Additional Weight and Improvement of Blood Pressure in Hormonal Contraception Acceptors
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Author:
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ERNI YULIASTUTI, RAFIDAH, HAPISAH, DEDE MAHDIYAH
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Abstract:
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Background:: DMPA injections and pills are the most popular types of hormonal contraceptives. These contraceptives have high effectiveness, but also cause side effects for acceptors such as weight gain and increased blood pressure. Of the 7431 PUS in the working area of Kertak Hanyar Health Center, 2663 (35.83%) pill acceptors and 4371 (58.82%) injection acceptors. In a preliminary study of 10 injection and pill acceptors, 7 (70%) had weight gain and 6 (60%) had increased blood pressure.
Methods:: was to analyzed the effect of hormonal contraceptive use, duration of use, dietary patterns on weight gain and increased blood pressure in the Kertak Hanyar Community Health Center, Banjar Regency.
This type of research was analytic survey with pre-experimental design with pretest-posttest design. The instruments used were a questionnaire, interview guide, body scale, tensimeter, family planning participant card and family planning register. The population was 99 people who accept DMPA injection and combination pills. data was analyzed Univariate, bivariate with Chi Square and Mann-Whitney test, multivariate with multiple linear regression.
Results:: The results showed that 74 (74.4%) acceptors gained weight and 51 (51.5%) had increased blood pressure. There is an effect of hormonal contraceptive use (? = 0.040) and length of use (? = 0.021) with weight gain. There is no effect of dietary consumption on weight gain (? = 0.296). The increase in blood pressure was influenced by the duration of use (? = 0.003) and diet (? = 0.010). Meanwhile, the use of hormonal contraceptives had no effect on increasing blood pressure (? = 0.562).
Conclusions:: The use of hormonal contraceptives has the greatest effect on weight gain, the value of exp (B)= 3.352, and the length of time using contraception has the greatest effect on increasing blood pressure exp (B)= 0.925.
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Keyword:
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hormonal contraceptive acceptors, body weight, blood pressure.
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EOI:
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DOI:
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https://doi.org/10.31838/ijpr/2020.12.03.432
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