The Influence of DMPA on the Instability of the Menstrual Cycle of KB Acceptors by Injection in Cikulur Public Health Centre Workspace in 2022
DOI:
https://doi.org/10.33755/jkk.v9iSpecial%20Edition.582Keywords:
DMPA, instability of menstrual cycle, KB acceptors by injectionAbstract
Aims: Depo-Medroxyprogesterone Acetate (DMPA) is a contraceptive with a 150mg dose administered every three months by injection via intramuscular. The mechanism is to prevent ovulation by thickening the cervical mucus resulting in the endometrium being non-optimal for implantation and accelerating ovum transport inside the fallopian tube. One of The side effects of contraception using DMPA is the disruption of the menstrual cycle. Primary health data in 2018 shows that quarterly injected contraceptives as the most used contraception (42,2%). The research goal is to analyze the effects of DMPA on the instability of the menstrual cycle of KB acceptors by injection in the Cikulur public health center workspace year 2022.
Methods: The research is a form of analytical approach using the cross-sectional research method done in November 2022. The population of this research consists of quarterly KB acceptors in the Cikulur public health center consisting of 1.646 people. The sampling method used is an accidental sampling technique of 94 people. The instrument of this research is a questionnaire. The data analytic used is chi-square.
Result: This research shows there is a relationship between age and the instability of the menstrual cycle with a p-value of 0,000; occupation with the instability of the menstrual cycle with a p-value of 0,006; the duration of use with the instability of the menstrual cycle with a p-value 0,000; medical history with the instability of menstrual cycle with a p-value 0,000; and lastly re-injection compliance with the instability of menstrual cycle with a p-value 0,000.
Conclusion: There is a relationship between age, occupation, duration of use, and re-injection compliance with the instability of the menstrual cycle. A piece of advice for acceptors, the result of this research could be regarded as informational material on the side effects that might occur under the usage of KB injection by DMPA.
References
Purba DH, Purba AMV, Saragih HS, Megasari AL, Argaheni NB, Utami N, et al. Kesehatan Mental. Medan: Yayasan Kita Menulis; 2021.
RI K. Profil Kesehatan Indonesia 2021. Jakarta: Kemenkes RI; 2021.
Putri VD. Penyuluhan Keluarga Berencana (KB) di PMB Lismarini Kec. Talang Kelapa. Jurnal Peduli Masyarakat. 2022;4(4):637–42.
RI K. Hasil Utama Riskesdas 2018. Jakarta: Kemenkes RI; 2018.
Wenang DC, Noviana AC. Perubahan Siklus Menstruasi Pada Akseptor KB Suntik Depo Medroksiprogesteron Asetat (DMPA) Dan Implan Di Wilayah Kerja Puskesmas Karanan Kabupaten Trenggalek. Jurnal Ilmiah Kedokteran Wijaya Kusuma. 2018;6(1):8–13.
Purba DH, Purba AMV, Saragih HS, Megasari AL, Argaheni NB, Utami N, et al. Kesehatan Mental. Medan: Yayasan Kita Menulis; 2021.
RI K. Profil Kesehatan Indonesia 2021. Jakarta: Kemenkes RI; 2021.
Putri VD. Penyuluhan Keluarga Berencana (KB) di PMB Lismarini Kec. Talang Kelapa. Jurnal Peduli Masyarakat. 2022;4(4):637–42.
RI K. Hasil Utama Riskesdas 2018. Jakarta: Kemenkes RI; 2018.
Wenang DC, Noviana AC. Perubahan Siklus Menstruasi Pada Akseptor KB Suntik Depo Medroksiprogesteron Asetat (DMPA) Dan Implan Di Wilayah Kerja Puskesmas Karanan Kabupaten Trenggalek. Jurnal Ilmiah Kedokteran Wijaya Kusuma. 2018;6(1):8–13.
Yanti LC, Lamaindi A. Pengaruh KB Suntik DMPA Terhadap Gangguan Siklus Menstruasi pada Akseptor KB. Jurnal Ilmiah Kesehatan Sandi Husada. 2021;10(1):314–8.
Sihite H, Siregar N. Kesehatan Perempuan dan Perencanaan Keluarga. Jawa Tengah: Penerbit NEM; 2022.
Akbar H, KM S, Epid M, Qasim NM, Hidayani WR, KM S, et al. Teori Kesehatan Reproduksi. Aceh: Yayasan Penerbit Muhammad Zaini; 2021.
Desitha SW. Faktor Yang Memengaruhi Ketidakteraturan Siklus Haid pada Akseptor KB Suntik 3 Bulan di Desa Teungoh Drien Gogo Kecamatan Padang Tiji Tahun 2019. Skripsi tidak diterbitkan (Institut Kesehatan Helvetia). 2019;
Karo MB. Kesehatan Reproduksi Remaja dan Napza. Malang: Rena Cipta Mandiri; 2021.
Dartiwen, Aryanti M. Buku Ajar Asuhan Kebidanan Pada Remaja Dan Perimenopause. Yogyakarta: Deepublish; 2022.
Sholichah N, Pramiswari LI. Hubungan Berat Badan Dengan Siklus Menstruasi Pada Remaja Putri Di SMK N 6 Purworejo Kabupaten Purworejo. Jurnal Komunikasi Kesehatan. 2022;13(1):44–9.
Purba DH, Syamdarniati S, Sari MHN, Purba AMV, Yuliani M, Anggraini DD, et al. Pelayanan Keluarga Berencana (KB). Medan: Yayasan Kita Menulis; 2021.
Raidanti D. Efek KB Suntik 3 Bulan (DMPA) Terhadap Berat Badan. Malang: Literasi Nusantara; 2021.
Lebak DKIK. Data Pokok Pembangunan Dinas Pengendalian Penduduk, KB, Pemberbudayaan Perempuan dan Perlindungan Anak (DP2KBP3A) Kabupaten Lebak Tahun 2020. 2020.
Martiana T, Rahman FS. Relationship Individual Characteristics and Work Stress with Menstrual Disorders in Tobacco Farmers. The Indonesian Journal of Occupational Safety and Health. 2019;8(3):249–258.
Herlitawati H. Hubungan penggunaan kontrasepsi kb suntik dengan perubahan siklus menstruasi di desa berandang kecamatan lawe sumur kabupaten aceh tenggara. Jurnal Kesehatan Tambusai. 2022;3(1):30–6.
Sinaga RAP. Hubungan Lama Pemakaian KB Suntik 3 Bulan Dengan Gangguan Menstruasi di BPS D Purba Desa Girsang. Jurnal Ilmiah Kesehatan Vol. 2021;13(1).
Meilinda V, Yanti SD. Analisis Lama Pemakaian Kontrasepsi Depo Medroksi Progesteron Asestat Dengan Gangguan Menstruasi. Human Care Journal. 2021;6(2):436–40.
Babulu AH, Romeo P, Ndoen EM. Pengetahuan dan Nilai Dalam Masyarakat Terkait Penggunaan Kontrasepsi Suntik pada Akseptor KB. Journal of Health and Behavioral Science. 2019;1(2):59–67.
Putri ST, Lameky VY, Pangaribuan SM, Manurung MEM, Mataputun DR, Wasilah H, et al. Metodologi Riset Keperawatan. Medan: Yayasan Kita Menulis; 2022.
