HUBUNGAN UMUR DAN PARITAS DENGAN PEMILIHAN ALAT KONTRASEPSI METODE OPERASI WANITA (MOW) DI POLIKLINIK KEBIDANAN RS BHAYANGKARA PALEMBANG TAHUN 2012

Author(s):  
Y. Widyastuti Y. Widyastuti

  ABSTRACT [In advanced countries the number of permanent contraception option ( kontap ) approximately 10 % of all national family planning methods , while in Indonesia reached approximately 5.7 % . Based on data obtained from medical records Bhayangkara Hospital Palembang in 2010 the number of achievement when seen from the percentage of contraceptive use is only 9.10 % The purpose of this study is known age and parity relationship with the selection of contraceptive methods Surgery Women ( MOW ) in Palembang RS.Bhayangkara obstetrics clinic in 2012 . This study uses the analytic survey with cross sectional approach . The population in this study were women who become new acceptors were recorded in medical records at the hospital . Palembang Bhayangkara Hospitals January 1, 2012 to December 31 in 2012 . The sample in this study is part of a whole number of new acceptors ( either using contraception methods MOW and other family planning methods ) were registered in the hospital . Palembang Police Hospitals of January 1, 2012 to December 31 years of data 2012.Analisa univariate and bivariate statistical Chi - Square test with significance level α = 0.05 . The results showed there were 80 respondents ( 46.3 % ) who became MOW contraceptive acceptors , acceptors who have old age by 45 respondents ( 56.3 % ) and who has a young age by 35 respondents ( 43.8 % ) . acceptors which have high parity were 44 respondents ( 55 % ) who had low parity and a total of 36 respondents ( 45 % ) . From the results of Chi-square test value obtained ρ = 0.00 is smaller than α = 0.05 . There is a significant correlation between age and the selection of MOW Chi square test results obtained ρ value = 0.00 and there was a significant association between parity with the election MOW Chi square test results obtained ρ value = 0 , . From these results , it is expected to power health, especially family planning services at the hospital . Palembang Police Hospitals in order to improve the quality of family planning services in an effective, efficient , and safe are considered particularly suitable for users of contraception OperatingMethodWomen(MOW).                                      ABSTRAK Di negara sudah maju jumlah pilihan kontrasepsi mantap (kontap) sekitar 10% dari semua metode KB nasional, sedangkan di Indonesia baru mencapai sekitar 5,7 %. Berdasarkan data yang diperoleh dari Rekam medik  Rumah Sakit Bhayangkara Palembang tahun 2010 Jumlah pencapain tersebut jika dilihat dari persentasi penggunaan kontrasepsi MOW hanya  9,10% Tujuan penelitian ini adalah diketahuinya hubungan umur dan paritas dengan pemilihan alat kontrasepsi Metode Operasi Wanita (MOW) di poliklinik kebidanan RS.Bhayangkara Palembang Tahun 2012. Penelitian ini menggunakan metode survey analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah wanita yang menjadi akseptor KB Baru yang tercatat di rekam medik  di RS. Bhayangkara Palembang tanggal 1 januari 2012 sampai dengan 31 Desember  tahun 2012. Sampel dalam penelitian ini adalah sebagian dari seluruh jumlah akseptor KB Baru (baik yang menggunakan alat kontrasepsi Metode MOW maupun Metode KB lain) yang teregister di RS. Bhayangkara Palembang dari tanggal 1 januari 2012 sampai dengan 31 Desember  tahun 2012.Analisa data dilakukan secara univariat dan bivariat dengan uji statistik Chi-Square dengan tingkat kemaknaan α = 0,05. Hasil penelitian menunjukkan dari 80 responden terdapat (46,3%) yang menjadi akseptor kontrasepsi MOW, akseptor yang memiliki umur tua sebanyak 45 responden (56,3%) dan yang memiliki  umur muda sebanyak 35 responden (43,8%). akseptor yang memiliki paritas tinggi sebanyak 44 responden  (55%) dan yang memiliki  paritas rendah sebanyak 36 responden (45%). Dari hasil uji Chi square didapatkan ρ value = 0,00 lebih kecil dari α = 0,05. Ada hubungan yang bermakna antara umur dengan pemilihan MOW dari hasil uji Chi square didapatkan ρ value = 0,00 dan ada hubungan yang bermakna antara paritas dengan pemilihan MOW hasil uji Chi square didapatkan ρ value = 0,.Dari hasil penelitian ini, diharapkan kepada tenaga kesehatan khususnya pelayanan KB  di RS. Bhayangkara Palembang  agar dapat meningkatkan kualitas pelayanan KB secara efektif, efisien, dan aman yang dianggap cocok bagi penggunanya khususnya mengenai kontrasepsi Metode Operasi Wanita (MOW).    

