HUBUNGAN PENGGUNAAN KB IMPLAN DENGAN KEJADIAN SPOTTING DI PUSKESMAS SUMBERASIH

Authors

  • Nur Holifah Universitas Hafshawati Zainul Hasan
  • Wahida Yuliana Universitas Hafshawaty Zainul Hasan
  • Tutik Hidayati Universitas Hafshawaty Zainul Hasan

DOI:

https://doi.org/10.62354/jurnalmedicare.v5i3.429

Abstract

The contraceptive implant is a long-acting hormonal method based on progestin that is effective in preventing pregnancy but often causes side effects such as irregular bleeding or spotting. This study aimed to analyze the relationship between the use of contraceptive implants and the occurrence of spotting at Puskesmas Sumberasih, Probolinggo Regency. The study employed a quantitative analytic design with an observational method and a cross-sectional approach, involving 52 implant users selected through total sampling. Data were collected using family planning cards, medical records, and structured interviews, then analyzed using descriptive statistics as well as Chi-Square. The results showed that most respondents were aged 20–39 years (94%) and had a senior high school education (38%). Spotting occurred in 46% of respondents, ranging from mild to severe, and statistical analysis indicated a significant relationship between the duration of implant use and the occurrence of spotting (p < 0.05). These findings highlight the importance of education and counseling to reduce side effects and improve user satisfaction.

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Keywords:

family planning, spotting

References

Ali, S., et al. (2022). "Hormonal Regulation and Contraceptive Side Effects: A Review." Journal of Reproductive Health, 15(2), 102-118.

Averbach, S. H., et al. (2019). "Contraceptive Implants and User Satisfaction: A Systematic Review." Contraception Journal, 99(3), 173-179.

Badan Kependudukan dan Keluarga Berencana Nasional (BKKBN). (2022). Panduan Pelayanan Kontrasepsi Jangka Panjang. Jakarta: BKKBN.

Badan Kependudukan dan Keluarga Berencana Nasional (BKKBN). (2023). Laporan Tahunan Program KB di Indonesia.

Badan Pusat Statistik Jawa Timur. (2020). Statistik Kesehatan Reproduksi Jawa Timur.

Creswell, J. W. (2021). Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. SAGE Publications.

Cunningham, F. G., et al. (2014). Williams Obstetrics. McGraw-Hill.

Curtis, K. M., Tepper, N. K., Jatlaoui, T. C., et al. (2016). U.S. Medical Eligibility Criteria for Contraceptive Use, 2016. Morbidity and Mortality Weekly Report (MMWR), 65(3), 1-103. https://doi.org/10.15585/mmwr.rr6503a1

Digilib Widya Gama Husada. (n.d.). Pengaruh Penggunaan Ibuprofen terhadap Spotting pada Akseptor KB Suntik 3 Bulanan. Diakses pada 23 Februari 2025, dari https://digilib.widyagamahusada.ac.id/index.php?id=21633&keywords=&p=sh ow_detail

Field, A. (2018). Discovering Statistics Using IBM SPSS Statistics. SAGE Publications.

Funk, S., et al. (2005). "Impact of Progestin on Menstrual Bleeding Patterns." Obstetrics & Gynecology, 106(2), 259-267.

Gbolade, B. A. (2017). Side Effects and Acceptability of Progestin-Only Contraceptive Methods. The European Journal of Contraception & Reproductive Health Care, 22(1), 3-9. https://doi.org/10.1080/13625187.2016.1269168

Hello Sehat. (n.d.). Efek Samping KB Implan yang Perlu Diketahui. Diakses pada 23 Februari 2025, dari https://hellosehat.com/seks/kontrasepsi/efek-samping-kb- implan/

Kementerian Kesehatan RI. (2021). Pedoman Pelayanan Kontrasepsi di Fasilitas Kesehatan. Jakarta: Kemenkes RI.

Kumar, P., & Sharma, A. (2020). "Thyroid Disorders and Menstrual Irregularities: A Comprehensive Review." Journal of Clinical and Diagnostic Research, 14(5), EC01EC04.

Mansour, D., et al. (2011). "Bleeding Patterns and Contraceptive Implant Users." Contraception, 83(3), 202-208.

Smith, R., et al. (2023). "Digital Counseling in Contraceptive Methods: Enhancing User Experience." International Journal of Family Planning, 21(1), 55-72.

Stewart, E. A., et al. (2020). "Uterine Fibroids: Clinical Features and Diagnosis."UpTo Date. Tersedia di: https://www.uptodate.com

Sugiyono. (2022). Metode Penelitian Kuantitatif, Kualitatif, dan R&D. Alfabeta.

Tepper, N. K., et al. (2019). "Bleeding Patterns with Copper Intrauterine Device Use: A Systematic Review." Contraception, 100(5), 386-391. DOI: 10.1016/j.contraception.2019.07.144

Trussell, J. (2018). Contraceptive Failure in the United States. Contraception, 97(5), 404-407. https://doi.org/10.1016/j.contraception.2017.12.003

Workowski, K. A., & Bolan, G. A. (2021 ). "Sexually Transmitted Infections Treatment Guidelines, 2021." MMWR Recommendations and Reports, 70(4), 1187. DOI: 10.15585/mmwr.rr7004a1

World Health Organization (WHO). (2020). Family Planning: A Global Handbook for Providers. Geneva: WHO.

World Health Organization (WHO). (2021). Medical Eligibility Criteria for Contraceptive Use, 5th Edition. Geneva: WHO.

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Published

2026-07-31

How to Cite

Nur Holifah, Wahida Yuliana, & Tutik Hidayati. (2026). HUBUNGAN PENGGUNAAN KB IMPLAN DENGAN KEJADIAN SPOTTING DI PUSKESMAS SUMBERASIH. Jurnal Medicare, 5(3), 1549–1557. https://doi.org/10.62354/jurnalmedicare.v5i3.429

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