Pelayanan Keluarga Berencana
(Martosewojo, samiarti. [et al ]. 1992.
(Martosewojo, samiarti. [et al ]. 1992. Pedoman KB IBI Pedoman KB IBI . . JakartJakarta:Penga:Pengurusurus Pusat ikatan Bidan Indonesia)
Pusat ikatan Bidan Indonesia)
Menurut (Speroff, Leon. 2003) tipe – tipe IUD dibagi menjadi beberapa macam, Menurut (Speroff, Leon. 2003) tipe – tipe IUD dibagi menjadi beberapa macam, diantaranya adalah :
diantaranya adalah :
•
• IUD yang Tidak Mengandung ObatIUD yang Tidak Mengandung Obat
-- LipLippes Lpes Loopoop, yan, yang terbg terbuat dauat dari plari plastistic dan diic dan diisi densi dengan bgan bariuarium sulm sulfat mafat masihsih digunakan di seluruh dunia (kecuali di Amerika Serikat). Cincin baja tahan digunakan di seluruh dunia (kecuali di Amerika Serikat). Cincin baja tahan karat yang fleksibel digunakan secara luas di Cina, tetapi tidak di tempat karat yang fleksibel digunakan secara luas di Cina, tetapi tidak di tempat lain.
lain.
-- NNoovva a T T sseeruruppa a ddeennggaan n TTCCuu--220000, , mmenengganandduunng g 22000 0 mmmm22 tembaga;tembaga; meskipun demikian Nova T mempunyai inti perak pada kawat tembaganya, meskipun demikian Nova T mempunyai inti perak pada kawat tembaganya, lengan yang fleksibel, dan sebuah lengkung besar yang juga fleksibel pada lengan yang fleksibel, dan sebuah lengkung besar yang juga fleksibel pada uju
ujung ng bawbawah ah gunguna a menmenhinhindardari i cedcedera era jarjaringingan an serservikviks. s. Ada Ada sejsejumlumlahah kekhawatiran bahwa kemajuan Nova T akan menurun setelah tiga tahun kekhawatiran bahwa kemajuan Nova T akan menurun setelah tiga tahun be
berdardasarsarkan kan datdata a WHOWHO; ; namnamun, un, dardari i datdata a FinFinlanlandia dia dan dan SkSkandandinainaviavia menunjukkan angka kehamilan yang rendah dan stabil setelah lima tahun menunjukkan angka kehamilan yang rendah dan stabil setelah lima tahun penggunaan.
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Pelayanan Keluarga Berencana
Pelayanan Keluarga Berencana
DuaDua kawkawat at monmonofiofilamelament nt berberwarwarna na birbiru-hu-hitaitam m melmelekat ekat padpada a lublubang ang didi dasar batang. Progesterone dilepas pada kecepatan 65 μg per hari.
dasar batang. Progesterone dilepas pada kecepatan 65 μg per hari.
-- LNGLNG-20-20, ya, yang dng dibuibuat olat oleh Leh Leireiras di as di finfinlanlandiadia, mel, melepaepas secs secaraarain vitroin vitro 20 μg20 μg le
levovononorgrgesestrtrel el sesetitiap ap hahariri. . AlAlat at inini i susudadah h didipapasasarkrkan an di di ErEropopa. a. AlAlatat berbentuk T ini mempunyai kerah yang melekat pada lengan vertical, yang berbentuk T ini mempunyai kerah yang melekat pada lengan vertical, yang
m
meennggaanndduunng g 552 2 mmg g lleevvoonnooggeessttrreel l yyaanng g tteerrddiissppeerrssi i ddaallaamm polidimetilsiloksan dan dilepas pada kecepatan 15 μg setiap hari
polidimetilsiloksan dan dilepas pada kecepatan 15 μg setiap hari in vivoin vivo.. IUD
IUD levlevonoonogesgestrel trel berbertahtahan an hinhingga gga 10 10 tahtahun un dan dan menmengurgurangangi i jumjumlahlah perdarahan haid serta angka infeksi panggul.
perdarahan haid serta angka infeksi panggul.
