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Abstract
Based on data from Puskesmas Pulo Brayan Medan, the number of hypertension sufferers in the last 3 years has increased. In 2018 the number of hypertension sufferers was 378 people, in 2019 there were 384 people, and in 2020 there were 394 people. Of the 394 patients with hypertension, 214 were women of PUS. There are many factors that are thought to be the cause of hypertension in women with PUS, such as the use of contraceptives. The aim of this study was to analyze the effect of duration of use of contraceptives, contraceptive methods, duration of use of contraception, on the incidence of hypertension in women with fertility. This research is an analytical research and is quantitative in nature with a case control design (case control). The research was conducted in the area of Pulo Brayan Health Center, Medan. The study population was 8,547 people and the sample was obtained as many as 166 people who were divided into 2 groups, each 83 people. Data analysis used univariate analysis, bivariate analysis with chi-square. The results showed that the duration of use of contraception, the method of contraception, the duration of use of contraception, had an effect on the incidence of hypertension in PUS mothers in the Pulo Brayan Public Health Center, Medan, p <0.05. The variable with the greatest influence in this study was the variable body mass index (BMI) which had a value of Exp (B) = 20.639 (95% CI = 5.850-72.823). It is recommended to the Head of Puskesmas Pulo Brayan Medan to inform PUS mothers who use hormonal contraceptives such as pills and injections to carry out routine blood pressure checks at the puskesmas so that early detection of other complications that can accompany an increase in blood pressure.
Highlights
There are many factors that are thought to be the cause of hypertension in women with PUS, such as the use of contraceptives
The aim of this study was to analyze the effect of duration of use of contraceptives, contraceptive methods, duration of use of contraception, on the incidence of hypertension in women with fertility
The results showed that the duration of use of contraception, the method of contraception, the duration of use of contraception, had an effect on the incidence of hypertension, p
Summary
Dengan kontrasepsi diperkenalkan jumlah laju pertumbuhan sebanyak pemerintah untuk mengatur jarak itu, rata-rata wanita subur kehamilan dan kelahiran baik melahirkan 2,6 anak, sedangkan yang hormonal maupun non targetnya bahwa rata-rata wanita hormonal. Hormonal seperti pil, suntik, dan implan, sedangkan alat kontrasepsi non hormonal yaitu AKDR, kondom, MOW, MOP, metode sederhana/vaginal atau spermisida. Kedua jenis alat kontrasepsi tersebut mempunyai keuntungan maupun kerugian atau efek samping masing-masing yang harus diketahui oleh calon akseptor (Hartanto, 2014). Salah satu efek samping penggunaan alat kontrasepsi yaitu hipertensi dan menjadi bahasan dalam penelitian ini. Wanita perlu mempertimbangkan berbagai faktor, mulai dari status kesehatan dan efek samping yang akan timbul setelah lama penggunaan (Suratun, 2013). Kekhawatiran utama pemakaian metode kontrasepsi hormonal adalah peningkatan risiko penyakit sistem kardiovaskuler, terutama keluhan kesehatan terhadap tekanan darah yang meninggi atau hipertensi (Saifuddin, 2014)
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