Apakah penggunaan kontrasepsi hormonal mempercepat penyapihan? analisis data performance monitoring and accountability 2020

https://doi.org/10.22146/bkm.42814

Husnawati Husnawati(1*), Anggriyani W. Pinandari(2), Djaswadi Dasuki(3), Siswanto Agus Wilopo(4)

(1) Departemen Biostatistik, Epidemiologi, dan Kesehatan Populasi, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada
(2) Pusat Kesehatan Reproduksi, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada
(3) Departemen Obstetri dan Ginekologi, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada
(4) Departemen Biostatistik, Epidemiologi, dan Kesehatan Populasi, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Purpose: Women's needs for contraception during breastfeeding is a contraceptive that is safe to use during breastfeeding. The use of contraception in Indonesia in 2016 is dominated by hormonal contraceptives. Combined hormonal contraception, especially those containing estrogen and progesterone, is one of the causes that interferes with the breastfeeding process by inhibiting prolactin, thereby reducing the production of breast milk and impacting breastfeeding coverage. This study aims to know the description of the effect of using hormonal contraception on weaning time. Method: This study used cross sectional design by using secondary data of Performance Monitoring and Accountability (PMA2020) Indonesia 2016, and analyzed by retrospective cohort. The study was conducted on women who had the last child born 5 years before the survey and breastfed, using contraception after giving birth with sample size 982 respondents. Kaplan-meier curve is used to see the probability of survival in the length of breastfeeding, statistical test log-rank to determine the relationship between each variable with the dependent variable. Multivariable analysis using cox regression. Results: There was a significant correlation between the use of hormonal contraception and breastfeeding status. Early weaning was found in women who used 1-month injectable hormonal contraception, HR  2.50 [1,31-4,76]. Education level, economic status and area of residence were associated with weaning  pvalue<0.05. Women who have a higher education level of 2.53 are faster to wean early. Rich economic status 1.50 times faster to wean earlier. The area of residence has a significant relationship to breastfeeding status p value<0.05 with CI95% (0.37-0.73). Conclusion: Women who used hormonal contraception with 1-month injections weaned their children earlier. The level of education, economic status and the area of residence are related to weaning.



Keywords


hormonal contraception; breast milk; duration of breastfeeding; weaning.




DOI: https://doi.org/10.22146/bkm.42814

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