In the 2013 and 2016 Centers for Disease Control and Prevention (CDC) Selected Practice
Recommendations (SPR) for Contraceptive Use, the term “reasonably certain” appears
at least 40 times and indicates that a health care provider should be reasonably certain
that the woman is not already pregnant before initiating a contraceptive [
1
,
2
]. The SPR state that “in most cases, a detailed history provides the most accurate
assessment of pregnancy risk in a woman who is about to start using a contraceptive
method” and that a provider can be “reasonably certain” if a woman has no signs or
symptoms of pregnancy and passes the Pregnancy Checklist [
1
,
2
]. This language mirrors that of the World Health Organization's (WHO) SPR for Contraceptive
Use [
3
,
4
]. Written for global use, including low-resource settings, the WHO's SPR also incorporate
the use of reasonable certainty in initiating contraceptive methods.To read this article in full you will need to make a payment
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References
- Natl Ctr chronic dis P. US selected practice recommendations for contraceptive use, 2013 adapted from the World Health Organization selected practice recommendations for contraceptive use, 2nd edition.MMWR Recomm Rep. 2013; 62: 1-59
- U.S. selected practice recommendations for contraceptive use, 2016.MMWR Recomm Rep. 2016; 65: 1-66
- Selected practice recommendations for contraceptive use.2nd ed. 2004
- Selected practice recommendations for contraceptive use, 2008 update.2008
- Menstruation requirements as a barrier to contraceptive access in Kenya.East Afr Med J. 1999; 76: 124-126
- Checklist for ruling out pregnancy among family-planning clients in primary care.Lancet. 1999; 354: 566
- Breastfeeding as a women's issue: conclusions and consensus, complementary concerns, and next actions.Int J Gynaecol Obstet. 1994; : S55-S61
- Validation of a job aid to rule out pregnancy among family planning clients in Nicaragua.Rev Panam Salud Publica. 2008; 23: 116-118
- Use of a checklist to rule out pregnancy: a systematic review.Contraception. 2013; 87: 661-665
- Excluding pregnancy among women initiating antiretroviral therapy: efficacy of a family planning job aid.BMC Public Health. 2010; 10
- Ruling out pregnancy among family planning clients: the impact of a checklist in three countries.Stud Fam Plann. 2005; 36: 311-315
- Performance of a checklist to exclude pregnancy at the time of contraceptive initiation among women with a negative urine pregnancy test.Contraception. 2015; 91: 80-84
- Using a checklist to assess pregnancy in teenagers and young women.Obstet Gynecol. 2014; 123: 777-784
- Oral contraception and congenital malformations in offspring: a review and meta-analysis of the prospective studies.Obstet Gynecol. 1990; 76: 552-557
- In utero exposure to steroid contraceptives and survival during infancy.Am J Epidemiol. 1991; 134: 804-811
- Long-term effects of MPA on human progeny: intellectual development.Contraception. 1988; 37: 607-619
- In utero exposure to steroid contraceptives and outcome of pregnancy.Am J Epidemiol. 1991; 134: 795-803
- The long-term growth and development of children exposed to depo-Provera during pregnancy or lactation.Contraception. 1992; 45: 313-324
- Initiation of oral contraceptives using a quick start compared with a conventional start - a randomized controlled trial.Obstet Gynecol. 2007; 109: 1270-1276
- Depo now: preventing unintended pregnancies among adolescents and young adults.J Adolesc Health. 2007; 40: 22-28
- Self pregnancy testing in an urban family planning clinic: promising results for a new approach to contraceptive follow-up.Contraception. 2008; 77: 40-43
- Immediate monthly combination contraception to facilitate initiation of the depot medroxyprogesterone acetate contraceptive injection.Contraception. 2004; 70: 19-23
- Acceptability and satisfaction using quick start with the contraceptive vaginal ring versus an oral contraceptive.Contraception. 2006; 73: 488-492
- Interest in intrauterine contraception among seekers of emergency contraception and pregnancy testing.Obstet Gynecol. 2009; 113: 833-839
- A prospective study of immediate initiation of depo medroxyprogesterone acetate contraceptive injection.Contraception. 2005; 71: 99-103
- Preference for and efficacy of oral levonorgestrel for emergency contraception with concomitant placement of a levonorgestrel IUD: a prospective cohort study.Contraception. 2016; 93: 526-532
- Quick start: novel oral contraceptive initiation method.Contraception. 2002; 66: 141-145
- Bleeding patterns after immediate vs. conventional oral contraceptive initiation: a randomized, controlled trial.Fertil Steril. 2003; 79: 322-329
- Bleeding patterns after immediate initiation of an oral compared with a vaginal hormonal contraceptive.Obstet Gynecol. 2005; 106: 89-96
- Adolescents' compliance with return visits for depot medroxyprogesterone initiation.J Pediatr Adolesc Gynecol. 2003; 16: 297-299
- Women's preferences for contraceptive counseling and decision making.Contraception. 2013; 88: 250-256
- 90-day bleeding patterns after intrauterine device insertion a prospective parallel cohort study.Obstet Gynecol. 2014; 123: 12S-S
- California family planning health care Providers' challenges to same-day long-acting reversible contraception provision.Obstet Gynecol. 2015; 126: 338-345
- Use of oral contraceptives in pregnancy and major structural birth defects in offspring.Epidemiology. 2010; 21: 232-239
- Copper T380 intrauterine device for emergency contraception: highly effective at any time in the menstrual cycle.Hum Reprod. 2013; 28: 2672-2676
- Pregnancy outcomes with an IUD in situ: a systematic review.Contraception. 2012; 85: 131-139
- Yes We can: Quickstart initiation of levonorgestrel-releasing intrauterine system (LNG-IUS).Contraception. 2014; 90: 331-332
- 90-day bleeding patterns after intrauterine device insertion.Obstet Gynecol. 2014; 123: 1
- Ulipristal acetate prevents ovulation more effectively than levonorgestrel: analysis of pooled data from three randomized trials of emergency contraception regimens.Contraception. 2013; 88: 611-618
- The rationale for use of ulipristal acetate as first line in emergency contraception: biological and clinical evidence.Gynecol Endocrinol. 2014; 30: 688-690
- A prospective, randomized, pharmacodynamic study of quick-starting a desogestrel progestin-only pill following ulipristal acetate for emergency contraception.Hum Reprod. 2015; 30: 2785-2793
- Risk of unintended pregnancy based on intended compared to actual contraceptive use.Am J Obstet Gynecol. 2016; 215: e1-e6
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Published online: January 25, 2017
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