Injectable Contraceptive Research Articles

Terapi Aromayoga untuk Menurunkan Berat Badan pada Akseptor KB Suntik

This study aims to determine the effect of yoga movements combined with aromatherapy (aromayoga) to reduce the weight of injectable birth control acceptors. The method used was true experimental with a pre-post test with a control design approach on 36 injectable birth control acceptors who experienced weight gain after injectable contraception, carried out 14 times in 2 months with a duration of 30 minutes. The analytical test was carried out using the Independent t-test analysis. The results showed a difference in the average weight loss in the intervention and control groups of 8.29 (p-value = 0.035) after two months of intervention. In conclusion, Aromayoga therapy affects losing weight, a side effect of injectable birth control. 
 Keywords: Weight, Injectable Birth Control, Aromayoga Therapy

Changes in the Clinical Workforce Providing Contraception and Abortion Care in the US, 2019–2021

ABSTRACT A clinical workforce providing contraceptive and abortion care is critical for access to contraception and may include women's health, primary care, and other clinicians. A confluence of crises faced by clinicians may be associated with their loss from the workforce. Such crises include COVID-19 and policies penalizing abortion care, which culminated in the 2022 Dobbs v Jackson decision overturning Roe v Wade. This study used a national-level claims data set to examine changes in the contraception and abortion workforce from January 2019 to December 2021. IQVIA preadjudicated medical claims were derived from clinician offices and insurance clearinghouses. Data were obtained on contraceptive methods (intrauterine devices, contraceptive implants, injectable contraception), abortion (ie, misoprostol and mifepristone, dilation and curettage, dilation and evacuation, and surgical procedures), or both. Outcome variables examined included counts of contraceptive and abortion clinicians by year and service type and monthly volume changes in services. During the study period, 141,837 clinicians provided at least 1 in-person contraception or abortion service, and 5804 provided both. In 2020, the number of physicians in the workforce decreased for all services except medical abortion, and the number of physicians providing contraceptive care was not reestablished to prepandemic levels in 2021. Abortion services did not distinctly decrease in early 2020. Instead, procedural abortion steadily decreased (from 8315 services in January 2019 to 5665 services in December 2021), and use of medication abortions steadily increased (from 14,347 services in January 2019 to 16,074 services in December 2021). In contrast, the number of advanced practice clinicians (physician assistants, nurse practitioners) was identical from 2019 to 2020 and increased above prepandemic levels in 2021. Abortion services did not distinctly decrease in early 2020. Instead, procedural abortion steadily decreased (from 8315 services in January 2019 to 5665 services in December 2021), and medication abortions steadily increased (from 14,347 services in January 2019 to 16,074 services in December 2021). The incredible strain on the health workforce by COVID-19 resulted in practice closures and physicians leaving practice. Although these physicians may reenter the workforce, the data suggest ongoing loss of physicians providing contraception services. Access to contraception requires that primary care clinicians offer the full scope of care, including family planning services. State-level expanded scope of practice policies may strengthen this segment of the workforce. These data show that the overall number of clinicians providing contraception and abortion services decreased in 2020 and was restored in 2021. The number of physicians providing contraception services did not reach prepandemic levels, whereas the number of advanced practice clinicians providing contraception services continued to increase, which mirrored the increasing numbers of advanced practice clinicians in primary care and other settings. Many individuals reported fertility plans for fewer children or later pregnancies, suggesting that demand for contraceptive services remained even as services were unavailable. In addition, this study did not capture outcomes associated with the 2022 Supreme Court decision overturning Roe v Wade, a watershed event that will shape the provision of abortion and contraception for the foreseeable future.

