Pengaruh Konseling Antenatal terhadap Penerimaan AKDR pascasalin sebuah uji klinis non randomisasi

https://doi.org/10.22146/jkr.38547

Abdul Faris(1*), Soetrisno Soetrisno(2), Risanto Siswosudarmo(3), Umar Malinta(4)

(1) RSU Anutapura Palu
(2) Departemen Obstetri dan Ginekologi, Fakultas Kedokteran, UNS
(3) Departemen Obstetri dan Ginekologi, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan, UGM
(4) Departemen Obstetri dan Ginekologi, Fakultas Kedokteran, UNHAS
(*) Corresponding Author

Abstract


Background: During postpartum period women have a high motivation to start using contraception and postpartum IUD is an ideal method to offer. The rate of IUD use is still low, 14.06% of all postpartum contraceptive use. This might be attributed to lack of information and counseling from health providers.

Objective: To compare the number of postpartum IUD used among groups of clients who were counseled during ANC and re-counseled during latent phase (exposed group), and group counseled during latent phase only (control group).

Method: This study was a prospective quasi-experimental or randomised clinical trial. The first group was those counseled during ANC  and latent phase, and the second was those counseled at latent phase only. Chi square and relative risk were used for statistical test two proportions.

Result and Discussion: A total of 342 subjects who met  inclusion and exclusion criteria were recruited. They consisted of the 210 subjects (61,4%) for the first group and 132 subjects (38,6%) for the second.

The rate of IUD used in the first group was 82 of 210 (39%) and 30 of 132 (22.7%) in the second, RR 1,72  (95% CI 1.20 – 2.46), p 0,002. The rate of IUD used was also significantly influenced by a history of IUD acceptor RR 2,90 with 95% CI 2.23 – 3.77), a history of contraceptive used (RR 1,79 with95% CI 1,18 – 2,71) and a history of contraceptive counselling (RR 1,50 with 95% CI 1,03 – 2,19).

Conclusion: Clients who were counseled twice (during ANC and repeated at latent phase) had higher rate of postpartum IUD used significantly than those who were counseled at latent phase only. Other factors that significantly affected the rate of postpartum IUD used were history of IUD acceptor, history of contraceptive used.

Keywords: Postpartum IUD; counseling; rate of postpartum IUD use; antenatal care


Keywords


Postpartum IUD; counseling; rate of postpartum IUD use; antenatal care

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References

  1. Anonim. 2014. List of countries by population. Wikipedia.. Available at: http://en.wikipedia.org/wiki/List_of_countries_by_population. diakses 1 Januari 2014.
  2. Indonesia - Survei Demografi dan Kesehatan Indonesia 2007 diunduh dari https://microdata.bps.go.id/mikrodata/index.php/catalog/260/related_materials
  3. BKKBN. 2017. Survei demografi dan kesehatan indonesia tahun 2017. Available at: https://www.bkkbn.go.id/detailpost/pertemuan-tim-pengarah-dan-teknis-sdki-2017.
  4. Sedgh G, Singh S & Hussain R. 2014. Intended and Unintended Pregnancies Worldwide in 2012 and Recent Trends.
  5. Habibullah M. 2015. Data demografi keluarga dan keluarga berencana serta tahapan KS Kota Palu tahun 2015. Badan KB dan Pemberdayaan Perempuan Kota Palu
  6. National Rural Health Mission. 2011. Counseling for postpartum family planning and postpartum IUCD.
  7. Cowman W, Hardy-Fairbanks A, Endres J, and Stockdale CK. 2013: A select issue in the postpartum period: contraception the importance of providing postpartum contraception counseling. Proceedings in Obstetrics and Gynecology. 3(2): 1–15.
  8. Kapp N dan Curtis KM. 2009. Intrauterine device insertion during the postpartum period: a systematic review. Contraception. 80 (4): 327–336.
  9. Mujihartinah. 2009. Hubungan konseling keluarga berencana dengan kelangsungan penggunaan kontrasepsi AKDR di wilayah kota Tanjungpinang. Tesis S2. Fakultas Kedokteran UGM. Yogyakarta.
  10. Kurniawan A. 2016. Perbandingan angka pemasangan AKDR pascasalin antara kelompok klien yang dikonseling sejak asuhan antenatal dengan saat persalinan saja. Tesis. Fakultas kedokteran UGM. Yogyakarta.
  11. Zapata LB, Murtaza S, Whiteman MK, Jamieson DJ, Robbins CI, Marchbank PA, D'Angelo DV, Curtin KM. 2015. Contraceptive counseling and postpartum contraceptive use. Am J Obstet Gynecol. 212: 171e1-171e8.
  12. Yilmazel G dan Balci E. 2013. Preferences and related factors for postpartum contraception in pregnant women. Iran J of Reprod Med., 11(10):801–806.
  13. Palamuleni ME. 2015. Use and determinants of postpartum contraception among women in Malawi.: 1–16.
  14. Mohamed SA, Kamel MA, Shaaban OM. 2003. Acceptability for the use of postpartum intrauterine contraceptive devices: assiut experience. Medical Principles and Practice. 12(3): 170–175.
  15. Maluchuru S & Aruna V. 2015. Post partum – intrauterine device insertion – 2yr experience at a tertiary care center in guntur medical college govt general hospital, Guntur. IOSR Journal of Dental and Medical Sciences Ver. IV. 14(3): 2279–861.
  16. Palamuleni ME. 2015. Use and determinants of postpartum contraception among women in Malawi.: 1–16.
  17. Mohamed SA, Kamel MA, Shaaban OM. 2003. Acceptability for the use of postpartum intrauterine contraceptive devices: assiut experience. Medical Principles and Practice. 12(3): 170–175.
  18. Maluchuru S & Aruna V. 2015. Post partum – intrauterine device insertion – 2yr experience at a tertiary care center in guntur medical college govt general hospital, Guntur. IOSR Journal of Dental and Medical Sciences Ver. IV. 14(3): 2279–861.



DOI: https://doi.org/10.22146/jkr.38547

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