•
• IUD Masa DepanIUD Masa Depan
Modifikasi IUD tembaga sedang diteliti di seluruh dunia. Ombrelle-250 dan Modifikasi IUD tembaga sedang diteliti di seluruh dunia. Ombrelle-250 dan Ombrelle-380, yang dirancang lebih fleksibel untuk mengurangi ekspulsi dan Ombrelle-380, yang dirancang lebih fleksibel untuk mengurangi ekspulsi dan efek samping telah dipasarkan di perancis. IUD tanpa kerangka, flexiGard efek samping telah dipasarkan di perancis. IUD tanpa kerangka, flexiGard (juga dikenal sebagai Cu-Fix), terdiri dari 6 bungkus-lengan tembaga (330 (juga dikenal sebagai Cu-Fix), terdiri dari 6 bungkus-lengan tembaga (330 mm
mm22 tembatembaga),yga),yang ang terangterangkai kai pada pada benanbenang g nilon bedah nilon bedah (poli(polipropipropilen) len) dandan disimpul pada satu ujung. Pada saat penyisipan, simpul tersebut didorong ke disimpul pada satu ujung. Pada saat penyisipan, simpul tersebut didorong ke dalam miometrium menggunakan jarum yang ditarikkan, yang bekerja seperti dalam miometrium menggunakan jarum yang ditarikkan, yang bekerja seperti tombak
tombak harpoonharpoon mimininiataturure. e. KaKarerena na titidadak k mememimililiki ki kekerarangngkaka, , alalat at ininii diharapkan mempunyai angka keharusan pengangkatan karena perdarahan atau diharapkan mempunyai angka keharusan pengangkatan karena perdarahan atau
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Pelayanan Keluarga Berencana
Pelayanan Keluarga Berencana
a)a) AAKDKDR CR CuTuT-3-3880A0A
Kecil, kerangka dari plastik yang fleksibel, berbentuk huruf T diselubungi oleh Kecil, kerangka dari plastik yang fleksibel, berbentuk huruf T diselubungi oleh kaw
kawat at halhalus us yanyang g terbterbuat uat dardari i temtembagbaga a (Cu(Cu), ), tertersedsedia ia di di IndIndoneonesia sia dan dan terterdapdapatat dimana-mana.
dimana-mana. b)
b) AKDR laAKDR lain yang in yang beredaberedar di Indor di Indonesia adnesia adalah NOalah NOVA T (ScVA T (Scheringhering).).
Pembagian macam AKDR menurut Maryani, H (2003) adalah sebagai
Pembagian macam AKDR menurut Maryani, H (2003) adalah sebagai berikut :berikut : (1) Copper-T
(1) Copper-T
AKDR berbentuk T, terbuat dari bahan polyethelen di mana pada bagian AKDR berbentuk T, terbuat dari bahan polyethelen di mana pada bagian vertikalnya diberi lilitan kawat tembaga halus. Lilitan kawat tembaga halus ini vertikalnya diberi lilitan kawat tembaga halus. Lilitan kawat tembaga halus ini mempunyai efek antifertilisasi (anti pembuahan) yang cukup baik. IUD bentuk T mempunyai efek antifertilisasi (anti pembuahan) yang cukup baik. IUD bentuk T yang baru. IUD ini melepaskan lenovorgegestrel dengan konsentrasi yang rendah yang baru. IUD ini melepaskan lenovorgegestrel dengan konsentrasi yang rendah selama minimal lima tahun. Dari hasil penelitian menunjukkan efektivitas yang selama minimal lima tahun. Dari hasil penelitian menunjukkan efektivitas yang tinggi dalam mencegah kehamilan yang tidak direncanakan maupun perdarahan tinggi dalam mencegah kehamilan yang tidak direncanakan maupun perdarahan men
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Pelayanan Keluarga Berencana
Pelayanan Keluarga Berencana
AKDR ini terbuat dari dari plastik (polyethelene) dengan dua tangan kiri AKDR ini terbuat dari dari plastik (polyethelene) dengan dua tangan kiri dan kanan berbentuk sayap yang fleksibel. Panjangnya dari ujung atas ke bawah dan kanan berbentuk sayap yang fleksibel. Panjangnya dari ujung atas ke bawah 3,6 cm. Batangnya diberi gulungan kawat tembaga dengan luas permukaan 250 3,6 cm. Batangnya diberi gulungan kawat tembaga dengan luas permukaan 250 mm2 atau 375 mm2 untuk menambah efektivitas. Ada 3 ukuran multi load, yaitu mm2 atau 375 mm2 untuk menambah efektivitas. Ada 3 ukuran multi load, yaitu standar, small (kecil), dan mini.