Comparison and Analytical Impact of Various Methods of Contraception on Liver Profile of Females of Sindh Province

Objective: To Compare and Analyze the impact of different methods of contraception on liver Profile of females of Sindh province. Study setting: This is a comparative cross-sectional study that was done at Liaquat university of medical and health sciences Jamshoro, at center 'A' of reproductive health services. Methodology: 300 participants from Hyderabad Sindh were selected. Females aged 20 to 40 years and those on an individual method of contraception were selected.300 females were selected for this study. Among them, 138 ( 46.0%) were residents of rural Sindh whereas162(54.0%) belonged tour ban Sindh. Consent from participants both verbal and written was taken. A structured questionnaire was filled out for demographic characteristics following detailed history. Blood Sampling was done for liver function test. Results: The results showed that present users of contraceptives generally had significantly greater liver parameters biliru bin, gamma GT, SGPT, and Alkaline phosphates compared to non-users ( p-value= <0.05). Bilirubin level was considerably greater among women who were using the contraceptive methods DMPA injection (0.72±0.24), Jadelle (0.54±0.26), IUCD (0.44±0.18) than the corresponding values for nonusers (0.43±0.194) [control 0.43±0.194 vs DMPA injection(0.72±0.24)vsJadelle(0.54±0.26)vsIUCD(0.44±0.18),P-value=<0.05)]. Gama GT level was considerably greater among women who were using the contraceptive methods Jadelle (20.36±11.97), Oral (14.00±3.2) than the corresponding values for non users (15.42±7.36)[control 15.42±7.36 Jadelle (20.36±11.97) vs Oral (14.00±3.2) Oral (14.00±3.2) P-value = <0.05)]. SGPT level was considerably greater among women who were using the contraceptive methods DMPA injection (32.68±18.37), Jadelle (31.34±14.13), IUCD (29.66±14.62), Tubal ligation (18.00±0.00) than the corresponding values for nonusers (25.39±14.59) [control25.39±14.59 vs injection (32.68±18.37) vs Jadelle (31.34±14.13) vs IUCD (29.66±14.62), Tubal ligation (18.00±0.00) P-value = < 0.05)]. Alkaline Phosphatase level was considerably greater among women who were using the contraceptive methods DMPA injection (114.65±48.19),Jadelle (99.28±38.076),IUCD(101.74±42.23)Oral(78.89±21.70)TubalLigation(62.50±2.12)Condom (94.62±25.67) than the corresponding values for nonusers (131.51±59.04) [control131.51±59.04 vs DMPA injection (114.65±48.19) vs Jadelle (99.28±38.076) vs IUCD(101.74±42.23),Oral(78.89±21.70)Tuballigation (62.50±2.12)Condom(94.62±25.67)P-value= < 0.05)]. Conclusion: The impact on the liver of different contraceptive methods was compared and analyzed in the population of Sindh. Keywords: DMPA (depot- medroxy progester one acetate), Implant, Oral Pills, IUCD (intrauterine contraceptive device), tuballigation.

Faktor-Faktor Yang Berhubungan dengan Penggunaan Alat KB di Wilayah Kerja Puskesmas Naibonat Tahun 2021

Family planning is an effort that regulates the number of pregnancies, can use hormonal contraception. Hormonal contraceptives injections in Indonesia are increasingly used because of their effective work, practical use, relatively cheap and safe prices. However, the injection contraception has side effects, namely menstrual disorders and slow fertility in the use of tri -month injection birth control for a long time. Several factors related to the contraception, This includes education, work, knowledge, and support of the husband. The purpose of this study was to determine the factors related to the use of injecting contraceptives the Naibonat Health Center in 2021. This study was analytic with cross-sectional design using primary data, namely questionnaires and secondary data from the KB register record for the January-December 2020. Simple random sampling as many as 58 people Data analysis using the Chi-Square statistical test with an error rate of 10%. The results showed a significant relationship with the use of injectable birth control is education (p-value = 0.001 <0.05), knowledge (p-value = 0.024 <0.05) and husband's support (p-value = 0,000< 05). While work has no relationship with the use of injection family planning(pvalue=0.692>0.05). The Naibonat Health Center can increase health promotion and health motivation through IEC (communication, information, and education) regarding family planning and contraceptives. To increase public knowledge about family planning and contraceptives self so that they can open community outlook and eliminate negative issues that develop in the community and suggest using long-term contraceptive methods (MKJP) such as implants, IUD, and more effective sterilization.

