Jarak penggunaan alat kontrasepsi setelah melahirkan terhadap kegagalan kontrasepsi di Indonesia: analisis Survei Demografi dan Kesehatan Indonesia 2012

https://doi.org/10.22146/bkm.9356

Chamy Rahmatiqa(1), Shinta Prawitasari(2*), Siswanto Agus Wilopo(3)

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

Abstract


Contraceptive use after childbirth and contraception failure: an analysis of Indonesia Demographic Health Survey 2012

Purpose

This research aimed to evaluate the use of contraception after childbirth with contraception failure.

Methods

This research was an observational study using IDHS 2012 with a retrospective cohort design. Married women who got pregnant while using contraceptives were the unit of analysis. Statistical analysis used survival analysis with stratified Cox Regression methods.

Results

Analysis showed a higher failure rate in the traditional contraceptive methods such as coitus interruptus and periodic abstinence. The failure rate of the contraceptive method implant in Indonesia was higher by 10 times the global failure rate. Women who had used contraceptive for 33-48 weeks and >48 weeks after childbirth had higher risk of pregnancy with contraceptive failure (respectively HR=1.25; 95% CI: 0.63-2.47 and 1.91; 95% CI: 1-3.67), respectively. Other factors influencing the contraceptive failure were age and met or unmet needs.

Conclusion

Contraceptive use after childbirth is associated with contraceptive failure among woman of childbearing age in Indonesia. Providers of contraceptive implants may introduce additional variations of implantable contraceptives in Indonesia and are supported by qualified health personnel.


Keywords


contraception; failure; married woman



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DOI: https://doi.org/10.22146/bkm.9356

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