The Evaluation of the Use of Post Partum Intra Uterine Device (PPIUD) in Spontaneously and Sectio Caesarean Delivery
Ivanna Beru Brahmana (a*), Sri Nabawiyati Nurul Makiyah (b)
a) Obstetrics and Gynecology Department, Doctor of Professional Study Program, Faculty of Medicine and Health Sciences Universitas Muhammadiyah Yogyakarta
b) Histology and Immunology Section, Bachelor of Medicine Study Program, Faculty of Medicine and Health Sciences Universitas Muhammadiyah Yogyakarta
Email: ivanna[at]umy.ac.id
Abstract
The post partum family planning (Keluarga Berencana Pasca Persalinan/KBPP) is conducted because it is safe to be done, can increase the family planning coverage, has the effectiveness of time and can decrease the Maternal Mortality Ratio (Angka Kematian Ibu/AKI). The post partum family planning coverage is still limited. Therefore, it is needed to have the evaluation of PPIUD in the professional practice of a Obstetrician and Gynecologist in Klaten, Central Java. The observational study was conducted by using the cross-sectional design. The data were collected from the medical record for two years; start from April 2016 to December 2017 by using inclusion criteria for women who gave birth both spontaneously and section caesarean (SC) and were willing to do PPIUD installation. The data were collected at the first checkup, i.e., 5th day to 7th day postpartum, the second check-up, i.e., one month after the first check-up, and the third checkup, i.e., six months after the second checkup. The collected data were in the form of the age, the number of pregnancy, the way of birth delivery (Spontaneously or SC), based on the evaluation of the existence of leucorrhea, erosion portio, expulsion, translocation, menometrorrhagia, husbands complaints and pain. The result of the research was analyzed descriptively. The result of research showed that 57 respondent fulfil the inclusion and exclusion criteria. The respondents were approximately 28.96 years old; parturition was more or less 1.74 times, IUD was installed at SC 87.72% and spontaneously delivery 12.28%. The respondent who has leucorrhea was 66.67%, but these respondent have no erosion portio, expulsion, translocation, menometrorrhagia, husbands complaints and pain. It can be concluded that PPIUD is safe and well to be conducted.
Keywords: Post Partum IUD, KB Pasca Persalinan, Spontaneously, Sectio Caesarea
Topic: International Symposium of Engineering, Technology, and Health Sciences