Perbedaan Kenaikan Berat Badan Pada Akseptor Kb Suntik 1 Bulan Dan Suntik 3 Bulan Di Praktek Mandiri Bidan Istiqomah Kecamatan Pringapus Kabupaten Semarang

Rinawati, Rinawati (2025) Perbedaan Kenaikan Berat Badan Pada Akseptor Kb Suntik 1 Bulan Dan Suntik 3 Bulan Di Praktek Mandiri Bidan Istiqomah Kecamatan Pringapus Kabupaten Semarang. S1 thesis, unw.

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Abstract

Tingginya angka kelahiran di Indonesia, termasuk di Kabupaten Semarang, masih menjadi perhatian serius, salah satunya dipengaruhi oleh pernikahan usia dini. Data DPPAKB Kabupaten Semarang mencatat 146 kasus pernikahan usia muda pada semester pertama tahun 2023. Program Keluarga Berencana (KB) menjadi upaya pengendalian kelahiran, dengan metode kontrasepsi suntik sebagai pilihan terbanyak. Berdasarkan data tahun 2024 di PMB Bidan Istiqomah Kecamatan Pringapus, KB suntik 3 bulan digunakan oleh 45,9% akseptor dan suntik 1 bulan oleh 36,3% akseptor. Keluhan kenaikan berat badan sering menjadi alasan penghentian atau penggantian metode kontrasepsi, namun pemantauan berat badan belum optimal dilakukan. Penelitian ini bertujuan mengetahui perbedaan kenaikan berat badan pada akseptor KB suntik 1 bulan dan 3 bulan. Penelitian ini menggunakan metode kuantitatif dengan desain cross-sectional. Sampel berjumlah 99 orang yang diambil dengan teknik total sampling, terdiri dari akseptor KB suntik 1 bulan (44 orang) dan 3 bulan (55 orang). Data diperoleh dari rekam medis, kemudian dianalisis menggunakan uji Wilcoxon Signed-Rank Test dan Mann-Whitney U Test. Hasil penelitian menunjukkan bahwa terdapat kenaikan berat badan yang signifikan pada kedua kelompok: KB suntik 1 bulan rata-rata 1,39 kg (p=0,000) dan KB suntik 3 bulan rata-rata 2,49 kg (p=0,000). Hasil uji Uji Mann-Whitney U Test menunjukkan perbedaan signifikan antara kedua kelompok p = 0, 000 (p<0,05), di mana KB suntik 3 bulan menyebabkan kenaikan berat badan lebih tinggi dibandingkan suntik 1 bulan. Kesimpulan, terdapat perbedaan signifikan kenaikan berat badan antara akseptor KB suntik 1 bulan dan 3 bulan, dengan kenaikan lebih tinggi pada suntik 3 bulan. Disarankan pemantauan berat badan rutin dan edukasi gizi bagi akseptor KB suntik. Akseptor KB perlu mendapatkan edukasi terkait efek samping, sehingga dapat memilih metode kontrasepsi yang sesuai. The high birth rate in Indonesia, including in Semarang Regency, remains a serious concern, partly influenced by early marriage. Data from the DPPAKB of Semarang Regency recorded 146 cases of early marriage in the first semester of 2023. The Family Planning (FP) program is a key effort to control the birth rate, with injectable contraceptives being the most preferred method. Based on 2024 data from Bidan Istiqomah’s Private Practice in Pringapus District, 3-month injectable contraceptives were used by 45.9% of acceptors, while 1-month injectables were used by 36.3%. Weight gain complaints are a common reason for discontinuation or switching of contraceptive methods; however, routine weight monitoring has not been optimally implemented. This study aims to determine the differences in weight gain between 1-month and 3-month injectable contraceptive acceptors. This research employed a quantitative method with a cross-sectional design. The sample consisted of 99 acceptors, selected using total sampling, comprising 44 users of 1-month injectables and 55 users of 3-month injectables. Data were obtained from medical records and analyzed using the Wilcoxon Signed-Rank Test and the Mann-Whitney U Test. The results showed significant weight gain in both groups: 1-month injectables had an average weight gain of 1.39 kg (p=0.000), and 3-month injectables had an average weight gain of 2.49 kg (p=0.000). The Mann-Whitney U Test revealed a significant difference between the two groups (p=0.000, p<0.05), with higher weight gain observed in the 3-month injectable group. In conclusion, there is a significant difference in weight gain between 1-month and 3-month injectable contraceptive acceptors, with greater gain in the 3-month group. Routine weight monitoring and nutrition education are recommended for injectable contraceptive users to support informed contraceptive choices.

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