Abstract

Background: Long-term contraception is the most cost-effective type of modern contraception and to prevent unwanted pregnancies for 3-10 years, one of the methods of MKJP is implant birth control. In 2019, the coverage of long-term contraception acceptors was 23.1%, and the number of implant users was 4.7%. Many acceptors were less interested in implants because they were afraid of how to install them. Therefore, to reduce anxiety and pain, the servants tried to use complementary therapy such as the use of virtual reality, slow deep breathing, and lavender essential oil. Methods: This community service activity is included in a series of events commemorating World contraception day and contributes to the success of the 250,000 MKJP programs launched by BKKBN. The activity was carried out on 19 and 24 August 2020 at PMB Istri Yuliani and was attended by 28 implant acceptors. Results: The number of implant acceptors who participated in this activity was 28 mothers, with an average age at healthy reproductive age (85.7%), an average level of education for secondary education (85.7%), and having more than 1 child ( 64.3%) only 32.1% of the acceptors have never used family planning before, the rest have used various contraceptive methods. The use of effective complementary therapies can reduce anxiety levels in mothers by 9.50 points. Besides, the use of complementary therapies is also effective in reducing pain felt by implant acceptors. Conclusion: Complementary virtual reality therapy, slow deep breathing, and lavender essential oil can reduce the level of anxiety and pain in implant family planning acceptors.Keywords: anxiety, pain, implants, complementary therapy

Highlights

  • Long-term contraception is the most cost-effective type of modern contraception and to prevent unwanted pregnancies for 3-10 years, one of the methods of Metode kontrasepsi jangka panjang (MKJP) is implant birth control

  • Complementary virtual reality therapy, slow deep breathing, and lavender essential oil can reduce the level of anxiety and pain in implant family planning acceptors

  • Terapi Komplementer Pelayanan Kebidanan Berdasarkan Bukti Scientific dan Empiris, Yogyakarta, Deepublish

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Summary

PENDAHULUAN

Angka kematian ibu dan bayi merupakan salah satu indikator tingkat kesehatan suatu negara, pada tahun 2019 prevalensi AKI di Indonesia mencapai 305 per 100.000 Kelahiran hidup sedangkan target AKI di Indonesia pada tahun 2015 sebanyak 102 per 100.000 kelahiran hidup. Metode kontrasepsi jangka panjang (MKJP) merupakan jenis kontrasepsi modern yang paling efektif dari segi biaya dan untuk mencegah kehamilan yang tidak diinginkan selama 3-10 tahun. KB implant mempunyai efektivitas yang tinggi, risiko kehamilan kurang dari 0,2 sampai dengan 1 pada 100.000 akseptor selama satu tahun. Banyak alasan yang mendasari kenapa ibu tidak bersedia menggunakan kontrasepsi ini seperti rasa takut dengan cara pemasangannya serta kurangnya pengetahuan tentang metode jenis ini ( Hulu, 2020). Kurangnya pengetahuan tentang KB implant dapat di atasi dengan mengoptimalkan kerja PLKB sehingga dapat meningkatkan minat calon akseptor pada metode ini. Dengan pemberian konseling yang efektif maka ibu akan semakin paham mengenai kontrasepsi implant sehingga dapat meningkatkan cakupan akseptor KB implant. Untuk menurunkan tingkat kecemasan calon akseptor KB implant maka dapat dilakukan pemberian terapi komplementer seperti virtual reality, slow deep breathing, serta lavender essential oil. Terapi komplementer slow deep breathing, sertapenggunaan lavender essential oil juga dipercaya dapat menurunkan kecemasan yang dirasakan oleh akseptor (Widaryanti dan Riska, 2019)

PERMASALAHAN MITRA
METODE PELAKSANAAN
PEMBAHASAN
Findings
KESIMPULAN
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