DIALOGUE ON IUD COUNSELING

Ny. Pia: assalamualaikum midwife

Midwives Yanti: Waalaikumsalam.

Eh Ny. Pia. Let Bu please get invited Ny. Pia entry at that time was still in the corner next to the
door). Please sit mother.

(Skills fostering good relations)

Ny. Pia: yes midwife thanks.

Midwives Yanti: oh yes ma'am, how are you? A mother's prettier. (humorous, establish a good
relationship)

Ny. Pia: Alhamdulillah good midwife. The midwife herself?

Midwife Jackie: Thank God Mom is good too. Mom how keadaanbayinya? I yesterday to the news
that the mother had given birth to first son. (Fostering good relations)

Ny. Kamil: good midwife. I thank God the baby is healthy.

Midwives Yanti: thank God. Age of the baby's mother now what? And the name of the little hero
who, ma'am? (Fostering good relations)

Ny. Kamil: He is now 6.5 weeks old, midwife. His name

Rahman.

Midwives Yanti: oh, Rahman turns. Name an excellent mother. One of the Divine Name, right?
Mother and husband good at giving names. (A word of praise)

Ny. Pia: Thanks Mom (smiling)

Midwives Yanti: good mother, how can I help you?

Ny. Pia: Bu this way. I want to postpone pregnancy because I plan to add a baby to 7 years to come.

Yanti Midwife: So mom wanted to delay pregnancy for 7 years

May I know the underlying reason for it's mother?

(Ask effective)

Ny. Pia: I happened is a lecturer at the University of Dayanuiksanudin. I got nothing that is so dense.
In addition, I will focus on caring for and raising my son first.
Midwives Yanti: oh. Yes, Bu.Ibu, is not a teacher so it is natural that mothers want to focus on caring
for your son used to be in the midst of a mother who is so dense (refkeksi content). Good decision
once (praise). What has been discussed with the husband?

(Ask effective)

Ny. Pia: yes midwife. I've also been talking with my husband and he agreed if I had air-kb.

Midwives Yanti: sorry ma'am. But the mother's husband why not come along to her now? so that a
decision can be taken by the mother and later her husband. (anamnesis)

Ny. Pia: My husband was out of town. There is a little work.

Midwives Yanti: oh well. Bu. If I may know how old a mother now? (Anamnesis)

Ny. Pia: I am now 28 years old, midwife.

Midwives Yanti: 28 years (to mention maternal age while writing it). Okey. Did the mother already
has an idea of the type of contraception that will be used by the mother later?

(Anamnesis)

Ny.Pia: Already a midwife. I would like to use an IUD. After giving birth I've read various sources
about contraceptives and IUDs who I think fits me among others.

Midwives Yanti: Mrs. remarkable. To choose a contraceptive own mother sought information from
various sources. It's like that should be done by mothers who want to air-kb. (Praise)

Ny. Pia: thanks midwife

Midwife Jackie: Well, if the mother's husband, whether he has the same opinion with Mother?
mother can tell me about your husband considerations regarding contraception what to mothers
use? (Indirect leading)

Ny. Pia: certainly be a midwife. My husband said he wanted me to use an IUD because she had read
in various sources that the IUD was effective. My husband also had mentioned two types of IUDs are
used by the wife said many of his co-workers. But I forgot the name of the type of IUD midwife that
my husband would call the other day.

Yanti midwife: the mother does not remember it? (Reflection contents) Ummm does nothing.
Perhaps in my explanation on this later IUD mother will remember two types of IUD that mean your
husband. Not so the mother? (Closed questions)

Mrs. Pia: yes midwife. I also want to be able to better explanation about the IUD from the midwife.

Midwives Yanti: ohh, all right then. Sorry, I had wanted to ask. Do you have a birth injury that until
now has not fully recovered, ma'am? This will be a material (a consideration if the mother wants to
use an IUD.

(Anamnesis)
Ny. Pia: alhamdulilllah my birth injury yesterday has been recovered. No problem, Midwives.

