PPT FIX

Background

MIDWIFERY MANAGEMENT IN NORMAL POSTPARTUM

7th GROUPWahyu Mahar P. (011211231007)Ferninda Sagita R.(011211231015)Lilis Eka P.(011211232004)Khusna Azzahro(01121123001)Nike Paramita A.(011211233003)Pipit Sri Estuning R.(011211233011)Ni Putu Megayunita(01121123019)

BACKGROUNDAs the result of the final the population census 2010 ( SP 2010 ) indicate the number of Indonesian people as 237.641.326 people. In periods of last 10 years the number of Indonesian population increases with growth rate is around 1,49 percent per year in the period of 10 years earlier ( 1990 until 2000 ) the rate of population growth(BPS 2010)

The using of contraception after childbirth is beneficial to prevent the occurrence of ovulation, because intermediate in mother ovary will be active to produce ovum again after 45 days. Contraceptive device that does not contain a hormonal main becomes the choice for the post labor mother nursing.many kinds of Contraception

SPERMICIDa chemical will kill spermatozoon inside the vaginajelly, movie, foal, and suppositoriesSingle > its effectiveness just 76 %

as an alternative to male condomsThe perfect using, the effectiveness rates is reaching 95%.Its effectiveness reached 94 %inserted maximum 18 hours before intercourse

Female Condom

a bowl made of rubber and be flexibleIts effectiveness reached 94 %inserted maximum 18 hours before intercourse Diapraghma

Barrier latex put into the vagina. The cervical caps put around using suction. Can be left in the body with a total 48 hours. To be laid in place six hours after sexual intercourse. The effectiveness of discharging perfect reach 91 %.

The Cervical Caps The vaginal ring work by way of releasing hormones estrogen and progesterone directly to the wall of the vagina. However, the vaginal ring is used only for one month to prevent fertilization ( fertilization ).

The Vaginal Ring Birth-control pills can be used to prevent pregnancy. This method safe and effective when used in an imprecise manner. Its effectiveness approaching 99 %.

The Oral ContraptiveInjection of hormonal is a method of familiar to Indonesia. The participants KB if came to a health workers, using this method in the avoid of pregnancy.

1. The ProgestinPreparation progestin known as KB injection three months. Its contents is Depo medroxyprogesterone acetate.

2. The Combination of Progestin and Estrogen.Injection of hormonal containing a combination of both hormone given once a month or better known as KB a month.

3. NorigestNorigest is a contraceptive device that is injected ( in depot ). The effect of contraception especially of preventing ingress splooge through mucus cervix. After the treatment is stopped, the state of being fertilization usually back within a few weeks.

The InjectionAn implant is a method of prevent pregnancy with plastic insert the capsule that contains a hormone into parts of the body. A hormonal being contained in it is hormone progestin. ImplantThe contraceptives in the shape of a T or spiral which is placed in the uterus. For the IUD with a spiral, he is made of plastic material. While the IUD with a T can be made of copper (copper-copper T) or from the plastic that contains the hormone progestin.The installation of iud performed on a woman was of menstruation and the use of iud suggested on the person who undergo monogamy. An instrument for IUD that progestasert is plastic that is in it contains progestin. Intra Unterine Device (Lud)DISCUSSIONBased on the Regulation of the Minister of Health ( Permenkes ) no. 1464 / MENKES / per / x / 2010 about License and Midwife Practice Venue, one of the authority of a midwife is normal authority. Reproductive health services for women and family planning, with authority: providing counseling female reproductive health and family planning and given the oral contraceptives and condoms

Contraception purposeDo delay pregnancy, generally for married couples who the age of wife under 20 years. Because the age of 20 is the age which should not have children first. The use of mini-AKDR is recommended, especially for acceptors with contraindications to oral pills.

2. Spacing pregnancy (set of fertility). Generally for a wife with age between 20 30 years. Because age 20-30 years is the best age to get pregnant and give birth.3. Terminating prolificacy ( wont to pregnant again ). when a wife is over than 30 years, a wife must be advised not to have pregnant and give birth after have two children because of medical reasons.A pain in the head, dizziness and pain in the breast. Typically, this perceived side effects when a woman taking birth control pills for a few days. Not only that, the women also often feel nauseous and it can disappear within months. Effects of Bleeding ( can make the mother panic) This emerging bleeding generally occur in women who choose to use contraception in the form of spirals, pill and syringe KB. use of contraceptives can also lower sexual desire women If this happens, you can switch tools so that your hormones can KB balanced again.Side effects of contraceptionThe best choice of many kinds of contraception using in Post Partum Intra uterine device (IUD) is a small plastic device which is wrapped with copper wires. The "T" shaped tool is impeding pregnancy by preventing the merging of sperm cells and egg cells by means of stopping the sperm into the fallopian tubes or by replacing the uterus so that a mature egg cannot be fertilized.

According to the type, the IUD can be used effectively within a period of 5-10 years without having to be replaced. Its small enough so that the gynecologist can incorporate this tool into the uterus with an easy procedure.

IUD (IntraUrine Device)Amenorea Lactation methods (mal) or Lactational Amenorrhea Method (LAM) is a method of contraception while relying on giving breast milk (BREAST MILK) exclusively, i.e. it only given BREAST MILK alone without additional food and other drinks. Amenorea Lactation methods (mal) or Lactational Amenorrhea Method (LAM) are described as natural family planning methods (KBA) or natural family planning, when not combined with other contraceptive methods. Although research has proven that lactation can suppress fertility, but many women who get pregnant again when breastfeeding. Therefore, in addition to using Amenorea Lactation should also use other contraceptive methods like methods barier (diaphragms, condoms, spermicides), hormonal contraceptives (pill, breastfeeding, injecting AKBK) or IUDMAL contraception