Faktor yang Berhubungan dengan Penerimaan Alat Kontrasepsi Dalam Rahim Pascasalin di Samarinda

Prima Derry Pella Todungbua, Ratnasari Dwi Cahyanti, Supriyadi Hari Respati
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Abstract

Background: Maternal mortality rate (MMR) in Indonesia is 305 per 100.000 live births. The intervention to suppress MMR according to four pillars of Safe Motherhood is reducing the possibility of woman becoming pregnant with Family Planning. The postpartum period is an important time to start, but underutilized. All contraceptive methods may be used, but the high rate of drop-out in non-long-term methods, counselling is directed to long-term methods like IUD.Objective: To determine factor that related postpartum IUD acceptance in Samarinda.Method: The research method is observational with cross sectional design. Sampling is done by purposive sampling. Data were obtained through questionnaire.Result: There was no significant association between age (p=0.438), parity (RR=0.7; p=0.077), education (RR=1.11; p=0.611), and income (RR=0.69; p=0.105)  with acceptance of postpartum IUD. Employment (RR=1.64; p=0.025), history of family planning counselling (RR=3.37; p<0.001), and husband's approval (RR=28.8; p=<0.001) have significant association with the acceptance of postpartum IUD.Conclusion: Age, parity, education, and income are not related factors of postpartum IUD acceptance, while employment, husband's approval, and history of family planning counselling are related factors of postpartum IUD acceptance in Samarinda.Keywords: Postpartum IUD, family planning counselling, husband's approval.           
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这与在萨马林达接受产后避孕有关
背景:印度尼西亚的产妇死亡率(MMR)为每10万例活产305例。根据安全孕产的四大支柱,采取干预措施抑制MMR,降低了妇女因计划生育而怀孕的可能性。产后是一个重要的开始时间,但没有得到充分利用。所有避孕方法都可以使用,但非长期方法的辍学率很高,咨询针对宫内节育器等长期方法。目的:探讨影响产后节育器接受程度的因素。方法:采用横断面设计观察法。抽样是有目的抽样。数据通过问卷调查获得。结果:年龄(p=0.438)、胎次(RR=0.7;p=0.077),教育程度(RR=1.11;p=0.611),收入(RR=0.69;p=0.105)与产后宫内节育器接受程度有关。就业(RR = 1.64;p=0.025)、计划生育咨询史(RR=3.37;p<0.001),丈夫认可度(RR=28.8;p=<0.001)与产后宫内节育器接受度有显著相关性。结论:年龄、胎次、教育程度和收入不是产后IUD接受的相关因素,而就业、丈夫认可和计划生育咨询史是产后IUD接受的相关因素。关键词:产后节育器,计划生育咨询,丈夫认可。
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