Qualitative Study of Experiences Using 3 Months Injection Hormonal Contraceptive Devices on Side Effects of Libido Reducing

The informants in this study were the reproductive age group of 20-35 years, the group of informants aged over 35 years, the group of informants with a duration of using 3 months of contraceptive injections under 3 years and the group of informants who had used KB injections of 3 months over 3 years and groups who had used injection 3 months. The informants in this study were 10 acceptors at PMB Cici Krismawati in 2022. The results of this study indicate that the symptoms of decreased libido that appear are more common in the group of informants aged over 3 years and the group of informants who have used more than 3 years, while the group of informants of productive age 20-45 years and the group of informants with a duration of 3 months of contraceptive injections under 3 years is rare, the stage of decreased libido that occurs is still a mild stage. The way to deal with decreased libido is that there are those who just give up, communicated with their partners, there are also couples who watch movies as a medium to bring back their libido. PMB is expected to be able to provide comprehensive information to each acceptor, including how to deal with side effects experienced by acceptors.

Hubungan Penggunaan KB Suntik 3 Bulan Dengan Kenaikan Berat Badan Pada Wanita Usia Subur Di Puskesmas Maga Kabupaten Mandailing Natal Tahun 2022

Injectable contraception is a way to prevent pregnancy by means of hormonal injections. This type of hormonal contraceptive injection in Indonesia is being used more and more because it works effectively, is practical to use, is relatively cheap and safe. This study aims to determine the relationship between the use of 3-month injection birth control and weight gain in women of childbearing age at the Maga Health Center in Mandailing Natal Regency in 2022. This type of research is an analytical survey with a cross-sectional approach. The population is all pregnant women who are at the Maga Health Center, Mandailing Natal Regency in 2022, with a total of 36 pregnant women. The number of samples used was 52 people obtained by using purposive sampling technique. Data analysis technique using chi square. the results obtained in this study were from 52 respondents, there was a relationship between the knowledge variable and weight gain with a value of p = 0.001, there was a relationship between the variable length of use and weight gain with a value of p = 0.002, there was a relationship between the age variable and weight gain body with a value of p = 0.002, there is a relationship between the education variable and weight gain with a value of p = 0.003 and there is a relationship between the work variable and weight gain with a value of p = 0.001. there is a relationship between knowledge variables and weight gain, there is a relationship between variables of length of use and weight gain, there is a relationship between age variables and weight gain, there is a relationship between education variables and weight gain and there is a relationship between work variables and weight gain . It is suggested to the puskesmas to increase the mother's knowledge to increase counseling related to the use of injecting contraception.

Relationship Between the Use of Injectable Contraceptives Based on Use at Posyandu Melati

In Indonesia, the number of heads of household is 60,349,706 and the number of couples of childbearing age is 36,993,725 as much as 61.29% of the number of heads of families. Nationally, there are 23,361,189 family planning participants, 63.14% of the number of couples of childbearing age in Indonesia. The aim of the study was to use injectable contraceptives based on the length of use at the Melati Posyandu, Sukaraya Village, Pancur Batu District, Deli Serdang Regency 2021. The type of research used was observational analytic by design. cross-sectional study. The population in this study amounted to 25 mothers who accept injections at Posyandu Melati, Sukaraya Village, Pancur Batu District, Deli Serdang Regency 2021. The sampling technique used was purposive sampling. Data analysis used the chi-square test. The results showed that mothers who experienced an increase in body weight of injectable family planning acceptors amounted to 64.0% and those who did not experience an increase were 36.0%. The results of the chi-square test obtained a value of value = 0.017 less than 0.05. Meanwhile, the mothers of injecting family planning acceptors who experienced menstrual cycle irregularities amounted to 76.0% and those who did not experience menstrual disorders were 24.0%. The results of the chi-square test obtained p value = 0.006 less than 0.05. There is a relationship between the use of 3-month injectable contraceptives based on the length of use at the Melati Posyandu, Sukaraya Village, Pancur Batu District, Deli Serdang Regency 2021. Abstrak: Di Indonesia, jumlah kepala keluarga sebanyak 60.349.706 dan jumlah pasangan usia subur 36.993.725 sebanyak 61.29% dari jumlah kepala keluarga. Peserta kb secara nasional sebanyak 23.361.189 sebanyak 63.14% dari jumlah pasangan usia subur di Indonesia.tujuan penelitian untuk mengetahui hubungan penggunaan kontrasepsi suntik berdaraskan lama pemakaian di posyandu melati desa Sukaraya kecamatan Pancur Batu Kabupaten Deli Serdang 2021. Jenis penelitian yang digunakan adalah observasional analitik dengan desain penelitian studi potong lintang (cross sectional). Populasi dalam penelitian ini berjumlah 25 ibu akseptor suntik di posyandu melati desa sukaraya kecamatan Pancur Batu Kabupaten Deli Serdang 2021.teknik pengambilan sampel yang digunakan adalah purposive sampling.analisis data menggunakan uji chi square.hasil penelitian menunjukkan ibu yang mengalami kenaikan berat badan ibu akseptor KB suntik yang berjumlah 64,0% dan yang tidak mengalami kenaikan berjumlah 36,0%. Hasil uji chi square diperoleh nilai p value=0,017 kurang dari 0,05.sedangkan ibu akseptor kb suntik yang mengalami ketidateraturan siklus haid berjumlah 76,0% dan yang tidak mengalami gangguan haid 24,0%.hasil uji chi square diperoleh nilai pvalue=0,006 kurang dari 0,05.ada hubungan antara penggunaan kontrasepsi suntik 3 bulan berdasarkan lama pemakaian di posyandu melati desa Sukaraya kecamatan Pancur Batu Kabupaten Deli Serdang 2021

