Quick Reference Chart for the WHO Medical Eligibility Criteria for Contraceptive Use – to initiate or continue use of combined oral contraceptives (COCs), depot-medroxyprogesterone acetate (DMPA), progestin-only implants, copper intrauterine device (Cu-IUD) CONDITION Implants Cu-IUD CONDITION Implants Cu-IUD Pregnancy Gestational trophoblastic Breastfeeding
Persistently elevated β-hCG levels or malignant disease
Postpartum
< 48 hours including immediate post-placental
Breast disease
Past w/ no evidence of current disease for 5 yrs
Postabortion Uterine distortion due to fibroids or anatomical abnormalities STIs/PID
Current purulent cervicitis, chlamydia, gonorrhea
Multiple risk factors for cardiovascular disease Hypertension
History of (where BP cannot be evaluated)
Elevated BP (systolic 140 - 159 or diastolic 90 - 99)
Very high individual risk of exposure to STIs
Elevated BP (systolic ≥ 160 or diastolic ≥ 100)
Pelvic tuberculosis Diabetes Deep venous
Vascular disease or diabetes for > 20 years
thrombosis Symptomatic gall bladder disease (current or medically treated) (DVT) and pulmonary
DVT/PE, established on anticoagulant therapy
Cholestasis embolism (PE)
Major surgery with prolonged immobilization
(history of) Known thrombogenic mutations Hepatitis Ischemic heart disease (current or history of) or stroke (history of) Known hyperlipidemias Cirrhosis Complicated valvular heart disease Systemic lupus
Positive or unknown antiphospholipid antibodies
Liver tumors (hepatocellular adenoma and malignant hepatoma) erythematosus Headaches
Migraine without aura (age < 35 years)
Drug interac-
Nucleoside reverse transcriptase inhibitors
tions, including
Non-nucleoside reverse transcriptase inhibitors
Ritonavir, ritonavir-boosted protease inhibitors
bleeding
Heavy or prolonged, regular and irregular
patterns
Unexplained bleeding (prior to evaluation)
Category 1 There are no restrictions for use. Category 2 Generally use; some follow-up may be needed. I/C (Initiation/Continuation): A woman may fal into either one category or another, depending on whether she is initiating or continuing to use a method. For
example, a client with current PID who wants to initiate IUD use would be considered as Category 4, and should not have an IUD inserted. However, if she develops
Category 3 Usual y not recommended; clinical judgment and
PID while using the IUD, she would be considered as Category 2. This means she could general y continue using the IUD and be treated for PID with the IUD in
continuing access to clinical services are required for use.
place. Where I/C is not marked, the category is the same for initiation and continuation. NA (not applicable): Women who are pregnant do not require contraception. Category 4 The method should not be used. NC * Evaluation of an undiagnosed mass should be pursued as soon as possible. ** Anticonvulsants include: phenytoin, carbamazepine, barbiturates, primidone, topiramate, oxcarbazepine,
and lamotrigine. Lamotrigine is a category 1 for implants.
RAPCO Guide to using this application AIRCRAFT MODEL PROP DE-ICE BOOT HARNESS AIRCRAFT MODEL PROP DE-ICE BOOT HARNESS Deicer Boots & Deicer Leads This section follows left to right for each aircraft and each item. ORIGINAL MODULAR BRUSH BLOCK BRUSH MODULE BRUSH AIRCRAFT ASSEMBLY * ASSEMBLY ASSY (QTY) Deicer Brush Modules & Deicer Brushes Th
HAND INFECTIONS: GENERAL INFORMATION KEY FIGURE: Hand infections are relatively common problems. Seemingly minor in-juries can sometimes lead to significant infections. Proper treatment isvital to prevent long-term disability. Cellulitis vs. Abscess Cellulitis is a diffuse infection of the soft tissues. No localized area of pus can be drained. The affected area is described as indur