One day Mrs. S came to the Midwife BPM N to consult about contraception that is suitable for her, Mrs.

S intends with her husband to use contraceptives At BPM Midwife N.

Mrs. S : Knock ... Knock ... Knock ... Asalamualaikum.

Midwife N: Walaikumsalam . Please come in ma'am, please sit down .. !! (letting the patient sit, then
shake the patient's hand) Introducing my name, Midwife Wilia, if I may know whose name my mother is?

Mrs. S: Meet the midwife, my name is Siti.

Midwife N: Alright mom, can I help you?

Ny.S: Look mom, my husband and I have plans to postpone pregnancy, we both intend to use birth
control. But I don't know what birth control is suitable for me.

Midwife N: I see, ma'am, of course you can. Actually in this case I need the presence of your husband so
that you and your husband can understand about contraception so that later decisions can be taken
together. But that's okay mom, later in the next meeting I hope mothers and husbands can come back
here.

Well, I will explain some types of family planning tools. There are injectable birth control groups, one
month (cyclofem) and 3 months depoprogestin and depo provera. The advantage is it does not interfere
with the hub, husband and wife, quickly also restore fertility. The loss of maternal weight can rise, after a
year of use and menstruation has not been irregular, there are blood spots at the beginning of use. For
birth control pills, we know only two types.

The first is a mini pill / progestin pill. A good choice for mothers who are breast Feeding and want to use
the pill, start taking it on the 6th week after giving birth, is very effective during lactation.

The second is a combination pill. This pill is very effective when taken every day. When stopping taking
birth control pills, pregnancy can occur.  

And the last is a female condom. The female condom is a lubricated sac with two flexible rings at the
ends. A removable soft ring makes it easy to install and keeps the condom in place. A large flexible ring
remains outside the vagina, which includes the opening of the vagina (vulva) and provides additional
protection.

The female condom has the advantage of protecting against PMS, does not slip or leak easily, does not
affect hormones and does not cause allergies (because it is made of polyurethane, not latex). The
disadvantage is that some people feel uncomfortable, not effective for all positions, and the price is
expensive. Female condoms cannot be used together with male condoms because they can cause the
position to move out.

So do you understand what I have explained?

Clien t: Yes, midwife. It turns out there are family planning spirals, pills, and injections. The side effects
are all temporary and all of them also cause changes in the menstrual cycle. And from the type it self
installation is done by different techniques. The effectiveness of each type is high in preventing
pregnancy.

Midwife: yes mom, that's right So do you already have a choice about which birth control is suitable for
you later?

Client: I don't know anymore, mom. I will try to discuss with my husband first, ma'am
Midwife: OK mother. Next mother and husband should come back here soon. Later I will again explain to
your husband about the types of family planning, how to use them and side effects, and then I ask for
approval from the mother and husband to do the installation of which type of birth control the mother will
choose. How is it mom?

Client: Yes, midwife. Soon my husband and I will return here. Thank you for the input. Then I will
excuse myself, midwife.

Midwife: Yes mom. Say hello to the family at home.

Client: Yes, midwife, Assalamualaikum ...

Midwife: waalaikumsalam.