Author(s):  
Tiara Adella ◽  
Rita Damayanti ◽  
Martya Rahmaniati Makful

Latar Belakang. Indonesia adalah negara dengan populasi terbanyak di Asia Tenggara. Dalam mengantisipasi masalah laju pertumbuhan penduduk, Pemerintah mempersiapkan program Keluarga Berencana dan salah satu sasarannya adalah remaja.Tujuan. Penelitian ini bertujuan untuk mengetahui hubungan antara kebutuhan pelayanan keluarga berencana pada remaja belum kawin dengan niat menggunakan kontrasepsi di masa dewasaMetode. Penelitian menggunakan kuantitatif analitik dengan pendekatan cross sectional. Kuesioner yang digunakan Remaja Pria (RP) dan Wanita Usia Subur (WUS). Populasi dalam penelitian ini adalah seluruh remaja belum kawin di Indonesia dengan sampel berjumlah 18.464 responden.Hasil. 82,6% remaja yang berniat menggunakan kontrasepsi di masa dewasa. Hasil uji chi-square terdapat hubungan antara kebutuhan pelayanan KB pada remaja belum kawin dengan niat menggunakan kontrasepsi di masa dewasa. Hasil analisis multivariat, ada hubungan antara kebutuhan pelayanan KB pada remaja belum kawin dengan niat menggunakan kontrasepsi di masa dewasa setelah di kontrol variabel perancu.Kesimpulan. Remaja pria belum kawin yang tidak butuh pelayanan KB, terpapar media massa, memiliki pengetahuan <4 alat/cara KB lebih tidak berniat menggunakan kontrasepsi di masa dewasa. ABSTRACTBackground. Indonesia is the country with the most population in Southeast Asia. In anticipating a Population Growth Rate problem, the government is preparing a family planning program with youth as one of the targets. Objective. This study aimed to determine the relationship between the need for family planning services in unmarried adolescents and the intention to use contraception in adulthood.Method. The study is quantitative analytic with a cross-sectional approach. The questionnaire used by Adolescent Men (RP) and Women of Fertile Age (WUS). The population in this study were all unmarried adolescents in Indonesia, with sample amount 18,464 respondents. Results. 82.6% of adolescents intend to use contraception in the future. Chi-square test results show a relationship between the need for family planning services for unmarried adolescents with the intention to use contraception in adulthood. The result of the multivariate analysis shows a relationship between the need for family planning services for unmarried adolescents with the intention to use contraception in adulthood after being controlled for confounding variables.Conclusion: Unmarried male adolescents who do not need family planning services, are exposed to mass media, have knowledge of <4 methods/methods of contraception and do not intend to use contraception in adulthood.


