MANAGEMENT IN

NORMAL
POSTPARTUM

7 GROUP
th

1.
2.
3.
4.
5.
6.
7.

Wahyu Mahar P. (011211231007)

Ferninda Sagita R. (011211231015)
Lilis Eka P. (011211232004)
Khusna Azzahro (01121123001)
Nike Paramita A. (011211233003)
Pipit Sri Estuning R. (011211233011)
Ni Putu Megayunita (01121123019)

BACKGROUND

As the result of the final the population census

2010 ( SP 2010 ) indicate the number of
Indonesian people as 237.641.326 people. In
periods of last 10 years the number of
Indonesian population increases with growth
rate is around 1,49 percent per year in the
period of 10 years earlier ( 1990 until 2000 ) the
rate of population growth(BPS 2010)

The using of contraception after childbirth is

beneficial to prevent the occurrence of
ovulation, because intermediate in mother
ovary will be active to produce ovum again after
45 days. Contraceptive device that does not
contain a hormonal main becomes the choice
for the post labor mother nursing.

many kinds of
Contraception

SPERMICID
a chemical will kill

spermatozoon inside
the vagina
jelly, movie, foal, and
suppositories
Single > its
effectiveness just 76
%

Female Condom
as an alternative to

male condoms
The perfect using, the
effectiveness rates is
reaching 95%.
Its effectiveness
reached 94 %
inserted maximum 18
hours before
intercourse

Diapraghma
a bowl made of

rubber and be
flexible
Its effectiveness
reached 94 %
inserted maximum
18 hours before
intercourse

The Cervical Caps

Barrier latex put into the vagina.
The cervical caps put around using suction.
Can be left in the body with a total 48 hours.
To be laid in place six hours after sexual

intercourse.
The effectiveness of discharging perfect reach
91 %.

The Vaginal Ring

The vaginal ring work by way of releasing hormones
estrogen and progesterone directly to the wall of the
vagina.
However, the vaginal ring is used only for one month
to prevent fertilization ( fertilization ).

The Oral Contraptive

Birth-control pills can be used to prevent

pregnancy.
This method safe and effective when used in
an imprecise manner.
Its effectiveness approaching 99 %.

The Injection
Injection of hormonal is a method of familiar to Indonesia. The
participants KB if came to a health workers, using this method in the
avoid of pregnancy.
1. The Progestin
Preparation progestin known as KB injection three months. Its contents is
Depo medroxyprogesterone acetate.
2. The Combination of Progestin and Estrogen.
Injection of hormonal containing a combination of both hormone given
once a month or better known as KB a month.
3. Norigest
Norigest is a contraceptive device that is injected ( in depot ). The effect
of contraception especially of preventing ingress splooge through mucus
cervix. After the treatment is stopped, the state of being fertilization
usually back within a few weeks.

Implant
An implant is a method of prevent pregnancy

with plastic insert the capsule that contains a

hormone into parts of the body.
A hormonal being contained in it is hormone
progestin.

Intra Unterine Device

(Lud)
The contraceptives in the shape of a T or spiral

which is placed in the uterus.

For the IUD with a spiral, he is made of plastic
material.
While the IUD with a T can be made of copper
(copper-copper T) or from the plastic that contains
the hormone progestin.
The installation of iud performed on a woman was of
menstruation and the use of iud suggested on the
person who undergo monogamy.
An instrument for IUD that progestasert is plastic
that is in it contains progestin.

DISCUSSION

Based on the Regulation of the Minister of

Health ( Permenkes ) no. 1464 / MENKES /
per / x / 2010 about License and Midwife Practice
Venue, one of the authority of a midwife is normal
authority. Reproductive health services for women
and family planning, with authority: providing
counseling female reproductive health and family
planning and given the oral contraceptives and
condoms

1.

Contraception
purpose
Do delay pregnancy, generally for married couples
who the age of wife under 20 years. Because the age
of 20 is the age which should not have children
first.
The use of mini-AKDR is recommended, especially
for acceptors with contraindications to oral pills.

2. Spacing pregnancy (set of fertility). Generally for a

wife with age between 20 30 years. Because age 2030 years is the best age to get pregnant and give birth.

3. Terminating prolificacy ( wont to pregnant again ).

when a wife is over than 30 years, a wife must be
advised not to have pregnant and give birth after have
two children because of medical reasons.

Side effects of contraception

A pain in the head, dizziness and pain in the breast.
Typically, this perceived side effects when a woman taking birth

control pills for a few days.

Not only that, the women also often feel nauseous and it can

disappear within months.

Effects of Bleeding ( can make the mother panic) This emerging
bleeding generally occur in women who choose to use contraception in the form
of spirals, pill and syringe KB.

use of contraceptives can also lower sexual desire women If this

happens, you can switch tools so that your hormones can KB balanced again.

The best choice of

many kinds of
contraception using
in Post Partum

IUD (IntraUrine Device)

Intra uterine device (IUD) is a small plastic device which is

wrapped with copper wires. The "T" shaped tool is impeding

pregnancy by preventing the merging of sperm cells and egg
cells by means of stopping the sperm into the fallopian tubes or
by replacing the uterus so that a mature egg cannot be
fertilized.

According to the type, the IUD can be used effectively within a

period of 5-10 years without having to be replaced. Its small
enough so that the gynecologist can incorporate this tool into
the uterus with an easy procedure.

MAL contraception
Amenorea Lactation methods (mal) or Lactational Amenorrhea

Method (LAM) is a method of contraception while relying on giving

breast milk (BREAST MILK) exclusively, i.e. it only given
BREAST MILK alone without additional food and other drinks.
Amenorea Lactation methods (mal) or Lactational Amenorrhea
Method (LAM) are described as natural family planning methods
(KBA) or natural family planning, when not combined with other
contraceptive methods.
Although research has proven that lactation can suppress fertility, but
many women who get pregnant again when breastfeeding.
Therefore, in addition to using Amenorea Lactation should also use
other contraceptive methods like methods barier (diaphragms,
condoms, spermicides), hormonal contraceptives (pill, breastfeeding,
injecting AKBK) or IUD