PENGARUH KB SUNTIK 3 BULAN DMPA (DEPO-MEDROXYPROGESTERONE ACETATE) TERHADAP KENAIKAN BERAT BADAN DI WILAYAH PUSKESMAS JAILOLO KABUPATEN HALMAHERA BARAT

Abstract

Family planning is one way to reduce maternal mortality, especially mothers with 4T conditions, namely too young to give birth, too frequent births, too close a distance to give birth and too old to give birth (Astriana, 2021). Injectable contraceptives are hormonal contraceptives, which contain the hormone progesterone and a combination of the hormone esterogen progesterone. The type of hormonal injectable contraception is DMPA injectable contraception (Roza, 2018). Injectable contraceptives are hormonal contraceptives, which contain the hormone progesterone and a combination of the hormone esterogen progesterone. The type of hormonal injectable contraception is DMPA injectable contraception (Roza, 2018). National family planning program participants in 2015 reached 32 million acceptors consisting of 28 million active acceptors and 4 million new acceptors. The use of injectable family planning amounted to 47.96%, birth control pills amounted to 22.81% contraceptive implants amounted to 11.20%. The percentage of active family planning for couples of childbearing age in Indonesia in 2016 was 74.8%. The three provinces with the highest percentage were North Maluku 87.03%, Bangka Belitung 83.92% and North Sulawesi 83.84% (Kurniasari et al., 2020). The use of injectable contraceptives is still one of the choices for some mothers because it is affordable, relatively cheap, effective, simple, and safe. However, it cannot be denied that there will be other consequences of using contraceptives, especially the 3-month injections that many mothers use. The complaint that is often discussed is weight gain. DMPA hormonal injectable contraceptives are the only hormonal contraceptives consistently associated with weight gain (Astriana, 2021). This research method uses then analyzed with the Chi Square Test. The results of the analysis showed a relationship between the use of DMPA injectable contraceptives and weight gain. The purpose of this study was to determine the effect of three-month DMPA (Depo-Medroxyprogesterone Acetate) injections on weight gain in the jailolo health center area, West Halmahera Regency. This research uses qualitative research methods, namely observation (observation) and interviews. Qualitative research methods are research methods used to research on natural object conditions. then analyzed with the Chi Square Test. The results of the analysis showed a relationship between the use of DMPA injectable contraceptives and weight gain. Three-month injectable contraceptives DMPA (Depo-Medroxyprogesterone Acetate) can have an impact on weight gain. So it can be concluded that H1 is accepted H0 is rejected with a p-value = 0.000 there is an effect of three-month injectable contraceptives with weight gain. Conclusion: In this study, the results showed that there was an effect of three-month DMPA injections on weight gain.