2019 ◽  
Vol 61 (2) ◽  
pp. 50
Author(s):  
Anudha Moodley ◽  
Ozayr Mahomed

Background: The contraceptive implant (Implanon) has been recognised as one of the most effective family planning methods and is a healthier choice for women in Africa due to its efficacy and convenience. Despite the evidence of effectiveness and safety of the implant, the actual uptake for Implanon use in the Ugu district of KwaZulu-Natal is relatively low. The aim of the study was to determine factors associated with Implanon uptake in Ugu North Sub District 2016/17.Methods: An observational cross-sectional study with an analytical component using self-administered questionnaires to collect information from 385 participants using randomised systematic sampling was conducted at family planning clinics at GJ Crookes Hospital and seven surrounding primary health care clinics. The chi-square test and multivariate logistic regression was used to determine associations.Results: Some 16% (n = 60) of the participants utilised Implanon. Despite having the correct knowledge 65.7% (n = 220) were not willing to use Implanon if it were offered. In addition, 55% of participants (n = 177) believed Implanon had more side effects. Parity ( 4 children) was found to be a statistically significant protective factor against (p 0.05) Implanon uptake.Conclusion: Implanon is a highly unattractive method of contraception for women residing in the Ugu North Sub District. Fear of side effects and invasive method of insertion were identified as the major barriers to Implanon use. Education and increased patient awareness are strategies to increase the desirability and uptake of Implanon.


2020 ◽  
Vol 28 (8) ◽  
pp. 476-484 ◽  
Author(s):  
Andualem Tamiru ◽  
Alemi Kebede ◽  
Tesfaye Dagne ◽  
Mulugeta Berhanu ◽  
Muluneh Getachew ◽  
...  

Background This study aimed to assess factors associated with quality of family planning services in the Jimma zone, Ethiopia, 2018. Method Cross-sectional study was conducted at health posts in the Jimma zone from 13 March to 13 April 2018. Logistic regression analysis was used to identify client satisfaction on family planning services and qualitative data were presented by triangulating with quantitative findings. Conclusion Less than 50% of clients were satisfied with family planning services which significantly associated with availability of family planning methods and attending family planning education. Therefore, family planning education and availing different family planning methods is important to improve family planning services at the Jimma zone health posts.


Author(s):  
Uruj Jahan ◽  
Kavita Verma ◽  
Shruti Gupta ◽  
Renu Gupta ◽  
Simmi Mahour ◽  
...  

Background: Family planning services have the potential to improve the quality of the lives of people and their economic welfare. The objective of the study was to assess the level of awareness, attitude, and current practice of different family planning methods and to elicit reasons for couples not using any method.Methods: A cross sectional descriptive study was done among 1050 married women of reproductive age .Results: Most of the women were between 21-34 years of age (60.1%) and had primary level of education (40%).It was observed that with increase in level of education, awareness also increased (77.7%). The most common source of information was mass media (53.2%). Contraceptive prevalence rate was 62.9%, higher than the national data as 28.5%. Most of them (93.1%) were aware of atleast one family planning method. The most commonly known were OCPs (74.8%), condom (68.8%) and IUCD (56.6%). Awareness about female sterilisation (36.4%) was more than male sterilisation (25.3%). 62.9% had used atleast one contraceptive method, three prevailing methods used were condom (65.1%), OCPs (31.8%) and IUCD (9.09%). Reasons precluding women from practicing contraception were desire to have a child (60.5%), lack of knowledge (42.4%), and unbearable side effects (25.5%). Majority (92.4%) thought that contraceptive use was beneficial but only (27.2%) expressed the willingness to start practicing contraception if they received more information about the subject.Conclusions: Majority of women had optimal knowledge and favourable attitude, still there is need to educate and motivate couples to improve family planning services.


2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Ghzl Ghazi Alenezi ◽  
Hassan Kasim Haridi

