Characteristics Of Long-Term Contraception Method (MKJP) Acceptors Post-Childbirth At RSUD Banyumas In 2022

Abstract

The National Population and Family Planning Board (BKKBN) issued a Regulation in 2017 regarding Postpartum and Post-Abortion Family Planning Services. The use of contraceptive methods is an effort to reduce the health risks for mothers and children due to the 4TS: Too Young, Too Close, Too Frequent, and Too Old Pregnancies. Each contraceptive method has advantages and disadvantages, but the long-term contraceptive method: (MKJP) is the most effective. Objective: This study aimed to determine the characteristics of long-term contraceptive method acceptors postpartum at Banyumas Regional General Hospital in 2022. Method: This quantitative descriptive study employed a retrospective cohort design. The Study Sample was derived from secondary data, Specifically medical records of postpartum long-term contraceptive method acceptors in 2022, totaling 160 acceptors. Data were collected using acheclist and analyzed using univariate analysis in SPSS. Results and Discussion: Among the acceptors of long-term contraceptive methods postpartum at Banyumas Regional General Hospital in 2022, 61 individuals (38.1%) had no accompanying diseases. The least common accompanying disease was Twin Pregnancy, with two individuals (1.3%). Most had undergone Cesarean Section delivery (109 individuals, 68.1%), while the least common delivery type was vaginal delivery (51 individuals, 31.9%). The age group with the highest number of acceptors was 20-30 (69 individuals, 36.3%), while the least common age group was 40 (23 individuals, 14.4%). Parity 2 was the highest (58 individuals, 36,3%), while the least common number of living children was 1 (45 individuals, 28.1%). All acceptors were available with National Health Insurance (JKN) coverage. The most common contraceptive method used was intrauterine device (IUD) (131 individuals, 79.4%), followed by mini-laparotomy with local anesthesia (31 individuals, 19.4%). Conclusion: The characteristic of postpartum LACM acceptors at Banyumas Regional General Hospital Shows that most used IUDs as contraceptive methods. The majority has no accompanying diseases, underwent Cesarean Section delivery, were in the 20-30 age group, had party 2, and were covered by National Health Insurance (JKN