Hubungan Metode Persalinan dengan Penggunaan IUD Pascasalin di RSUD Panembahan Senopati Bantul

Abstract

Background : Postpartum  is an important period for starting contraception, but it is still underutilized, especially for postpartum intrauterine device (IUD). This is indicated by the use of postpartum IUD only 14.06% of all postpartum contraceptive methods. The number of abdominal delivery has increased significantly lately, reaching 29.6% in Indonesia. Increased rates of cesarean section were not followed by an increase in postpartum IUD use. Even though the chances of postpartum IUD insertion during cesarean caesarean delivery are greater. Objective : This study aims to find out the association between mode of delivery and postpartum IUD insertion in Panembahan Senopati General Hospital. Method: This study is an analytic study with cross sectional design. The study sample was taken from patients who gave birth in Panembahan Senopati General Hospital, data were collected by interview method. Chi square test and prevalence ratio were used for statistical analysis. Result: This study recruited 260 subjects, 161 (61.92%) vaginal deliveries and 99 (38.08) caesarean section. The total number of postpartum IUD insertion was 128 (49.23%). The caesarean section had a significant relationship with postpartum IUDs insertion (p 0.000; PR 1.49; CI 1.19-1.89). Other factors that significantly influence postpartum IUDs insertion were previous history of long-term contraceptive use (MKJP) (p 0.002; PR 1.68; CI 1.38-2.06), JKN insurance (p 0.038; PR 1.71; CI 1.04-2,80), and counseling (p 0.000; PR 2.27; CI 1.36-3.78). The reason most of the subjects refused postpartum IUDs insertion was fear of side effects (35%). Conclusion: The postpartum IUDs insertion was significantly higher in caesarean section than vaginal deliveries. Other factors that significantly influence the use of postpartum IUDs were the history of the use of the MKJP, JKN insurance and counseling. Keywords: Postpartum IUD, mode of delivery, rate, vaginal delivery, caesarean section, IUD insertion