Hubungan Kenaikan Berat Badan, Siklus Menstruasi dan Emosional dengan Penggunaan Suntik KB 3 Bulan di BPM Lia Amelia

Introduction: Contraceptives that are mostly chosen by acceptors in Indonesia are injectable contraceptives as much as 61.4%, but injectable contraceptives have an impact that can cause weight gain, menstrual cycle disorders and emotional disturbances. Acceptors said that injectable contraception felt more practical in the family planning process. Objectives: The purpose of the study was to determine the relationship between weight gain, menstrual cycle disorders and emotional disturbances with the use of 3 month injectable contraceptives. Method: This type of research is quantitative, analytical research design with cross-sectional approach. The population and sample in this study were all family planning acceptors as many as 55 respondents in total sampling. This research was conducted in May 2022. Data collection was done using a questionnaire sheet. Analysis of univariate and bivariate t-test data (t-test). Result: The results showed that most users of 3-month contraceptive injections experienced weight gain of as much as 65.5%, experienced menstrual cycle disorders of as much as 80.0%, and experienced emotional changes of as much as 52.7%. There is a significant relationship between weight gain and the use of 3-month contraceptive injections with p-values of 0.000 and or 186,667. There is a significant relationship between the menstrual cycle and the use of 3-month contraceptive injections with p-values of 0.001 and or 10.370 and there is a significant relationship between emotionality and the use of 3month birth control injections with p-values of 0.000 and OR 30,769. Conclusion: The most dominant side effects of using 3-month injectable contraceptives are weight gain and emotional disturbances.

Contraception use among female youth with disabilities: Secondary analysis of a Canadian cross-sectional survey

BackgroundNon-use of contraception among sexually active youth is an important contributor to unintended pregnancy, but contraception use among disabled youth is poorly understood. ObjectiveTo compare contraception use in female youth with and without disabilities. MethodsWe used data from the 2013–2014 Canadian Community Health Survey on sexually active 15 to 24-year-old females with (n = 831) and without (n = 2,700) a self-reported functional or activity limitation, who reported that it was important to them to avoid getting pregnant. We used log binomial regression to derive adjusted prevalence ratios (aPR) for use of any vs. no contraception, and for oral contraception, injectable contraception, condoms, other contraception methods, and dual methods separately, comparing youth with and without disabilities. Adjusted analyses controlled for age, school enrollment, household income, marital status, race/ethnicity, immigrant status, and health region. ResultsThere were no differences in the use of any contraception (85.4% vs. 84.2%; aPR 1.03, 95% CI 0.998–1.06), oral contraception (aPR 0.98, 95% CI 0.92–1.05), condoms (aPR 1.00, 95% CI 0.92–1.09), or dual methods (aPR 1.02, 95% CI 0.91–1.15), comparing youth with and without disabilities. Those with disabilities were more likely to use injectable contraception (aPR 2.31, 95% CI 1.59–3.38) and other contraception methods (aPR 1.54, 95% CI 1.25–1.90). ConclusionYouth at risk of unintended pregnancy had similar overall use of contraception, regardless of disability status. Future studies should examine the reasons for higher uptake of injectable contraception in youth with disabilities, with possible implications for health care provider education on access to youth-controlled methods for this group.

