Update to U.S. Selected Practice Recommendations for Contraceptive Use: Self-Administration of Subcutaneous Depot Medroxyprogesterone Acetate

Details

• Journal Article:
  Morbidity and Mortality Weekly Report (MMWR)
• Personal Author:
  Curtis, Kathryn M. ; Nguyen, Antoinette ; Reeves, Jennifer A. ; Clark, Elizabeth A. ; Folger, Suzanne G. ; Whiteman, Maura K.
• 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.
• Subjects:
  Contraceptive Agents, Female Female Humans Injections, Subcutaneous Medroxyprogesterone Acetate Self Administration
• Source:
  MMWR Morbidity Mortal Weekly Rep. 70(20):739-743
• Series:
  Weekly Report: Morbidity and Mortality Weekly Report (MMWR)
• ISSN:
  0149-2195 (print) ; 1545-861X (digital)
• Pubmed ID:
  34014910
• Pubmed Central ID:
  PMC8136426
• Document Type:
  Journal Article
• Place as Subject:
  United States
• Pages in Document:
  5 pdf pages
• Volume:
  70
• Issue:
  20
• Collection(s):
  Morbidity and Mortality Weekly Report (MMWR)
• Main Document Checksum:
  urn:sha-512:cebf3b95547a7de91909193188880cbd82b17de756dfa0f48a3f59e2a4ea24ca477a612f6f3d22537493ebfa6efae668d081d9b6d64190b88386e48e4b6a1671
• Download URL:
  https://stacks.cdc.gov/view/cdc/106673/cdc_106673_DS1.pdf
• File Type:
  [PDF - 95.05 KB ]