Medical Eligibility Criteria

Abstract

The medical eligibility criteria (MEC) are a set of recommendations that help consideration of possible contraceptive methods that can safely be used by women with a range of medical conditions and characteristics to prevent unintended pregnancy. Whilst most women can safely use any method, there are some conditions that may be associated with a potential increase in health risks when certain methods are used. The World Health Organization produces MEC for global use and the USA and UK have adapted these for use in their settings. MEC are regularly reviewed and updated by a rigorous process. There are a range of resources available to support the MEC that aim to improve usability and so help promote evidence-based contraceptive provision in practice. This chapter aims to provide an overview of the MEC and through use of case examples illustrate how to correctly use the MEC in clinical practice.