kontrasepsi darurat.pptx

8/17/2019 kontrasepsi darurat.pptx

1/15

KONTRASEPSI

DaruratRizki Amelia, S.Ke


2/15

HORMONAL CONTRACEPTION

COCs Transdermalvainal s!er"id#"n!ra#e$!i"n

LON%

IMPLIN&ECTION

Emeren#(C"n!ra#e$!i"n

POP


3/15

HISTOR*

Pemakaian Es!r"en d"sis !ini +n!+k men#ea imdi$el"$"ri "le- M"rris dan van aenen di *ale !a+n /

Pada a3aln(a diberikan d"sis !ini die!(ls!ilbes!r"m7da(8 $ada kera dan e!(nil es!radi"l $ada man+sia

9"sis !ini es!r"en an+an $ada :+nsi %IT

"KOMBINASI ORALKONTRASEPSI


4/15

Ovral :5 !able! diik+!i 5 !able! /5 ;am kem+dian Alesse: 6 !able! diik+!i 6 !able! /5 ;am berik+!n

Lo Ovral, Nordette, Levlen, Triphasil, Triv!able! diik+!i < !able! /5 ;am berik+!n(a

Levonoestrel !"#$ % diberikan 5 kali se ;am lebi s+kses denan e:ek sam$in lebidari $il KB k"mbinasi


5/15

&SA

Kemasan $il KB (an !erdiri < !able!, masin !able! menand+n 62 µ e!(nil es!rad2.52m lev"n"es!rel dimin+m 5 !able! d!able! /5 ;am berik+!n(a

Kemasan (an berisi 5 !able! 2.=6 m lev"n"

!able! $er!ama dimin+m !idak lebi =5 ;am $"dan !able! ked+a /5 ;am ses+dan(a, bislans+n dimin+m 5 !able! sekali+s men+r+nkan e:ek!ivi!asn(a a!a+ meninka!ksam$in

P"s! #"i!al #"n!ra#e$!i"n a!a+ m"rnin !rea!men!


6/15

Emeren( P"s! C"i!al C"n!ra#e$!i"n

S"+ld be #"nsider

• C"nd"m Break

• Se>+al assa+l! "##+rs• 9ia$rams 7 #ervi#al #a$s. disl"de• Missed ": "!er me!"d

in 'S

A. 2 tablets followed 2 tablets 12 hours later

(each tablet contained : 50 g EE & 0,250 mg L!"

#. 1 tablet is ta$en within %2 hours of intercourse and the second tablet 12

hours later

(each tablet contained 0,%5 mg L!"


7/15

Emeren( P"s! C"i!al C"n!ra#e$!i"n

Mechanism

?

•

ela' )ulation

• Local effect on the endometrium

• *re)ention of +ertiliation


8/15

TREATMENT MET'ODE()ARA PEMAKAIAN*

9imin+m se#e$a! m+nkin se!ela #"i!+s 4!idak leb$"s! #"i!+s8

E:ek!ivi!as sama ;ika dimin+m $ada ari ke /757? s#"i!+s

E:ek!ivi!as berk+ran ;ika diberikan lebi dari =5 ;a

Perlind+nan $alin baik ;ika diberikan dalam 5< ;ase!ela senama

Pen+ndaan $emberian /5 ;am akan meninka!kankem+nkinan keamilan 62@


9/15


Tidak ada b+k!i $emberian k"n!rase$si dar+ra! $ada 3s+da amil 4(an menand+n es!r"en dan memberikan e:ek !era!"enik

&ika aid !erlamba! !es keamilan kem+nkinan KE

E:ek sam$in-

Na+sea 462@8"mi!in 452@8

Breas! !enderness

Heada#e

9izziness


10/15


&ika $enderi!a m+n!a dalam / ;am $er!ama se!el$il ar+s seera min+m $il $enan!i se#e$a!n(

Kel+an na+sea dan v"mi!in ber 4)8 $ada $lev"n"es!rel

Es!r"en d"sis !ini !idak b"le diberikan $addenan ri3a(a! kel+ara denan $en(aki! ithro%oti+ disease

Tia min+ se!ela !era$i k"n!r"l +n!+kkeberasilan !era$i dan $emberian me!"de k"n!ra

lainn(a


11/15


Tia masala !erbesar dalam $emk"n!rase$si dar+ra! -E:ek sam$in (an bera!

Har+s dim+lai =5 ;am se!ela sanamAnka keaalan


12/15

EMER%ENC* CONTRACEPTION

-E/ #A A-EA!E

(mg"-E + EA-E

3s 4u-L4uo)a

nceime

6ith in % da's 7ost intercourse

44s -icrog'non 50)raleog'nonordiolEug'non

2 8 2 2 tablets within 9 da's 7ost intercourse anlater

-icrog'non 90-icrodiolordette

2 8 tablets within 9 da's 7ost intercourse anlater

*rogestin *ostinor ; 2

(%50 g L! < 7ill"

2 8 1 1 tablet within 9 da's 7ost intercourse anlater

Estrogen L'noral*remarin*rog'no)a

2.5 mg10 mg10 mg

6ithin 9 da's 7ost intercourse 2 dd 1 dose

-ile 7ristone 3 ; => 1 ; >00 mg 6ithin 9 da's 7ost intercourse

anaol anocrine

Aol

2 8 7ill tablets within 9 da's 7ost intercourse an

laterPrawirohardjo S., Buku Panduan Praktis Kontrasepsi, Yayasan Bina Pustaka. Jakarta 2003


13/15

EMER%EN* POST COITAL CONTRACEPTIO

egimen+ailure ate

(?"

eduction *

/igh dose E or with L! 1

44s 29

/igh dose of EE (%2 hours" 0.1

L!


14/15

EMERGENCY CONTRACEPTION

WHO : 1001 women compared (random) WHO use progestin o

combined regimen

Regimens The proportion o pregnancies pre!e

" # $% &

' " % &

P. regimen more efeti!e "" # 0.3$ %&'( )* # 0.+ - 0,0/

Der!ile S!eril 522


15/15

kontrasepsi darurat.pptx

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