THE DIFFERENCESS OF DISCONTINUITAS IUD IN POST PLACENTAL AND INTRA-CESAREAN IN MADIUN
Downloads
Abstract
Background: Intra Uterine Device (IUD) which is placed after delivery of the placenta is an attempt to reduce the rate of population growth. However, the achievement is still very low, especially in the post-placental IUD insertion. It is this high expulsion rate that continues to be a concern for service providers, so this method is acceptable. The purpose of this study is to compare the sustainability of IUD acceptors in post-placental and intra-cesareann placement. Methods: The design of this study was cross sectional with an observational analytic method. Location of this research in the family planning clinic of Dr. Soedono Madiun Hospital, Banjarejo Health Center, Tawangrejo Health Center, and PMB Ny. “P” Madiun City in 2019.The sample used consecutive sampling as many as 114 acceptors. The independent variable was the time of IUD insertion. The dependent variable is the discontinuity of the IUD acceptor. The instrument used was the 2019 IUD acceptor medical record. The Fisher Exact Test on SPSS was used to perform data analysis. Results: From 114 acceptors, there was no difference in the discontinuity of IUD acceptors in post-placental and intra-cesarean placement (p=0.1). The incidence of expulsion was found in post-placental insertion (p=0.02). In intra-cesarean IUD acceptors more confirmed using ultrasound examination (p = 0.03). There was no perforation in both. Conclusion: There is no difference in IUD acceptor discontinuity in post-placental and intra-cesarean placement.
ACOG (2016) Immediate Postpartum Long-Acting Reversible Contraception. doi: 1074-861X.
Averbach, S. H. et al. (2020) ‘Expulsion of intrauterine devices after postpartum placement by timing of placement, delivery type, and IUD type: a systematic review and meta-analysis’, American Journal of Obstetrics and Gynecology. doi: 10.1016/j.ajog.2020.02.045.
Badan Pusat Statistik (2016) Potret Awal Tujuan Pembangunan Berkelanjutan (Sustainable Development Goals) di Indonesia, Katalog BPS. Available at: file:///C:/Users/Windows 10/Downloads/Documents/3 BPS Potret Awal TPB di Indonesia.pdf.
Badan Pusat Statistik kota Madiun (2018) Kota Madiun Dalam Angka. Madiun: BPS kota Madiun.
Bayoumi, Y. A. et al. (2020) ‘Post-placental intrauterine device insertion vs puerperal insertion in women undergoing caesarean delivery in Egypt: a 1 year randomised controlled trial’, European Journal of Contraception and Reproductive Health Care. doi: 10.1080/13625187.2020.1823366.
Cooper, M. and Cameron, S. (2018) ‘Successful implementation of immediate postpartum intrauterine contraception services in Edinburgh and framework for wider dissemination’, 143, pp. 56–61. doi: 10.1002/ijgo.12606.
Covelli, A. et al. (2018) ‘Six-week retention after postplacental copper intrauterine device placement’, Contraception, 97(3), pp. 215–218. doi: 10.1016/j.contraception.2017.10.012.
Goldthwaite, L. M. et al. (2018) ‘Postpartum intrauterine devices: clinical and programmatic review’, American Journal of Obstetrics and Gynecology, 219(3), pp. 235–241. doi: 10.1016/j.ajog.2018.07.013.
Guillebaud, J. (2020) Contraception today. 9th edn. Taylor & Francis.
Hooda, R. et al. (2016) ‘Immediate Postpartum Intrauterine Contraceptive Device Insertions in Caesarean and Vaginal Deliveries: A Comparative Study of Follow-Up Outcomes’, International Journal of Reproductive Medicine, 2016(August), pp. 1–5. doi: 10.1155/2016/7695847.
JNPK PUSAT (2013) Pelatihan Klinik Alat Kontrasepsi Dalam Rahim Pasca Persalinan (AKDRPP). Edited by G. Adriaansz. Jakarta: JNPK.
Kapp, N. and Curtis, K. M. (2011) ‘Intrauterine device insertion during the postpartum period: a systematic review’, Contraception, 80(4), pp. 327–336. doi: 10.1016/j.contraception.2009.03.024.
Kemenkes RI, Badan Penelitian dan pengembangan, R. I. and Puslitbang Humaniora dan Manajemen Kesehatan (2018) ‘Hasil utama riskesdas 2018 provinsi jawa timur’, pp. 1–82.
Listyawardani, D. (2017) ‘Peran BKKBN dalam Promosi dan Konseling KB Pasca Persalinan dan Pasca Keguguran’. Manado. Available at: http://www.iakmi.or.id/web/index.php/post-formats/category/10-simposium-3?download=47.
Patel, N. and Radeos, M. (2018) ‘Severe Delayed Postpartum Hemorrhage after Cesarean Section’, Journal of Emergency Medicine, 55(3), pp. 408–410. doi: 10.1016/j.jemermed.2018.04.010.
Potter, J. E. et al. (2014) ‘Unmet demand for highly effective postpartum contraception in Texas’, Contraception, 90(5), pp. 488–495. doi: 10.1016/j.contraception.2014.06.039.
Saifuddin, A. . (2014) Buku Panduan Praktis Pelayanan Kontrasepsi. Jakarta: Yayasan Bina Pustaka Sarwono Prawirohardjo.
Sucak, A. et al. (2015) ‘Immediate postplacental insertion of a copper intrauterine device : a pilot study to evaluate expulsion rate by mode of delivery’, pp. 1–6. doi: 10.1186/s12884-015-0637-6.
Wade, D. and Khade, S. A. (2019) ‘Evaluation of effect of pospartum intrauterine contraceptive device’, International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 8(5), p. 1852. doi: 10.18203/2320-1770.ijrcog20191931.
Whitaker, A. K. and Chen, B. A. (2018) ‘Society of Family Planning Guidelines: Postplacental insertion of intrauterine devices’, Contraception, 97(1), pp. 2–13. doi: 10.1016/j.contraception.2017.09.014.
WHO, Hopkins, J. and USAID (2018) Family Planning A Global Handbook For Providers. 3rd edn. US.
Wiknjosastro, H. (2016) Ilmu Kebidanan. Jakarta: Yayasan Bina Pustaka Sarwono Prawirohardjo.
1. The journal allows the author to hold the copyright of the article without restrictions.
2. The journal allows the author(s) to retain publishing rights without restrictions
3. The formal legal aspect of journal publication accessibility refers to Creative Commons Atribution-Share Alike 4.0 (CC BY-SA).
This Journal (e-ISSN 2656-7806) is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
