Professional Documents
Culture Documents
Purpose of KB
a. demographics purpose that prevent overpopulation by pressing the population growth rate
(LLP) and of course will be followed with decrease of birth rate
b. Adjusting pregnancy by delaying marriage, delaying pregnancies for the first child, and give
space between first child and to the next child, if the moms feels enough for the child so she
can stop to have a child.
c. Married Conseling for young people or couples getting married so it’s hope that the couple will
have the knowledge and understanding to build happy family and good quality.
d. The final goal is to achieve NKKBS KB (Norma Small Family Happy and Prosperous) and
make a quality family, family quality it’s means a harmonious family, health, adequate food,
clothing, housing, education and economically productive
Sumber : BKKBN, 2004. Keluarga Berencana dan Kesehatan Reproduksi: Kebijakan Program dan
Kegiatan tahun 2005-2009. Jakarta: BKKBN.
MENYUSUI : Bias pake MAL utk 6 bulan, AKDR lbh dr 3 mggu, steril 6 minggu, progestin lbh dr 6
minggu,
TDK MENYUSUI : AKDR 3 minggu, condom/spermasid after miscarriage dst.
MOM WITH INFECTION : don’t use until infection clear, sblm 3 bulan bsa pake kombinasi,
MOM WITH ABORTION SIGN : hrs menunggu 3 bulan sambil menunggu bisa pake progestin,
INFECTION TDK BISA DIATASI : bias pake barrier/spermasidal
6. How the method of using contraception based on age after partus, and miscarriage?
Jawab :
a. IUD
Patient can use IUD anytime in the menstrual cycle and make sure not pregnant
Menstruation started 7 days ago, so IUD can installed
After birth in the first 48 hours after birth or 4 weeks postpartum, between 48 hours to 4
weeks postpartum delayed installed, using condom contraceptive methods or MAL methods
IUD can be installed after miscarriage within the last seven days, can be installed if there is
no infection, consolate with Doctor, Midwife, Village Midwife
If infection occurs, may be can installed 3 months after recovery
b. Injection Contraseptive
If you get menstruation up to 7 days ago or more than 7 days do not need to wait for the next
menstruation to get the first injection if sure not pregnant, candidates need to avoid
intercourse or use condoms for 7 days from the first injection.
After birth if breastfeeding can start 6 weeks after partum, if the candidate is more than 6
weeks and less than 6 months, full breastfeeding and still not menstruated (Amenore
Lactation Method), may be injected at any time, but if breastfeeding is not full you should start
6 Weeks after childbirth, waiting more long time make risk be pregnant.
c. Pills
Anytime as long as you are sure you are not pregnant, or getting your menstruation 5 days
ago can begin
After partum, if breastfeeding can begin after the baby is 6 months old. If not yet menstruating
and make sure not being pregnant, the candidate KB pills should avoid intercourse or use a
condom 7 days first take the pill, if baby age less than 6 months wear condoms for a while.
After partum, if not breastfeeding can begin 3 weeks after partum and certainly not pregnant,
if more than 4 weeks of candidates should avoid intercourse or use of condoms during the
first 7 days of taking the pill if not yet menstruating.
d. Implant
Anytime as long as sure not pregnant, or get menstruation up to 7 days, if menstruation more
than 7 days ago, no need to wait for the next menstruation period by ensuring the candidates
are not pregnant
After partum, if breastfeeding can begin after the baby is 6 months old. If not yet menstruated
and certainly not pregnant
After partum, if not breastfeeding can begin, 6 weeks after partum can be started if it is not
pregnant should avoid intercourse or use condoms for 7 days after the installation of AKBK.
e. MOW
- It is surgery and the uterus is not removed and the mother still can menstruate, the method is
not easily restored to the original.
- The surgical action may be performed at any time except between 7 days to 6 weeks after
partum, safe before 7 days postpartum if the decision has been made before.
f. MOW
Anytime. But only effective after 20 times ejaculation or 3 months post operatively. Before that still
have to use condoms.
Sumber : BKKBN. 2011. Buku Panduan Praktis Pelayanan Kontrasepsi . PT Bina Pustaka Sarwono
Prawirohardjo: Jakarta
Sumber : Hartanto, Hanafi. 2003. KB dan Kontrasepsi. Jakarta: Pustaka Sinar Harapan
Resolution:
a. Basic strategy: from the structural must be established first.
Reinforce the program in the area
Ensure program sustainability
b. Operational strategy: which will be plunged into the community.
Increased capacity of KB program service system
Increase quality of program priorities.
commitment in stabilization.
Regulatory and support.
Monitoring, evaluation and accountability of community services.
Sumber : BKKBN.1999. Kependudukan KB dan KIA.Bandung Balai Litbang
11. What are indication for contraception use?
Jawab :
IUD
- Reproductive age
- The nulliparous state
- Allow long-term contraception
- Breastfeeding mothers who want contraception
- After delivery and not breastfeeding the baby
- After experiencing Abortus
- Low risk of PMS
- Do not want the hormonal method
- Do not like taking pills every day.
- Do not want pregnancy after 1-5 days of intercourse
Sumber : DepKes RI. 1993. Asuhan Kebidanan Pada Ibu Hamil Dalam Konteks Keluarga. Jakarta :
Pusat Pendidikan Tenaga Kesehatan DEPKES RI.
12. What the syariah rules of contraception?
Jawab :
Hadits KB
Indeed it is better for you to leave your master in a state of sufficiency than to leave them a
burden to the people.((Hadits riwayat Al-Bukhari dan Muslim dari Saad bin Abi Waqqash ra)
The decision of the big conference of the first board of Syuriah Nahdlatul Ulama to 1 in Jakarta as
follows:
If by 'azl (removing semen outside the uterus) or with a device that prevents the arrival of semen
into the uterus such as kopacis / condom, then the law makruh. Likewise makruh law if by taking
drugs to exclude pregnancy. But if with something that decides pregnancy at all, then the law is
haram, except there is danger. For example, because too much childbirth in the opinion of
someone who is expert about this can make danger, then the law may be in any way what exists.
Sterilisasi When the husband and wife in a very forced condition (emergency), such as to
avoid the decrease of illness from father / mother to child offspring. What will be born, or
threatened the soul of the mother when she conceived or gave birth to a baby, then sterilization is
allowed by Islam.
IUD
- The use of IUDs and the like can not be justified, as long as there are medicines and another
devices, because for its installing or controlling must be done by looking at the aurot of
women, it is forbidden in Islamic sariat, except in the urgent condition
- Then the national scholar's consultation on population, health and development decides,
among other things, "the use of intrauterine contraceptives (IUDs) in the implementation of
family planning can be justified if the installation and control is performed by medical
personnel or medical women, or if it can also be done by medical personnel Men
accompanied by other husbands or women.
Sumber : Fide H. Isngadi, Penjelasan keputusan musyawarah ulama terbatas mengenai keluarga berencana ,
(Malang: inspeksi penerangan Kandepag, 1973), hlm. 19-24.