Effectiveness of Counseling onthe Willingness to Use Intra-Uterine Device Contraceptive After Placenta Detachmentamong the Health Insurance Participants in Panembahan Hospital, Bantul


  • Ristiana Eka Ariningtyas School of Health and Sciences, STIKes of Jenderal Ahmad Yani, Yogyakarta
  • Hermanu Joebagio Program Studi Ilmu Kesehatan Masyarakat Pascasarjana Universitas Sebelas Maret
  • Eti Poncorini P


Background: Counseling on family planning and contraceptive use after deliverymay increase awareness of women to use contraceptives. Any use of contraceptives there are side effects, including in the use of contraceptives used in the uterus post placenta, side effects and failure was a factor that caused the acceptors are having dropped out of the methods used. This study aimed to determine the effectiveness of counseling on willingness to use intra-uterine device contraceptive after delivery.

Subject and Methods: This was a qualitative study with case studies carried out in Bantul Yogyakarta. A total of 3 midwives and 3 contraceptive use in the uterus post placenta acceptor Panembahan Senopati hospital. The dependent variable was health insurance participant. The independent was contraceptive used in the uterus post placenta. The data collected by interview, observation, document. The informant was 3midwifery and 3 acceptor of post placenta.

Results: Socialization and counseling is done always accompanied and informed consent when the pregnancy inspection. Midwives play a role in counseling process by involving the husband as support for potential acceptors. Such side effects are still within the limits of reasonable expulse. Contraceptives used in the uterus post placentainstallation carried out by a competent midwife by SPO. Midwives provide education and counseling reset when the client still complained of side effects.

Conclusion: Socialization and counseling potential acceptors are effective to increase willingness to use intra-uterine device contraceptive among the health insurance participants.

Keywords: counseling, intra-uterine device contraceptive

Correspondence: Ristiana Eka Ariningtyas. STIKes Jenderal Ahmad Yani, Yogyakarta. Email: tyasarin1988@gmail.com. Mobile: 08985069979.

Journal of Health Policy and Management (2016), 1(1): 8-12


American College of Obstetricians and Gynecologists ACOG Practice Bulletin No. 121: Longacting reversible contraception: Implants and intrauterine devices. Obstet Gyneco, 118(1) : 184–196.

Arum S, Sujiyatini (2008). Panduan Lengkap Pelayanan KB Terkini. Jogjakarta. Mitra Cendikia Press.

Badan Pusat Statistik (2013). Survei Demografi dan Kesehatan Indonesia (SDKI) 2012. Jakarta: Badan Pusat Statistik.

BKKBN (2006). Profil Perkembangan Pelaksanaan Program KB di Indonesia. Jakarta: BKKBN

Bradford Clinic Obstetrics& Gynecology (2013). Contraception. Available in http://www.bradfordclinic.com/home/bradford_cliniccontraception.php.

Chen, Beatrice A (2010). Postplacental or Delayed Insertion of the Levonorgestrel Intrauterine Device After Vaginal Delivery: A Randomized Controlled Trial. Obstet Gynecol. 2010 November, 116(5): 1079–1087.

Cresswell JW, Plano Clark VL (2011). Designing and conducting mixed method research (2nded.). Thousand Oaks, CA: Sage.

DepkesRI (2006). Pelayanan Program KB. Jakarta: Depkes RI.

Ekoriano M, Maria A, Popy (2015). Upaya meningkatkan pemakaian alat kontrasepsi (KB) pasca persalinan dan pasca keguguran di rumah sakit. Diunduh 20 Oktober 2015. http://www.bkkbn. go.id/litbang/pus


Indan I (2000). Ilmu Kesehatan Masyarakat. PT. Citra Aditya Bakti, Bandung.

Everett and Suzzane (2012). Buku Saku Kontrasepsi dan Kesehatan Seksual Reproduktif. Jakarta : EGC.

Farrer H (2001). Keperawatan Maternitas. Edisi 4: 2, Alih Bahasa: Andry Hartono. Jakarta: EGC.

Grimes, David A (2010). Immediate postpartum insertion of intrauterine devices. Cochrane Database of Systematic Reviews, Issue. 2010. Diunduh 18 November 2015. Tersedia dariwww.who.int/rhl/reviews/CD003036. pdf.

Haimovich, Sergio (2009). Profil of Long Acting Reversible Contraceptive Users in Europe. The European Journal of Contraception & Reproductive Health Care, 14(3):187-195.

Hartanto, Hanafi (2008). Keluarga berencana dan kontrasepsi. Jakarta

: Pustaka Sinar Harapan.

Hartono, Soedarmadji (2013). Psikologi Konseling: Cetakan Kedua. Jakarta: Kencana.

Hatcher RA, Trussell J, Nelson AL, Cates, W, Stewart FH and Kowal D (2007). Contraceptive Technology (19th ed.). New York, NY: Ardent Media, Inc. Hubacher D (2007). Copper intra-uterine device use by nulliparous women: Review of side effects. Contraception, (75): 8-11.

