Journal for Quality in Women's Health DOI : https://doi.
org/10.
30994/jqwh.
ISSN: 2615-6660 .
2615-6644 .
https://jqwh.
Vol.
6 No 1.
March 2023.
Page.
Tersedia online di https://jqwh.
org/index.
php/JQWH DESCRIPTION OF FAMILY PLANNING IMPLANT
ACCEPTORS OF HYPERMENORRHEA AND ANEMIA IN
BPM RUSMINI SUMBERGEMPOL VILLAGE,
SUMBERGEMPOL DISTRICT.
TULUNGAGUNG REGENCY
Widya Lusi Arisona 1.
Siti Maryam 2.
Dian Safitri 3, 1,2,3 Tulungagung University Midwifery D3 Study Program.
Indonesia *Email: widyalusi@gmail.
Received: October 4, 2022.
Accepted: March 13, 2023.
Published: March 20,2023 ABSTRACT Background : The high rate of growth that is not accompanied by an increase in the quality of the population requires and continues to be addressed, namely the family planning program, however, the rate of population growth in Indonesia is still high.
Method : The design used is a descriptive design, which is a design that aims to describe or describe a situation objectively.
The population of all implant family planning acceptors.
After being calculated, the sample size is 14 respondents Results : The age characteristics of the respondents are mostly > 30 years, namely 4 respondents .
%), for the work of almost all respondents, namely as housewives, namely 12 respondents .
%), in terms of education, almost all of them are elementary-high school, namely 12 respondents .
% ), while based on the number of children born, most of them were aged 2 .
%), then for the length of time using family planning, most of them ranged from 5 years, namely 9 respondents .
%), and for the age of the youngest children, half were aged 2 years and > 2 years as many as 7 respondents and the same between the two .
%) Conclution : The results of this study are in line with the theory that continuous hypermenorrhea can cause maternal anxiety and if it continues it can cause anemia .
Supported Low education is very influential in making decisions Keywords: Family Planning Implantable Family Planning.
Hypermenorrhea.
Anemia Journal for Quality in Women's Health .
Journal for Quality in Women's Health (JQWH ) INTRODUCTION In terms of quantity.
Indonesia's population is quite large, but in terms of quality through the Human Development Index (IPM).
Indonesia's condition is very concerning because out of 117 countries.
Indonesia is in 108th position.
planning program, however, the rate of population growth in Indonesia is still high,1 One type of contraception in efforts to implement family planning is implant.
Implanted contraception has advantages including high efficiency, fast work 24 hours after insertion, long-term protection, quick return of fertility after revocation, no need for internal examination, free from the influence of estrogen , does not interfere with the process of intercourse, does not affect breast milk (ASI) and can be withdrawn at any time as needed.
However, implants also have drawbacks in the form of side effects, namely hypermenorrhea, amenorrhea, spotting, headaches, weight changes, breast tenderness, headaches, and mood changes or anxiety.
Based on Indonesia Health Profile data in 2017, the most used contraceptive method by active family planning participants was injection .
87%) and the second most was the pill .
54%), the third was the intra uterine device (IUD) .
, 41%), implants .
75%).
Women's Method of Operation (MOW) .
53%).
Meanwhile, the least contraceptive method chosen by active family planning participants is the Male Operation Method (MOP), which is 0.
then condoms is 3.
22% (Ministry of Health RI, 2015: .
In East Java, there were 457,500 implanted contraception users .
66%) out of a total of 5,969,038 active family planning participants (East Java Health Office, 2013:
Appendix .
In Tulungagung Regency, there were 9,654 .
92%) implanted contraception users out of a total of 121,844 active family planning participants.
Based on a preliminary study at the Independent Practice Midwife (BPM) Rusmini Sumbergempol Village.
Sumbergempol District.
Tulungagung Regency, it was found that in 2021 there were 27 implantable birth control acceptors, .
October38 | Journal for Quality in Women's Health December 2021 there were 11 implantable birth control acceptors.
4 of them .
experienced hypermenorrhea, 3 .
implant acceptors experienced spotting, 2 .
2%) implant acceptors experienced .
experienced weight loss.
These facts show that the incidence of hypermenorrhea among implant KB users is still high Implant contraceptives are very effective in their use, but they also have drawbacks, namely menstrual changes often occur, one of which is hypermenorrhea or longer or more abundant menstruation1.
Menstrual bleeding patterns vary greatly among implant users.
Some change in menstrual pattern will occur in the first year of use in approximately 80% of users.
These changes include changes in the distance between bleeding, duration and volume of menstrual flow, and spotting bleeding (Speroff, 2004: .
As with other progestogen methods, the pattern of bleeding is irregular and unpredictable in the first few months after insertion, but gradually becomes more regular as serum steroid levels decrease.
Hypermenorrhea in the use of implanted contraception can occur, but if you don't get treatment immediately it will make the implant acceptor feel anxious and nervous about the condition they are experiencing and if excessively it can cause anemia.
The solution in dealing with hypermenorrhea which usually occurs in the first year of using implantable birth control that can be done by midwives is to provide CIE about the side effects that usually occur with the use of implantable contraceptives, one of which is hypermenorrhea and will disappear on its own after 2-3 months.
If the client complains, with the hypermenorrhea he is experiencing, he can be given a combination pill contraceptive for 1 cycle and ibuprofen .
p to 800 mg 3 times a day for 5 day.
Explain to the client that there will be bleeding after the combination pill runs out.
If there is more bleeding than usual, give 2 combination pill tablets for 3-7
days and continue with one combination pill
METHODS
Journal for Quality in Women's Health (JQWH ) The design used is a descriptive Hypermenorrhea and Anemia at Bpm design, namely a design that aims to Rusmini Sumbergempol Village, describe or describe a situation objectively.
Sumbergempol District.
Tulungagung In this study the researchers wanted to Regency in 2022.
The number of samples in describe Implant Kb Acceptors regarding this study were 14 respondents.
Time of research: The research was conducted from 13 May to 24 June 2022.
RESULTS
Table 1.
The results of the research conducted from February 13 to June 24, 2022, with a total of 14 respondents.
The following characteristics of the respondents are:
Karakteristik Responden
Amount
Age: > 30 Th
O 30 Th
Work : IRT
Working Education: SD- SMA
Number of children: O 2
Long time using alkon
: O 5 th
>5 th
The4youngest child
: O2
Respondent's characteristics primary Based on table 4.
1, it was found that the age characteristics of the respondents were mostly > 30 years, namely 4 respondents .
%), for the work of almost all respondents, namely as housewives, namely 12 respondents .
%), in terms of education, almost all of them were SD-SMA, namely 12 respondents .
%), while based on the number of children born the majority were aged O 2 .
%), then the duration of using family planning was mostly around O 5 years, namely 9 respondents .
%), and half of the youngest children age O 2 years and > 2 years as many as 7 respondents and the same between the two .
%).
DISCUSSION