Pengalaman Akseptor KB dalam Menggunakan Metode KB Suntik Depo Medroxyprogesterone Acetate (DMPA) di PMB Bidan “K”

Introduction: 3-month injectable contraception, if there are advantages, there must be disadvantages to using 3-month injectable contraceptives. Adverse effects that can occur with the use of 3-month injectable contraceptives are often found with complaints, including Short and long menstrual cycles, Heavy or light bleeding, Irregular bleeding or spotting, and No menstruation at all (amenorrhoea). Objectives: This study aims to analyze the side effects, effectiveness and sexual intercourse on the experience of family planning acceptors in using the DMPA injection KB method at PMB Midwife K Klapanunggal in 2022. Method: The population in this study was 10 people including the head of PMB (1 person) and DMPA injecting family planning acceptors (9 people). This type of qualitative research used a case study approach. PMB Midwife K. This study began with transcripts of the interview results, after the interview transcripts were completed, the researcher created a matrix to determine the ideas put forward by the informants and group them according to their frame of mind. The resulting data is processed using Microsoft Office software in reducing data, presenting data, drawing conclusions and verifying data. Result: The results showed that the experiences felt by informants were different, including weight continued to increase, discharge of spots constantly, headaches, emotions and spots that make it uncomfortable. Pleasant experiences and feelings during sexual intercourse with a partner affect women's sexual satisfaction and reduce sexual dysfunction. Sexuality, sexual desire and sexual arousal are more influenced by their partner’s mental health and feelings. Conclusion: Family planning acceptors in using DMPA injections have different experiences and side effects, but they are effective in preventing pregnancy, and there is no difference in sexual intercourse.

Faktor-Faktor yang Mempengaruhi Penggunaan Kontrasepsi Hormonal Suntik 3 Bulan


 
 
 
 The Family Planning (KB) program is a program to control the rate of population growth in order to meet the public's demand for better and better quality reproductive health (KR) services. The family planning program does not only aim to control the rate of population growth, but also to meet the demands of the community for quality family planning and reproductive health (KR) services, reduce the maternal mortality rate (MMR) and infant mortality rate (IMR) and improve reproductive health which aims to form a nice little family. Injectable contraception is a method of preventing pregnancy with hormonal injections. Injectable birth control is one of the most widely used methods of preventing pregnancy in Indonesia. Reviewing the literature regarding the factors that influence the use of 3-month injectable hormonal contraception. The method of writing this article is a literature review found in medical journal databases such as PubMed and Google Scholar. The results of the study showed that there was a significant relationship between the factors that influenced the 3-month injectable hormonal contraception. Based on the articles that have been collected, the results of the study show that age, education level, and husband's support are the main factors influencing the use of 3-month injection contraceptives. Based on the results of the discussion above, it can be concluded that the factors that influence the use of 3-month injections are influenced by 1). Age factor, 2). Weight gain factor 3) Husband support factor, 4) Education factor. 
 
 
 

Glucocorticoids and medroxyprogesterone acetate synergize with inflammatory stimuli to selectively upregulate CCL20 transcription

The pro-inflammatory cytokine, chemokine (C-C motif) ligand 20 (CCL20), is emerging as a therapeutic target for immune-based therapies. Cooperative regulation of CCL20 by glucocorticoids and progestins used in endocrine therapy and pro-inflammatory mediators could modulate immune function and affect disease outcomes. We show that glucocorticoids as well as medroxyprogesterone acetate (MPA), the progestin widely used in injectable contraception in sub-Saharan Africa, cooperate with pro-inflammatory mediators to upregulate CCL20 protein and/or mRNA in human peripheral blood mononuclear cells (PBMCs) and human cervical cell lines. Changes in CCL20 mRNA levels were shown to be synergistic, as assessed by Chou analysis, cell- and gene-specific and to involve transcriptional regulation, with a requirement for a nuclear factor kappa B (NF-κB) site and glucocorticoid receptor (GR) involvement. The novel results suggest a mechanism whereby MPA, like glucocorticoids, may impact inflammation both systemically and in the genital tract in patients using MPA and/or glucocorticoid therapy.

