= Use the method       = Do not use the method   I   = Initiation of the method   C   = Continuation of the method   —   = Use the method   NA   = Not applicable Condition							*			*
PERSONAL CHARACTERISTICS AND REPRODUCTIVE HISTORY
Pregnant	NA	NA	NA	NA	NA	NA	NA	4	4	D
Age	Menarche to < 40 years			Menarche to < 18 years				Menarche to <20 years		Young age
	1	1	1	1	2	1	—	2	2	C
	≥ 40 years			18 to 45 years				≥ 20 years
	2	2	2	1	1	1	—	1	1
				> 45
				1	2	1	—
Parity
Nulliparous (has not given birth)	1	1	1	1	1	1	—	2	2	A
Parous (has given birth)	1	1	1	1	1	1	—	1	1	A
Breastfeeding
< 6 weeks postpartum	4	4	4	3a	3a	3a	1	b	b	*
≥ 6 weeks to < 6 months postpartum (primarily breastfeeding)	3	3	3	1	1	1	1	b	b	A
≥ 6 months postpartum	2	2	2	1	1	1	1	b	b	A
Postpartum (not breastfeeding)
< 21 days	3	3	3	1	1	1	—	b	b	*
With other added VTE risk factors	3/4**	3/4**	3/4**
21–42 days	2	2	2	1	1	1	—	b	b		*
With other added VTE risk factors	2/3**	2/3**	2/3**
>42 days	1	1	1	1	1	1	—	1	1	A
Postabortion
First trimester	1	1	1	1	1	1	—	1	1	*
Second trimester	1	1	1	1	1	1	—	2	2
Immediate post-septic abortion	1	1	1	1	1	1	—	4	4
Past ectopic pregnancy	1	1	1	2	1	1	1	1	1	A
History of pelvic surgery	1	1	1	1	1	1	—	1	1	C*
Smoking
Age < 35 years	2	2	2	1	1	1	—	1	1	A
Age ≥ 35 years
<15 cigarettes/day	3	2	3	1	1	1	—	1	1	A
≥15 cigarettes/day	4	3	4	1	1	1	—	1	1	A
Obesity
≥ 30 kg/m² body mass index	2	2	2	1	1†	1	—	1	1	C
Blood pressure measurement unavailable	NAc	NAc	NAc	NAc	NAc	NAc	—	NA	NA	NA

^* See additional conditions relating to emergency contraceptive pills and female sterilization.

^** Category depends on the number, severity, and combination of risk factors for VTE.

^a In settings where pregnancy morbidity and mortality risks are high and this method is one of few widely available contraceptives, it may be made accessible to breastfeeding women immediately postpartum.

^b Postpartum IUD use: For the copper-bearing IUD, insertion at <48 hours is category 1. For the LNG-IUD, insertion at <48 hours is category 3 for breastfeeding women and category 1 for women not breastfeeding. For all women and both IUD types, insertion from 48 hours to <4 weeks is category 3; >4 weeks, category 1; and puerperal sepsis, category 4.

^† From menarche to age <18 years, ≥30 kg/m² body mass index is category 2 for DMPA, category 1 for NET-EN.

 ^c In settings where pregnancy morbidity and mortality risks are high and this method is one of few widely available contraceptives, women should not be denied access simply because their blood pressure cannot be measured.

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