U.S. Selected Practice Recommendations (US SPR) for Contraceptive Use, 2013
The U.S. Selected Practice Recommendations for Contraceptive Use, 2013 (US SPR) provides recommendations for health care providers. The guidance addresses a select group of common, yet sometimes complex, management issues around the initiation and use of specific contraceptive methods. The US SPR is a companion document to CDC’s previously published contraceptive guidance document, U.S. Medical Eligibility Criteria for Contraceptive Use, 2010 (US MEC). While the US MEC provides guidance on who can use various methods of contraception, the US SPR provides guidance on how contraceptive methods can be used and how to remove unnecessary barriers for patients in accessing and successfully using contraceptive methods. Several medical barriers to initiating and continuing contraceptive methods may exist, such as—
The American Congress of Obstetricians and Gynecologists (ACOG) endorses the U.S. SPR and encourages its use by Fellows. The committee opinion is explained in Understanding and Using the U.S. Selected Practice Recommendations for Contraceptive Use, 2013. Source: Obstet Gynecol. 2013;122:1132–1133.
- Unnecessary screening exams and tests before starting the method.
- Inability to receive the method on the same day as the visit.
- Difficulty obtaining continued contraceptive supplies.
These recommendations have been adapted from global family planning guidance provided by the World Health Organization (WHO). Although many of the recommendations are the same as those provided by WHO, they have been adapted to be more specific to U.S. practices or have been modified because of new evidence. In addition, new topics of interest to U.S. health care providers have been added to the guidance.
These recommendations are meant to serve as a source of clinical guidance for health care providers. Health care providers should always consider the individual clinical circumstances of each person seeking family planning services.
U.S. Selected Practice Recommendations for Contraceptive Use, 2013 (US SPR)
This guidance addresses a select group of common, yet sometimes complex, management issues around the initiation and use of specific contraceptive methods.
Source: MMWR. 2013;62(No. RR-5):1-60.
- Curtis KM, Tepper NK, Jamieson DJ, Marchbanks PA. Adaptation of the World Health Organization’s Selected Practice Recommendations for Contraceptive Use for use in the United States. Contraception. 2013;87(5):513–516.
- Peterson HB, Cates W, Jr. Evidence-based medicine in action: the United States Selected Practice Recommendations for Contraceptive Use. Contraception. 2013;87(5):509–510.
- Folger SG, Jamieson DJ, Godfrey EM, Zapata LB, Curtis KM. Evidence-based guidance on selected practice recommendations for contraceptive use: identification of research gaps. Contraception. 2013;87(5):517–23.