DIFFERENCES IN ESTROGEN LEVELS BEFORE AND AFTER GIVING CALLANGGI TEA TO WISTAR STRAINING WHITE FEMALE RATS (RATTUS NORVEGICUS) IN MEDROXYPROGESTERONE ACETATE (DMPA) INDUCTION

Data from the 2017 Indonesian Demographic and Health Survey (IDHS) show that hormonal injection contraception has been the most common choice taken by women in more than 90 countries worldwide since 1967. Hormonal contraception uses essential ingredients from synthetic hormones used to regulate pregnancy. The 3-month injection KB (Depo-medroxprogestin acetate/DMPA) has the highest rating, 46.84%. DMPA thickens the cervical mucus, interfering with the ovulation process. The affects couples of childbearing age to get offspring quickly, causing stress where women often experience anxiety, depression, and prolonged fatigue that affect hormones and female reproductive organs. Midwifery care has been carried out by combining conventional and complementary midwifery services, which have become an essential part of midwifery practice. Decree of the Minister of Health Number 1109/Menkes/Per/IX/2007 concerning Alternative Complementary Medicine. Complementary is complementary, perfecting. Complementary therapy is carried out to complement conventional medical treatment and is rational, and does not conflict with health values ​​and laws in Indonesia. There are several methods of accelerating fertility recovery, one of which is using medicinal plants as an alternative, namely clover. The community widely uses clover for daily consumption. In this study, the method used as clover in a tea preparation is to be induced orally in female Wistar rats. Clover belongs to the water spike group, which contains isoflavones, antioxidants, and anti-inflammatories. The content of isoflavones in clover leaves can balance female hormones. The results of this research are beneficial for the development of science and technology, especially complementary therapy regarding the potential of clover as a natural ingredient that helps restore fertility

Socio-demographic and reproductive characteristics of clients that accepted contraceptives at abortion center at the Charlotte Maxeke Johannesburg Academic Hospital (CMJAH), Johannesburg, South Africa: a cross-sectional study (January-July 2021).

access to family planning services is an important preventive strategy against maternal mortality as it can considerably reduce unintended pregnancies and prevent sequelae of unsafe abortion. We aimed to describe the socio-demographic and reproductive characteristics of abortion seekers and investigate factors associated with uptake of contraceptives following induced abortion at Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg, South Africa. this study was a cross-sectional study among women who had legal termination of unwanted pregnancy at Charlotte Maxeke Johannesburg Academic Hospital (CMJAH), from 1st January 2021 to July 2021. Questionnaires were administered to 80 consenting consecutive clients after undergoing induced abortion. Information on socio-demographic and reproductive characteristics and pattern of contraceptive uptake of the respondents were obtained. Descriptive and bivariate analysis were conducted to determine the pattern and relationship of socio-demographic and reproductive characteristics and contraceptive uptake. the mean age of the 80 respondents was 25.6 ± 6.6 years. Majority of the participants were of the Black race (96.25%, n= 77/80), single (90.00%, n= 72/80), of the Christian faith (80.00%, n= 64/80) and unemployed. The median number of children alive among the clients was 1(0-2), with about 37.5% of the participants being nulliparous. About 16.25% of the participants had had at least one previous termination of pregnancy. The prevalence of post-abortion contraceptive uptake was 97.5% (95%CI: 90.36% - 99.39%, N=78/80). More than half chose injectable contraceptive (53.85%, 95%CI: 42.60% - 64.71%, N= 42/78), followed by oral contraceptive pills (21.79%, 95%CI: 13.90% - 32.49% N= 17/78). We found no association between socio-demographic and reproductive characteristics, and contraceptive uptake among the abortion clients (p values >0.05). the immediate post-abortion contraceptive uptake in our facility is very high. Majority of the clients accepted injectable contraceptives. The demographic and reproductive characteristics of our clients did not affect uptake of post-abortion contraception. More education is needed to improve uptake of other long-acting contraceptives that may not require frequent contact with the health facility.

