This document selected practice recommendations for contraceptive use third edition spr third edition is the second cornerstone it provides guidance for how to use contraceptive methods safely and effectively once they are deemed to be medically appropriate for recommendations issued in the spr safety considerations include common barriers to safe correct and consistent use of contraception and the benefits of preventing unintended or unwanted pregnancy. The 2016 us selected practice recommendations for contraceptive use us spr addresses a select group of common yet sometimes controversial or complex issues regarding initiation and use of specific contraceptive methods these recommendations for health care providers were updated by cdc after review of the scientific evidence and consultation with national experts who met in atlanta georgia during august 26 28 2015 the information in this report updates the 2013 us spr. This document selected practice recommendations for contraceptive use third edition spr third edition is the second cornerstone it provides guidance for how to use contraceptive methods safely and effectively once they are deemed to be medically appropriate for recommendations issued in the spr safety considerations include common barriers to safe correct and consistent use of contraception and the benefits of preventing unintended or unwanted pregnancy. Selected practice recommendations for contraceptive use this document addresses ongoing controversies and inconsistencies regarding how to maximize the effectiveness of contraceptive methods and how to manage their side effects or other problems during use the methods for which guidelines have been most inconsistent in the. Us selected practice recommendations for contraceptive use us spr addresses a select group of common yet sometimes controversial or complex issues regarding initiation and use of specific contraceptive methods these recommendations for health care