Abstract Background Evaluation of awareness and use of family planning methods is important to improve services and policies. This study aimed to assess awareness and use of family planning methods among women in an urban community in the north of Saudi Arabia. A cross-sectional study was carried out in a maternity hospital and 12 primary health care (PHC) centers in Hail City between December 1st, 2019, and May 30, 2020. Results Four hundred married sexually active women aged 18–49 years were interviewed using a pretested structured questionnaire. The mean age of the participant was 32.0±7.5 years, 73.5% were university educated, and 58% were housewives. More than two-thirds of them (67.6%) had ≥3 living children. Most women (85%) ever used, and 66.5% were currently using any method of contraception; however, only one in five who get counseling for the contraceptive method used, and 40% of the last births were unplanned for. Almost all women reported unavailable family planning clinics in their primary healthcare centers. Most participants (83.0%) desired to have >3 children, which indicates that the main purpose of family planning was child spacing rather than limitation. Relying on natural methods as being safer (36.3%), desire to have more children (19%), being afraid from side effects (15.3%), and possibility of difficulty getting pregnant or might cause infertility (13.0%) were reasons the participants viewed for unsung modern contraceptives. Conclusion This study revealed that most women in urban Hail community, northern Saudi Arabia, were aware about and have a positive attitude towards family planning. The majority of the participants ever used, and two-thirds were currently using any contraceptive method/s, which is higher than the national estimate for Saudi Arabia. However, only one in five counseled by healthcare providers for the type of contraceptive method used. Unavailability of family planning services in primary health care centers impedes getting professional counseling. It is imperious to consider family planning clinics to provide quality family planning services.


2014 ◽  
Vol 3 (4) ◽  
pp. 34-37 ◽  
Author(s):  
Rajam Bikram Rayamajhi ◽  
A Ghimire ◽  
SR Niraula ◽  
SS Budhathoki ◽  
VK Khanal ◽  
...  

Nepal, having a predominance of patriarchal society, contraceptive is used by of the females in most cases. Utilization of the family planning services is vital for reduce maternal and neonatal morbidity and mortality in an underdeveloped country like ours. The objective of the study was to assess the awareness and practices of various modes of family planning methods present among the mothers in Belhara VDC of Dhankuta district. A descriptive cross sectional study was carried out among 291 mothers with door to door visit using random sampling. 92% of the participants were aware about the use of family plan­ning methods but only 87% of them were current family planning users and Depo (92.6%) was found to be the most popular mode of contraception among users. Despite vigorous social marketing about family planning methods, about 8% of the women weren’t aware about it and Depo (92.6%) was found to be the most popular mode of contraception with husband’s desire (84.7%) being the main reason behind the uptake of the service. Journal of Chitwan Medical College 2013; 3(4); 34-37 DOI: http://dx.doi.org/10.3126/jcmc.v3i4.9552


2021 ◽  
Vol 31 (2) ◽  
pp. 44
Author(s):  
Naura Ega Kahayani ◽  
Hermanto Tri Joewono ◽  
Rio Wironegoro

Background: Obesity in pregnant women has been linked to negative outcomes for both the mother and the fetus. Gestational diabetes, preeclampsia, and postpartum haemorrhage are all threats for mothers during pregnancy. These may also affect labor outcomes because fat accumulation in the pelvis makes obese pregnant women more likely to have a caesarean section. Objective: To analyze the outcome of maternal obesity in pregnancy in 2017. Materials and Methods: This was an analytic cross-sectional, observational study in pregnant women with obesity in Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, within the period of January 1st – December 31st 2017 using medical records. Sample size was determined using cross-sectional sample size calculation with the result of n=162. After receiving approval of ethical clearance, medical records were collected and analyzed. The statistical analysis was done using chi-square test. Results: From a total of 162 subjects, most of the patients were 21-34 y/o (56.8%), under graduate (90.7%) and 58% of the subjects worked. Proportion of grade I, II and III were 60.5%, 22.2%, and 17.3%, and 67% suffered from complications such as PE, DM, PE with DM with percentages as follows: 56.2%, 4.9%, and 6.2%. Neonatal complications were preterm 42.6%, macrosomia 4.3%, stillbirth 4.9%, and low Apgar score 48.1%. No association was identified between maternal age and complications in grade I (p=0.764) and grade III (p=0.716). Obesity grades I and III had correlation with complications (p=0.035). Conclusion: No significant association was found between age and complications in grade III obesity, while there was significant correlation between obesity levels (grade I and grade III) and complications.