The Differences of Women’s Sexual Drive Condition between Triclofem and Cyclofem Users

Background: Various factors contribute to changes in the condition of a woman's sexual drive, one of which is the use of hormonal contraception. The majority of women of childbearing age use the injectable hormonal contraceptive method to prevent pregnancy. The injection method of contraception consists of two types, namely triclofem and cyclofem. However, until now it is not known with certainty the difference in sexual drive between triclofem and cyclofem contraception users. The purpose of this study was to compare the value of total sexual drive in users of triclofem and cyclofem contraception. Subjects and Method: A cross-sectional study was conducted in October 2022 at PMB Maria, Tambaksari District, Surabaya City. A total of 152 subjects were selected in this study. The dependent variable is sexual drive, the independent variable is the use of triclofem and cyclofem contraception. Data were analyzed using the Mann-Whitney test. Results: There was a significant difference between the mean sexual drive for users of triclofem contraception and the mean sexual drive for users of cyclofem contraception, namely users who were ≥35 years old (p= 0.001), worked (p= 0.020), and had used contraception >2 years (p = 0.004). Contraceptive users aged <35 years (p=0.415), not working (0.082), and duration of contraceptive use ≤2 years (p=0.578) showed no significant difference between the mean sexual drive of Triclofem contraceptive users and the mean sexual drive in users of cyclofem contraception. Conclusion: There was a significant difference between the condition of sexual drive in contraception users of triclofem and cyclofem only in users with characteristics of age ≥35 years, working, and having used contraception for >2 years. Also, users of triclofem contraception show lower sexual drive than users of cyclofem contraception. Keywords: sexual drive, contraceptive users, triclofem, and cyclofem. Correspondence: Sekar Arum Aisyah Syabani. Midwifery Program Study, Faculty of Medicine, Universitas Airlangga, Indonesia. Jl. Mayjen Prof. Dr. Moestopo No.47, Pacar Kembang, Kec. Tambaksari, Kota SBY, Jawa Timur 60132. Email: sekar.arum.aisyah-2019@fk.unair.ac.id. Mobile: +6281385876519. Journal of Maternal and Child Health (2023), 08(01): 70-77 https://doi.org/10.26911/thejmch.2023.08.01.07

KARAKTERISTIK AKSEPTOR KB DALAM PEMILIHAN METODE ALAT KONTRASEPSI DI DESA OILIT RAYA KABUPATEN KEPULAUAN TANIMBAR

The family planning program must consider the issue of gender equality in formulating its priority activities. The choice of using contraceptive methods is influenced by perceptions or previous experiences, knowledge, beliefs, influence factors, social factors and other factors, before making a decision the acceptor seeks information first by considering risk factors, choices and communication. The purpose of this study was to determine the characteristics of family planning acceptors in the selection of contraceptive methods in Olilit Raya village, Tanimbar Islands Regency. The method of this research is descriptive quantitative research with the type of research is retrospective. The study was conducted to determine the characteristics of the respondents, namely age, number of children, JKN participation, desire to have children, age of last child. The population in this study was used as a sample (total sampling), namely all the target family planning acceptors as many as 126 family planning acceptors. The results showed that 73 respondents (57.9%) of family planning acceptors chose to use injectable contraception, 92 respondents (73%) were aged 20-35 years, the highest parity of family planning acceptors was mothers who had multiparous children (90.5%) with the number of children between 2 to 4 people, 102 respondents (81.0%) family planning acceptors have National Health Insurance (JKN), 41 respondents (32.5%) family planning acceptors have children under five, children and adolescents. It is hoped that efforts to increase family planning participation need to be carried out on an ongoing basis with advocacy and KIE/Counseling for family planning services.