Health Central. Birth Control Options for Women Intrauterine Devices (IUDs). (2013). Available inhttp: //www.healthcentral.com/ency/408/ guides/000091_5.html.

Hubacher D, Reyes V, Lillo S, Zepeda A, Chen PL, Croxatto H (2006). Pain from copper intrauterine device insertion: randomized trial of prophylactic ibuprofen. Am J Obstet Gynecol. 195(5) :1272–1277.

Handayani S. (2010). Buku Ajar Pelayanan Keluarga Berencana. Yogyakarta: Pustaka Rihama.

Kapp N, Curtis K (2009). Intrauterine device insertion during the post partum period: a systematic review. Contraception. (80): 327–36.

Kemenkes RI (2011). Petunjuk teknis jaminan persalinan. Jakarta: Kementerian Kesehatan Republik Indonesia.

Kemenkes RI (2012). Buku Saku Pelayanan Kesehatan Ibu. http:// www.searo.who.int/indonesia/documents/976-602-235-265-5-buku pelayanan kesehatan ibu;u.pdf.

Kittur S,Kabadi YM (2012). Research Article: Enhancing Contraceptive Usage by Post Placental Intrauterine Contraceptive Devive (PPIUCD) Insertion with Evaluation, Safety, Efficacy, and Expulsion. International Journal of Reproduction, Contraception, Obstetrics, and Gynecology, 1(1); 26-23.

Komalasari (2011). Teori dan Teknik Konseling. Jakarta: PT Indeks.

Lesmana JM (2011). Dasar-dasar Konseling. Jakarta : PT UI Press.

Levono (2011). Williams Obstetrics 23rd Edition Study Guide. Texas: Mc Graw Hill Prof Med/Tech.

McLeod and John. (2006). Pengantar konseling: Teori dan Studi Kasus. Jakarta: Prenada Media Group.

Muthal Rathore A (2010). Immediate postpartum insertion for intrauterine devices: RHL commentary. The WHO Reproductive Health Library.

Nelson A. Intrauteruine contraceptives. Vol. 6. Philadelphia: Lippincott Williams and Wilkins; (2004). Gynaecology and Obstetrics.

Nkwi P, Nyamongo I, and Ryan, G. (2001). Field research into sociocultural issues: Methodological guidelines. Yaounde, Cameroon: International Center for Applied Social Sciences, Research, and Training/UNFPA.

Patton MQ (2002). Qualitative research and evaluation methods (3rd ed.). Thousand Oaks, CA: Sage.

Government of India (2010). Postpartum IUCD reference manual. New Delhi: Family Planning Division, Ministry of Health and Family Welfare.

Ricalde RL, Tobias GM, Perez CR, Ramirez NV (2006) Random comparative study between intrauterine device multiload Cu375 and TCu 380A inserted in the post partum period. Ginecol Obstet Mex. (74):306–11.

Ristica (2015). Cara Mudah Menjadi Bidan yang Komunikatif, Ed :1, Cet: 1. Yogyakarta: Deepublish.

Saifuddin AB (2006). Buku panduan praktis pelayanan kontrasepsi. Jakarta: YBP Sarwono P.

Sivin I (2007). Utility and drawbacks of continuous use of a copper T IUD for 20 years. Contraception,(75):70–5.

Sumarwan I.W dan Ernawati. (2006). Cost Effectiveness Analysis of IUD, Injection, and Pill Contraceptions and Methods throught Quality of Life Approach.

Suratun (2008). Pelayanan Keluarga Berencana dan Pelayanan Kontrasepsi. Trans Info Media. Jakarta.

WHO (2009). Medical eligibility criteria for contraceptive use. 4th ed 2009. Department of Reproductive Health, WHO.

Widyastuti L (2011). Postpartum contra-ceptive use in indonesia: Recent pat-terns and determinants. Diunduh 27 Januari 2016. http://itp-bkkbn.org/ pulin/ 004 population_data_information/004 Postpartum_Contraceptive Lina. pdf.

Yin, Robert K (2011). Studi Kasus Desain dan Metode. PT. Raja Grafindo Persada, Jakarta.

Yudianti I. Poltekkes Malang. Pemasangan AKDR Setelah Persalinan (2011). Available in http://www.poltekkes-malang.ac.id/artikel-196.html.

John Cleland, Stan Bernstein, Alex Ezeh, Anibal Faundes, Anna Glasier, Jolene Innis (2012). Family Planning: The Unfinished Agenda.


How to Cite

Ariningtyas, R. E., Joebagio, H., & P, E. P. (2016). Effectiveness of Counseling onthe Willingness to Use Intra-Uterine Device Contraceptive After Placenta Detachmentamong the Health Insurance Participants in Panembahan Hospital, Bantul. Journal of Health Policy and Management, 1(1), 8–12. Retrieved from https://www.thejhpm.com/index.php/thejhpm/article/view/6