Midwife Jackie: Thank God then. I just explain

yes, ma'am regarding this IUD.

Well ......... IUD is a device or object that is inserted into the uterus which is very effective in
preventing pregnancy and the long term. Can be worn by all women of reproductive age. The level
of effectiveness is also high at 99%.

Mechanism of action of the IUD itself, namely:

1. Inhibiting the ability of sperm to enter the fallopian falop

2. Affect fertilization or the process of cell fusion of sperm and egg before ova reach the uterine
cavity

3. Allows for preventing the implantation of the egg in the uterus or embedding process of the POC
in the endometrium wall.

Until this is understood by penjelsanan my mother? (Closed questions)

Ny. Pia: yes midwife

Midwives Yanti: yes ma'am please remind me if I explain too fast because I would lanjtukan back of
our discussion about the IUD.

Ny. Pia: yes of course, the midwife.

Bisan Yanti: IUD itself has many types, Mom. There-Lippes Loop, Saf-T-Coil, Dana-Super, Copper-T
(Gyne-T), Copper 7 (Gravigard), Multiload, and progesterone IUD (using tools). And commonly used
in Indonesia is the Copper T and Lippes Loop.

Ny. Pia: Lippes loop? Copper T, midwife?

Midwives Yanti: yes ma'am. What's wrong with the Lippes loop and Copper t? kok mother seemed
somewhat surprised? (Smile)

Ny. Pia: so the midwife. Lipes t copper loop and my husband is a midwife who call the other day. He
wanted me to know a lot about both.

Midwives Yanti: ohh so yes ma'am.

Wow this mother really listen to my penjelsan yes ma'am. To the extent that the mother
immediately recall the name of the 2 types of IUD that mean your husband. Alhamdulillah, (praise)

Nahh mother, so .... Copper T IUD is made of materials that form the letter T. polythelene actual
IUDs prevent fertilization by reducing the number and viability of sperm reaching the egg, and
inhibits the amount and movement of eggs into the uterus. Diyakin that copper rolls and arm of the
Copper T IUD enhance the effect.

Ny. Pia: oh so yes, midwife. But what is this t of copper excess midwife?
Midwives Yanti: copper T effective in preventing pregnancy up to 99% when installed in accordance
with the procedures by a trained midwife or doctor. Advantages:

It is efficient because once enough usage

attended by skilled personnel.

1. The non-hormonal contraceptive options are minimal long-term side effects

2. Effectively prevent pregnancy for 10 years

3. Quickly restore fertility, so it can get pregnant if desired

4. Does not affect the production and quality of breast milk

5. Effectively prevent ectopic pregnancy or ectopic pregnancy.

Ny. Pia: but, is there any side effects midwife?

Midwife Jackie: In general, side effects that do exist mother. but it will not be permanent. The side
effects will only be temporary depending on the reception of the body of the IUD. The side effects
are temporary, among others:

1. Cramps occur several days after installation.

2. There are spots in a few weeks.

3. Menstruation longer and more in the first 3 months

4. cramps and pain during menstruation.

The disadvantage, Cooper t and all kinds of IUD it does not provide protection against STDs or
sexually transmitted infections are infections that can be transmitted from one person to another
through sexual intercourse.

How is Mom? whether the mother can understand what I'm saying? (Closed questions)

Ny. Pia: yes midwife, as far as I understand.

Midwives Yanti: whether the term STI is already familiar for the mother? (Perception checking)

Ny. Pia: yes midwife. IMS for example HIV / AIDS, syphilis, gonorhoea, myomas and polyps.