CASE STUDY IN HIGH RISK PREGNANCY

Background : The period of pregnancy, childbirth, postpartum and newborn is a physiological condition. However, normal conditions can become pathological so that every pregnant woman has a risk of experiencing complications. One condition that can cause complications is a high-risk pregnancy. Some categories of high-risk pregnancies are too young, too old, too close, and too many. With comprehensive midwifery care, midwives can perform early detection of complications that occur both during pregnancy, childbirth, postpartum and newborns.
 Methods : The aim of this case report is to provide comprehensive midwifery care for high risk pregnancies. The process of childbirth and the puerperium went normally without complications.
 Results :The client uses a depo progestin injection contraception device and the baby has received Hb0, BCG and Polio I immunizations and has gained 800 grams of weight. Conclussion : Optimal comprehensive midwifery care can prevent complications.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KENAIKAN BERAT BADAN PADA PENGGUNAAN KB SUNTIK 1 BULAN DAN 3 BULAN

Background: Injectable contraceptives for one month or three months can cause side effects, one of which is weight gain. Weight gain is a problem for women. The purpose of the study was to determine the factors associated with weight gain on the use of 1-month and 3-month injectable contraception in the working area of the Puskesmas Kelurahan Pulau Panggang, Seribu Islands in 2021. Methods: Analytical research with case control design. The sample of this study was acceptors who used 1-month and 3-month injectable KB for 1 years starting from Mei 2020 totaling 106 consisting of 53 acceptors of 1-month injectable KB and 53 acceptors of 3-month injectable KB using purposive sampling technique. The research instrument used a questionnaire. Data is primary data analyzed using Spearman test. Result: Research on physical activity (p=0.000), stress (p=0.000) and nutritional intake (p=0.002), with an odd ratio value of physical activity of 7.901, the value of the Odds Ratio of stress was 5.638, the odd ratio value of nutritional intake was 3.789. The conclusion of this research is the weight gain of 3month injection family planning acceptors was more than that of 1 month family planning acceptors. Physical activity, stress and nutritional intake are among the factors associated with weight gain. Suggestions for injection family planning acceptors, it is expected that they will exercise regularly and be able to regulate their diet with a balanced nutritional menu so that the mother's weight is reduced and ideal so as to avoid the incidence of obesity.

Compliance with DMPA contraceptive injection repeat visits during the Covid 19 pandemic

The 3-month of DMPA injectable contraceptive is one of the contraceptive methods that has decreased in the number of users during the Covid-19 pandemic. Acceptors of 3-month injectable contraceptives who do not comply with visits can reduce effectiveness and increase the risk of pregnancy. This study aims to examine the factors that influence the adherence of 3-month DMPA injection family planning acceptors during the Covid-19 pandemic. This was quantitative research with cross sectional design. The sample used in this study were 125 acceptors of 3-month DMPA injection family planning. Data was obtained by using a questionnaire. The analysis was performed using logistic regression. Based on multivariate analysis, there were 3 factors associated to adherence to DMPA injection repeat visits, namely family planning acceptor occupation　(OR=0.11, 95%CI= 0.04-0.31), knowledge (OR=3.59, 95%CI=1.34-9.58) and husband's support (OR=5.84, 95%CI=2.42-14.08). The most dominant factor was husband's support (OR=6.65, 95%CI=2.51-21.46). Husband's support is the most important factor that is strongly associated to injection repeat visits for DMPA family planning acceptors during the covid 19 pandemic. Good communication between partners is needed to increase DMPA injection repeat visits.

Faktor-Faktor yang Mempengaruhi Penggunaan Kontrasepsi Hormonal Suntik 3 Bulan

The Family Planning (KB) program is a program to control the rate of population growth in order to meet the public's demand for better and better quality reproductive health (KR) services. The family planning program does not only aim to control the rate of population growth, but also to meet the demands of the community for quality family planning and reproductive health (KR) services, reduce the maternal mortality rate (MMR) and infant mortality rate (IMR) and improve reproductive health which aims to form a nice little family. Injectable contraception is a method of preventing pregnancy with hormonal injections. Injectable birth control is one of the most widely used methods of preventing pregnancy in Indonesia. Reviewing the literature regarding the factors that influence the use of 3-month injectable hormonal contraception. The method of writing this article is a literature review found in medical journal databases such as PubMed and Google Scholar. The results of the study showed that there was a significant relationship between the factors that influenced the 3-month injectable hormonal contraception. Based on the articles that have been collected, the results of the study show that age, education level, and husband's support are the main factors influencing the use of 3-month injection contraceptives. Based on the results of the discussion above, it can be concluded that the factors that influence the use of 3-month injections are influenced by 1). Age factor, 2). Weight gain factor 3) Husband support factor, 4) Education factor.