standar, small (kecil), dan mini. (4) Lippes Loop
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Pelayanan Keluarga Berencana
Pelayanan Keluarga Berencana
aa.. LLiippppeses--LLoooopp b
b.. SSaaff-T-T--CCooiill cc.. DDaannaa--SSuuppeer r d.
d. CoCopppperer-T (-T (GyGynene-T-T)) e.
e. CoCopppperer-7 (G-7 (Graravivigagardrd)) ff.. MMuullttiillooaadd
g.
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Pelayanan Keluarga Berencana
Pelayanan Keluarga Berencana
•
• IUD Nova T, terbentuk dari rangka plastik dan tembaga. Pada ujung lengan IUDIUD Nova T, terbentuk dari rangka plastik dan tembaga. Pada ujung lengan IUD bentuknya agak melengkung tanpa ada tembaga, tembaga
bentuknya agak melengkung tanpa ada tembaga, tembaga hanya ada pada batang IUD.hanya ada pada batang IUD. Gambar IUD Nova T :
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Pelayanan Keluarga Berencana
Pelayanan Keluarga Berencana
2.52.5 Keuntungan Keuntungan dan kdan kerugian erugian AKDR AKDR 2.
2.5.5.11 KeKeununtutungngan Pan Penenggggununaan aan AKAKDR DR
Menurut Saefuddin (2004), hal MK 73. Keuntungan AKDR Non hormonal Menurut Saefuddin (2004), hal MK 73. Keuntungan AKDR Non hormonal (Cu T 380A):
(Cu T 380A): a.
a. SebSebagaagai koni kontratrasepsepsi efesi efektiktivitavitasnysnya tinga tinggigi
Sangat efektif 0,6-0,8 kehamilan per 100 perempuan dalam1 tahun Sangat efektif 0,6-0,8 kehamilan per 100 perempuan dalam1 tahun pertama(1kegagalan dalan 125-170 kehamilan)
pertama(1kegagalan dalan 125-170 kehamilan) b.
b. AKDAKDR dapR dapat efekat efektf segtf seger seter setelah pelah pemaemasansangangan c.
c. MeMetotode jde janangkgka paa panjnjanangg d.
d. SangaSangat efet efektif kktif karena arena tidak tidak perlu perlu lagi mlagi menginengingat-ingat-ingatgat e.
e. TidTidak mak mempempengengaruaruhi hhi hubuubungangan sen sexuaxuall f.
f. MeMeniningngkakatktkan an kekenynyamamananan an sesexuxual al kakarenrena a titidadak k peperlrlu u tatakukut t ununtutuk k hamil
hamil Tidak
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Pelayanan Keluarga Berencana
Pelayanan Keluarga Berencana
Bila tak ada masalah setelah kunjungan ulang awal, tidak perlu kembaliBila tak ada masalah setelah kunjungan ulang awal, tidak perlu kembali ke klinik jika tak ada masalah
ke klinik jika tak ada masalah
Dapat disediakan oleh petugas kesehatan terlatihDapat disediakan oleh petugas kesehatan terlatih
Tidak mahal (CuT380A)Tidak mahal (CuT380A)
Keuntungan Non Kontraseptif Keuntungan Non Kontraseptif
Mengurangi kram akibat menstruasi (hanya Mengurangi kram akibat menstruasi (hanya yang mengandung progestin)yang mengandung progestin)
Mengurangi darah menstruasi (hanya yang mengandung progestin)Mengurangi darah menstruasi (hanya yang mengandung progestin)
Mengurangi insidensi kehamilan ektopik (kecuali Progestasert)Mengurangi insidensi kehamilan ektopik (kecuali Progestasert)
2.
2.5.5.22 KeKerurugigian an pepengnggugunanaan an AKAKDR DR
Menurut Saefuddin(2004). Kerugian AKDR (Cu T-380A) Non hormonal: Menurut Saefuddin(2004). Kerugian AKDR (Cu T-380A) Non hormonal:
a.
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