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Update to U.S. Selected Practice Rec.for Contraceptive Use: Self-Administration of Subcutaneous Depot Medroxyprogesterone Acetate
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May 21 2021
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Source: MMWR Morb Mortal Wkly Rep. 70(20):739-743
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Alternative Title:MMWR Morb Mortal Wkly Rep
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Description:U.S. Selected Practice Rec.for Contraceptive Use (U.S. SPR), adapted by CDC from global guidance developed by the World Health Organization (WHO), provides evidence-based guidance on contraceptive use for U.S. health care providers (1). During January-February, 2021, CDC evaluated the 2019 WHO recommendation on self-administered subcutaneous depot medroxyprogesterone acetate (DMPA-SC) (2). CDC adopted the WHO recommendation on the basis of moderate-certainty evidence that self-administered DMPA-SC is safe and effective, and has higher continuation rates compared with provider-administered DMPA. The new U.S. SPR recommendation states that self-administered DMPA-SC should be made available as an additional approach to deliver injectable contraception. Provider-administered DMPA should remain available. Self-administered DMPA-SC is a user-controlled method that has the potential to improve contraceptive access and increase reproductive autonomy. Self-administered DMPA-SC should be offered in a noncoercive manner through a shared decision-making process between patients and their health care providers, with a focus on patient preferences and equitable access to the full range of contraceptive Methods.
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Pubmed ID:34014910
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Pubmed Central ID:PMC8136426
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