarias de los diferentes patrones reproductivos en la salud de la mujer y de los niños. Tambien se evaluan el riesgo y los beneficios de los diferentes metodos anticonceptivos, aunque algunos de los datos en los que se basa son de paises desarrollados, el nucleo central del informe son los paises en desarrollo.
The index is based on citations selected from the corresponding monthly issue of Index medicus.