Client : Assalamu’alaikum

Midwife : Wa’alaikumussalam ma’am Hexa … Please come in and sit down.

Client : Thankyou miss Milda..
Midwife : Masyaallah, this is Rara? (child ma'am hexa)
Client : Yes miss.
Midwife : MasyaaAllah, she is so cute…
Client : hehehe, thankyou miss.
Midwife : You are welcome ma’am. Bismillah, what can I help you ma’am ?
Client : Okay miss. Like this, Rara she hapus saja is four months old. My
husband and I decided to tambah have Contraception, but I am still confused to
choose a contraceptive that is suitable for use. so, I want to ask for an
explanation of midwives, about the types of contraceptives anything hapus that I
could later use
Midwife : Okay ma’am, this is a very good time to have contraception. You
want to know about the types of contraception that you can use. Is it true
ma'am?
Client : Yes midwive , right like that. Hapus
Midwife : There are several types of birth control pilih istilahnya yg konsisten
mu contraceptions atau birth control tools including, injections , birth control
pills, implants, condoms and AKDR.
Client : Oh… yes miss
Midwife : For contraceptive injection, there are two types, contraceptive
injection once every month  and the injection once every three months. The
advantage of this method it is safe for use by most women, including those who
are breastfeeding. Some people this can lead to side effects such as weight
gain, , headaches and acne.
For this type of contraceptive implants there are several types as well, including
2 rods, 3 rods, and 6 stems. Implant 2 rod and 3 rod it's that time of the
effectiveness of only 3 months. 6 stems survive up to 5 months. The advantage
of this contraceptive able to restore the mother's fertility completely after
removal and does not raise the mother's blood pressure. while the drawback is
that sometimes the recipient complains of headaches, anxiety, there can also be
an increase or decrease in maternal weight. So far, do you understand ma’am ?
Client : oh, yes miss i understand.
Midwife : ok ma’am, if you understand, may i continue my explanation ma’am?
Client : yes miss, please continue the explanation.
Midwife : for the use of condoms, this is used by the ma’am's ganti your
husband. The advantage of using condoms is to prevent the transmission of
sexually transmitted diseases such as AIDS, also practical use. However, the
disadvantage is that the level of effectiveness is still low because usually during
fixing the condom can torn. Then, the use of birth control pills has the
advantage that it can be used by all productive ages. However, if ma’am forgets
to drink it, there is a high chance that pregnancy will occur. Well, the last one is
the AKDR which is commonly called the IUD. This IUD has the advantage that
it can prevent pregnancy in the long term, which is 10 years for the copper T
type. It does not contain hormonal effects and ma’am does not have to worry
about the “forgetting factor” as in the use of pills. Besides that, it can be lifted
whenever you want. but there are still drawbacks, namely bleeding at the
beginning of fixing it and menstruation will be longer and more numerous.
Client : oh like that miss.
Midwife : yes ma’am like that. I think my explanation is enough, so do you
understand ma’am?
Client : yes miss i already understand.
Midwife : alhamdulillah, if you understand, is there anything from the
explanation that you don't understand ma’am ?
Client : no miss, I think it's enough.
Midwife : So, have you been able to make a decision, what contraceptive
method will you use later?
Client : Yes, miss, I am determined to choose an IUD, because IUDs can be
used for a long period of time, so now I can focus on giving love to my child
first, until later I think I'm ready to have another child.
Midwife : Yes, ma'am, it is the right choice for a wise mother, because you
really think about the growth and development of your child.
Client : yes, thank you miss. midwife. oh yeah, I want to ask about when this
IUD insertion?
Midwife : The IUD can be inserted at any time, as long as you are sure the
mother is not pregnant. can be 40 days after childbirth and can also be while
menstruation.
Client : oh it can be installed at any time as long as we are sure we are not
pregnant, yes miss?
Midwife : yes alright ma’am.
Client : Miss. midwife, how about the time of her ganti my return visit?
Midwife : ma’am, later when the installation is done, the time for the return
visit can be months after the installation. the next month, if your period is 1
week late, it can be every 6 months, and if there is a lot of bleeding or if there
are other complaints, you can come here again, ma'am. Don't wait for the next 1
month or 6 months. did you understand ma’am ?
Client : yes miss I understand.
Midwife : Okay ma’am. Then, do you want to do the installation now or do you
first pindahkan setelah kata husband consult your decision with your husband so
that later there will be no ganti to prevent sajamisunderstanding in the family.
Client : yes miss. I think I should first pindahkan stelah kata consult consult my
KB of choice with my husband. because after all this must be our agreement in
order to maintain a harmonious relationship between us. later, after I got the
consent of my husband I will come here again to do the IUD insertion.
Midwife : Yes, ma'am, if the decision for ma’am and your husband is solid,
please come to do the IUD installation.
Client : yes miss midwife thank you very much for your support and
explanation, this is very useful for me and my family.
Midwife : yes ma'am you're welcome.
Client : then I'll excuse myself miss. Assalamualaikum
Midwife : Wa’alaikumussalam ma’am