Konseling Postpartum dan Penerapan Metode Kontrasepsi Amenore Laktasi

Sri Mulyani, Tri Budi Wiryanto, Ropitasari Ropitasari

Abstract


Keberhasilan metode amenore laktasi yang merupakan metode kontrasepsi efektif wanita menyusui tergantung pada pemberian air susu ibu (ASI) secara eksklusif. Konseling postpartum diperlukan untuk meningkatkan pengetahuan tentang metode kontrasepsi postpartum. Tujuan penelitian ini untuk menilai hubungan konseling postpartum dan penerapan metode kontrasepsi amenore laktasi setelah mengendalikan pengaruh variabel paritas, status pekerjaan, dukungan petugas kesehatan, dan dukungan keluarga. Penelitian observasional ini menggunakan rancangan cross sectional dengan pendekatan kuantitatif dan kualitatif. Subjek penelitian adalah ibu yang mempunyai bayi usia 7 – 12 bulan dan memberikan ASI eksklusif. Hubungan antara variabel penelitian dianalisis dengan regresi logistik multivariat dengan chi square, kekuatan hubungan dihitung dengan rasio prevalens dan 95% convidence interval odds ratio. Ditemukan hubungan yang bermakna antara konseling postpartum dengan penerapan kontrasepsi metode amenore laktasi setelah mengontrol variabel paritas, status pekerjaan, dukungan petugas kesehatan, dan dukungan keluarga. Konseling tersebut berkontribusi sekitar 24% pada penerapan kontrasepsi metode amenore laktasi. Responden mendapatkan konseling dan dukungan petugas kesehatan tentang ASI eksklusif, tetapi kontrasepsi dengan metode amenore laktasi belum disampaikan.

Kata kunci: ASI eksklusif, kontrasepsi, konseling postpartum, metode amenore laktasi

Abstract

Lactation amenorrheal method (LAM) is an effective contraception method for women that give exclusive breastfeeding. Postpartum counseling is important in order to improve knowledge about LAM as postpartum contraception method. The objective of this research is to measure the relationship between postpartum counseling and lactation amenorrheal method after being controlled parity, work status, health care staff support, and family support. This observational research using cross sectional design with quantitative and qualitative approach. Subject of the study were mother who has 7 – 12 months infant breasfeeded exclusively. Association among variables were analyzed using chi square, strength association was measured using prevalence ratio of 95% convidence interval odds ratio. Multivariate analysis used logistic regression technique. The result of logistic regression analysis showed there was significant association between postpartum counseling and LAM contraception with the control of variables of parity, occupational status, health staff support and the family that contributed 24% in the implementation of LAM contraception. The result of indepth interview showed that postpartum mother got counseling and support from health staff about exsclusive breastfeeding and is not knowledge about LAM as postpartum contraception method.

Keywords: Exclusive breastfeeding, contraception, postpartum counseling, lactation amenorrheal method


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DOI: http://dx.doi.org/10.21109/kesmas.v7i3.59

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