Angka Kejadian Efek Samping dan Komplikasi Pemasangan IUD Pasca Plasenta pada Satu Tahun Pemakaian Bulan Juni 2013-2014 di Rumah Sakit Umum Karanganyar
HERVIANTO MUKTI UTOMO, dr. Ahsanudin Attamimi, Sp.OG(K); Dra. Sri Herwiyanti, M.S.
2014 | Skripsi | PENDIDIKAN DOKTERLatar Belakang. Alat kontrasepsi IUD merupakan salah satu cara mengurangi angka kematian ibu dengan jalan menjarangkan kehamilan. Salah satu metode insersi IUD adalah insersi pascaplasenta yang mempunyai keuntungan efektif dan langsung dapat melindungi ibu. Tujuan Penelitian. Penelitian ini bertujuan untuk mengetahui besar, macam efek samping dan komplikasi serta mengetahui distribusi karakteristik dari akseptor IUD pasca plasenta yang sudah dipasang satu tahun yang lalu. Metode Penelitian. Penelitian ini merupakan penelitian deskriptif, besar responden yang didapatkan adalah 148. Dengan teknik pengambilan total sampling maka didapatkan sampel sebanyak 148 responden. Yaitu ibu yang bersalin di bulan juni 2013 dan dilakukan pemasangan IUD pasca plasenta dengan lokasi daerah kerja Kabupaten Karanganyar selama 10 hari. Serta melakukan wawancara memakai panduan kuesioner. Hasil Penelitian. Pada penelitian ini didapatkan hasil frekuensi responden dengan menorrhagia 33,33%, Nyeri perut 15,38%, spotting 12,82%, keputihan 10,3%, kehamilan 2,56%, dyspareunia 7,69%, amenorrhea 2,56%, ekspulsi 2,56%, benang hilang 2,56%, PID 2,56%, gangguan siklus 2,56% dan dismenorrhea 5,12%. Beberapa efek samping dan komplikasi tidak ditemukan yaitu perforasi, dan translokasi. Kesimpulan.Terbanyak efek samping dan komplikasi adalah menorrhagia dan nyeri perut. Munculnya efek samping dan komplikasi, terutama terjadi empat bulan pemasangan dan nyeri perut adalah alasan tertinggi responden melepas IUD.
Background: IUD contraceptive device is an effort of reducing mortality rate of mothers by planning pregnancy. One of IUD insertion methods is post-placental insertion. The method is effective and it can directly protecting mother. Purpose of the Research:Purposes of the research are to know magnitudes and kinds of side effects and complications and to know characteristic distribution of post-placental IUD acceptors who has been implementing the contraceptive device for one year. Method of the Research: The research is a descriptive-observational one; respondents of the research are 148 individuals. With the use oftotal sampling technique, sample of 148 individuals were obtained, namely mothers who had delivered in June 2013 and has been implementing post-placental IUD after the delivery in the working region of Karanganyar Regency. Data is obtained by using questionnaire-guided interview with the mothers. Results of the Research: The research found that frequencies of respondents with: menorrhagia were 33.33%, stomach pain were 15.38%, spotting were 12.82%, Fluor Albus were 10,3%, pregnancy were 2.56%, dyspareunia were 7,69%, amenorrhea was 2.56%, expulsion were 2,56%, lost thread were 2,56%, PID were 2,56%, change menstrual cycle were 2,56% and dysmenorrhea were 5,12%. Some other side effects and complications such as perforation, and translocation were not found. Conclusion: Side effects and complications were mostly menorrhagia and stomach pain. The side effects and complications occurred mainly in 4thmonth after the insertion, and stomach pain was the main reason of respondents of removing their IUD contraceptive devices.
Kata Kunci : IUD pasca plasenta, akseptor, efek samping dan komplikasi