PENGARUH KONSELING TERHADAP KEIKUTSERTAAN KB METODE

JANGKA PANJANG PASCA SALIN PADA IBU HAMIL TRIMESTER III DI

WILAYAH PUSKESMAS KEDUNGMUNDU SEMARANG

Yulia Ermawati1, Rizky Amelia2, Umaroh3

ABSTRAK

Latar belakang: Masalah utama yang sedang dihadapi oleh negara-negara yang sedang
berkembang termasuk Indonesia adalah masih tingginya laju pertumbuhan penduduk dan kurang
seimbangnya penyebaran dan struktur umur penduduk serta kualitas penduduk. Indonesia
merupakan salah satu negara dengan jumlah penduduk terbanyak ke empat di dunia. Untuk
mengantisipasi masalah yang mungkin terjadi salah satu diantaranya adalah dengan program
Keluarga Berencana (KB). Tujuan penelitian: Mengetahui pengaruh konseling terhadap
keikutsertaan KB metode jangka panjang pasca salin pada ibu hamil trimester III di Wilayah
Puskesmas Kedungmundu Semarang. Metode: Jenis penelitian kuantitatif dengan metode quasy
eksperiment dan desain penelitian menggunakan non equivalent post test only with control group
design. Sampel sebanyak 36 ibu trimester III yang dibagi menjadi dua kelompok yaitu 18 kontrol
(ABPK) dan 18 intervensi (kombinasi ABPK dan kartu persetujuan), teknik pengambilan sampel
dengan purposive sampling. Hasil: sebagian besar ibu memilih KB non MKJP (suntik dan
kondom) pada kelompok kontrol 9 orang (50%), dan pada kelompok intervensi mayoritas memilih
KB MKJP (IUD, implant, MOW) sebahyak 12 orang (66,7%). Kesimpulan: Ada pengaruh antara
konseling terhadap keikutsertaan KB metode jangka panjang pasca salin pada ibu hamil trimester
III di Wilayah Puskesmas Kedungmundu Semarang dengan nilai p value 0,046. Saran: Diharapkan
tenaga kesehatan (bidan) dapat melakukan konseling KB kepada ibu hamil trimester III/ calon
akseptor KB secara berkesinambungan mengenai keuntungan dan kerugian dalam penggunaan
kontrasepsi dengan metode MKJP baik di masyarakat saat praktik lapangan, BPM, klinik maupun
di Rumah Sakit.

Kata Kunci: Konseling, KB MKJP, Ibu hamil trimester III.

 THE INFLUENCE OF COUNSELING ON PARTICIPATION IN LONG
TERM FP POST PARTICULAR METHODS IN PREGNANT WOMEN IN
THE III TRIMESTER IN THE KEDUNGMUNDU HEALTH CENTER
AREA, SEMARANG
Yulia Ermawati1, Rizky Amelia2, Umaroh3

ABSTRACT

Background: The main problem being faced by developing countries, including Indonesia, is the
still high rate of population growth and the lack of balance in the distribution and age structure of
the population and the quality of the population. Indonesia is a country with the fourth largest
population in the world. To anticipate problems that might occur, one of them is the Family
Planning (KB) program. Research objective: To determine the effect of counseling on participation
in long-term postpartum family planning methods in pregnant women in the third trimester in the
Kedungmundu Community Health Center Area, Semarang. Method: This type of quantitative
research uses a quasi-experimental method and a research design using a non-equivalent post test
only with control group design. The sample was 36 third trimester mothers who were divided into
two groups, namely 18 controls (ABPK) and 18 intervention (combination of ABPK and consent
cards), the sampling technique was purposive sampling. Results: the majority of mothers chose
non-MKJP contraception (injections and condoms) in the control group, 9 people (50%), and in
the intervention group, the majority chose MKJP contraception (IUD, implant, MOW), 12 people
(66.7%). Conclusion: There is an influence between counseling on participation in long-term
postpartum family planning methods in pregnant women in the third trimester in the
Kedungmundu Community Health Center Area, Semarang with a p value of 0.046. Suggestion: It
is hoped that health workers (midwives) can provide family planning counseling to third trimester
pregnant women/potential family planning acceptors on an ongoing basis regarding the advantages
and disadvantages of using contraception using the MKJP method both in the community during
field practice, BPM, clinics and in hospitals.

Keywords: Counseling, MKJP family planning, third trimester pregnant women.