2020 ◽  
Vol 5 (3) ◽  
pp. 875
Author(s):  
Asfri Sri Rahmadeni

<p class="Normal1"><em>Commitment is the attitude or behavior of likes or dislikes shown by someone against the organization at work. Indonesia is recorded as a nurse who has a low organizational commitment (76%) so it harms services. This phenomenon in the hospital can be seen from the indicator of the high turnover rate of nurses which reaches 30.9% which exceeds the standard &lt;5%. Many factors affect organizational commitment. The purpose of this study was to analyze the Personal Factors Associated with Organizational Commitment of Hospital Nurses. This study is a cross-sectional analytic study and purposive sampling technique with a sample of 59 nurses. Chi-Square test results obtained personal factors that have a relationship with organizational commitment Nurse Hospital is age with p = 0,000 and education with p = 0,000, personal factors not related to organizational commitment are gender p = 1,053 and years of service with p = 1,147. Hospitals should conduct research/surveys on Organizational Commitment periodically as an evaluation material in the context of the organization's development and development in the future</em>.</p>


2020 ◽  
Vol 2 (1) ◽  
pp. 53-59
Author(s):  
Josimara A. de Araújo Varela ◽  
Tatiana F.T. Palitot ◽  
Smyrna L.X. de Souza ◽  
Alidianne F.C. Cavalcanti ◽  
Alessandro L. Cavalcanti

Objective: This study aimed to analyze the presence of lesions in the skull and face and the associated factors in pedestrian victims of traffic accidents. Methods: A cross-sectional, descriptive-analytical study carried out through the analysis of medical records of pedestrian victims of traffic accidents in an emergency service in the city of Campina Grande, Brazil, during the year of 2016. Information was collected regarding gender, age group, day of the week, time of the accident, type of vehicle involved, presence of trauma to the skull and face, and outcomes. The Chi-square and Fisher's Exact tests were used, with a significance level of 5%. Results: A total of 1,884 medical records were evaluated, out of which 7.1% (n = 133) involved pedestrians. Men were the most frequent victims (68.4%), and victims of age 60 years old or over (30.5%) predominated. Almost one-third of the cases were recorded during the weekends (30.5%), and the most prevalent time was at night (52.7%). Regarding the type of vehicle involved, motorcycles predominated (47.4%). Head trauma was present in 37.6% of victims, while facial injuries corresponded to 8.2%. In 12% of cases, the victims died. The variables of gender, age group, occurrence on weekends, and trauma to the face showed a statistically significant association with the occurrence of traffic accidents (Chi-square test; p<0.05). Conclusion: Among pedestrian victims of traffic accidents, there is a predominance of men aged 65 years or over. Accidents are frequent at night, and motorcycles are the main vehicles involved. The presence of trauma to the skull and face regions is high.


2021 ◽  
Vol 2 (3) ◽  
pp. 85-91
Author(s):  
Yuningsih

One of the contributors to maternal and infant mortality is the incidence of preeclampsia that occurs during pregnancy. The cause of preeclampsia is still unknown, but it is suspected that age and parity are one of the triggers for this occurrence. Women of childbearing age who are nulliparous with extreme age under the age of less than 20 years and women with the age of more than 35 years are most commonly found to have preeclampsia. The design in this study is analytic with a cross sectional approach. The population of all mothers giving birth in the delivery room of RSD Balung Jember was 3594 in 2019. The number of samples taken using non-random sampling by purposive sampling was finally obtained by 97 respondents. In this study, the independent variables were maternal age and parity, while the dependent variable was the incidence of preeclampsia. The instrument used is medical records. The data is processed by editing, coding, processing and cleaning processes. Data were analyzed using multiple logistic regression. The results of the chi-square test for the age variable obtained that the Pearson chi-square value was 0.019 and the p value = 0.000 <0.05 from these results Ho was rejected, and the parity variable the Pearson chi- square value was 0.019 and the p value = 0.000 <0.05 from these results Ho is rejected. In conclusion, there is a relationship between age and preeclampsia, and there is a relationship between parity and preeclampsia.


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