Midwives Yanti: yes Bu absolutely right. Mom was smart. (Praise)

Ny. Pia: thanks midwife. But I've only just had her first child. Does not anything if I directly insert the
IUD? I fear can not be air-kb with this IUD for postpartum age are still very young. I would feel very
............ (silent)

Midwife Jackie: I understand the intent and feelings of the mother (touch the hand of mother / non
verbal touching behavior. IUD is the only option bu for usage period long. It is suitable for women
who want to postpone pregnancy in 7 years to come. Moreover, mothers also a very busy. It is
proper if the mother wants to efficient and effective. (reflection of feelings)

Mothers do not have to worry. Hardness mother did the right decision to consult (support). Look
mom, no matter if the mother uses IUD with 6.5 weeks postpartum because basically, the IUD can
be used before 48 hours and after the 4 weeks postpartum. And in general that can not use the IUD
is the possibility of pregnant women, the infection after childbirth and miscarriage, are at risk of STIs
and women who have the infection female organs. (Using tools)

Sorry mom if I may know more about the mother's health history? What mother ever had a health
problem of female organs? This will be a material perrtimbangan in IUD insertion.

Ny. Pia: thank God from the results I've ever done before marriage and the last before the birth, I do
not have the risk of STDs or infection due to give birth midwife. Miss. V me also thank God good. My
husband also had been investigated and negative alhamdulillah IMS. There is no problem with it
midwife. I soon also berenana to consult back before using an IUD.

Midwives yanti: thank God yes ma'am. The mother and the mother's husband how ya?

ummm .... are people who are aware of the importance of reproductive health check because now
rife cases of STIs. I salute each mother and husband (praise). I also strongly agree with a plan to see
her mother back. We equally hope that the results were negative in order to IUD insertion can be
done immediately. (Support)

Ny. Pia: thanks midwife.

Biidan yanti: equally. Both mother back to our discussion (focusing skills). Mom already knew about
the copper T, then I will explain about the Lippes loop. So, Lippes Loop IUD is composed of a thin
plastic (or polyethylene) with a wire bent to the shape of S concatenated. Effectiveness of copper t is
equal to 98-99% when installed properly by experts. Advantage, the side effects and loss of Lippes
loop together with Coppet t. Bu what the advantages, disadvantages and side effects? (Asked to
ensure understanding of Ny. Pia)

(Perception checking)

Ny. Pia: (mention the advantages, disadvantages and side effects of the Copper T)

Midwives yanti: yes exactly once mother (after listening to Mrs. Pia noted the advantages and
disadvantages Coppper t).

Ny. Pia: wah .. copper T and Lippes loop seems as good yes, ma'am. I'm so confused midwife.

Yanti midwife: do not be confused, ma'am. I'm sure the mother can certainly decide. Because things
have mothers consider. (Help clients make informed decisions)

Ny. Pia: yes, midwife. I've got an idea of the type of IUD that I shall use between the two. (silent and
thought for a moment)

Midwife Jackie: I'm sorry ma'am. So roughly what type of IUD to be mothers use? lipees t copper
loop or mother?
(Help clients make informed decisions)

Ny. Pia: of explanation seems my mother would use the copper T, bu. Lippes loop is good but I am
more interested in the Copper T. Safe, effective, efficient, digunaka

in the long term, does not affect the quality of breast milk and that his form tablets bu i like the
letter T with a thread at one end.

Midwives yanti: Okay mother. Mother steady using the Copper T, huh?

Ny. Pia: yes midwife

Midwives Yanti: Ok. Mom had already made the decision that the mother will use the Copper T.
Well, mother and husband should soon come back here ya bu (menindaklanjutipertemuan). Later I
will come back to explain more deeply to the husband and mother of Copper T is .. I will also explain
the installation procedure, then I ask for the consent of the mother and husband to do the
installation of Copper T. Earlier, I asked for a medical examination of the reproductive organs of a
doctor mother would live later. How, Mom? Did the mother agree?

Ny. Pia: yes midwife. I agree. Thanks for the explanation. God willing, my husband and I would come
back here as soon as possible. And I will also take note of my examination results.

Bidab yanti: Okay mother. There's my card. There's a mobile number, address and email address of
my blog. If there is the question moms can email or sms.

Ny. Pia: yes midwife thanks. Then you'll excuse me yes midwife.

Midwives Yanti: both the mother. Be careful, ok. Say hello for family. (While shaking hands)
(establish a good relationship)

Ny. Pia: assalamualaikum

Midwives yanti: Waalaikumsalam