The Relationship between Husband's Support and Elections

C o n t r a s e p s i I U D P a s c a P l a s e n t a Tool
AT BHAYANGKARA HOSPITAL TK III NGANJUK

Risza Risdiana Putri Lestari1*, Dwi Ertiana2, Wahyu Nuraisya3

1
Program Studi S1 Kebidanan STIKES Karya Husada Kediri, riszarisdiana9@gmail.com , 089690040009
2
Program Studi S1 Kebidanan STIKES Karya Husada Kediri, arissakayla09@gmail.com, 081331969498
3
Program Studi S1 Kebidanan STIKES Karya Husada Kediri, wahyunuraisya@gmail.com. 081332849265

Dukungan suami sangat dibutuhkan bagi wanita usia subur terutama tentang pemilihan alat kontrasepsi
seperti IUD pasca plasenta. Pemberian penjelasan dan pemahaman yang baik dapat meningkatkan dukungan suami
berupa memberikan persetujuan dan rasa saling percaya. Tujuan Penelitian ini untuk mengetahui hubungan
dukungan suami dengan pemilihan alat kontrasepsi IUD pasca plasenta di RS Bhayangkara TK III Nganjuk. Desain
penelitian korelasional dengan pendekatan Cross Sectional. Populasi dalam penelitian ini semua ibu post partum dan
post SC hari ke-1 di RS Bhayangkara TK III Nganjuk sebanyak 175 orang. Jumlah sampel dalam penelitian sebanyak
121 responden menggunakan teknik Purposive Sampling dengan waktu penelitian 11-31 Juli 2023. Variable bebas
dukungan suami serta variable terikat pemilihan alat kontrasepsi IUD pasca plasenta. Pengumpulan data
menggunakan kuesioner dan lembar pengumpul data. Analisa data menggunakan uji Coefficient Contingency. Hasil
penelitian menunjukkan bahwa dukungan suami positif sebanyak 93 (77%) responden dan 64 (53%) responden
memilih menggunakan alat kontrasepsi IUD pasca plasenta. Hasil uji menggunakan Coefficient Contingency dengan
nilai ρ value 0,012 < α : 0,05, yang berarti terdapat hubungan dukungan suami dengan pemilihan alat kontrasepsi
IUD pasca plasenta di RS Bhayangkara TK III Nganjuk. Dukungan suami sangat dibutuhkan bagi wanita usia subur
terutama tentang pemilihan alat kontrasepsi seperti IUD pasca plasenta. Pemberian penjelasan dan pemahaman
yang baik dapat meningkatkan dukungan suami berupa memberikan persetujuan dan rasa saling percaya.
Kata kunci: Dukungan suami, pemilihan kontrasepsi IUD pasca plasenta

Abstract
Husband support is needed for women of childbearing age, especially regarding the selection of
contraceptives such as post-placental IUDs. Providing a good explanation and understanding can increase
husband's support in the form of giving consent and mutual trust. The purpose of this study was to determine the
relationship between husband support and the selection of post-placental IUD contraceptives at Bhayangkara TK III
Nganjuk Hospital. Correlational research design with Cross Sectional approach. The population in this study were all
mothers post partum and post SC day 1 in Bhayangkara Hospital TK III Nganjuk as many as 175 people. The number
of samples in the study were 121 respondents using purposive sampling technique with the research time July 11-31,
2023. The independent variable is husband support and the dependent variable is the selection of post-placental IUD
contraceptives. Data collection using questionnaires and data collection sheets. Data analysis using Coefficient
Contingency test. The results showed that positive husband support as many as 93 (77%) respondents and 64 (53%)
respondents chose to use post-placental IUD contraceptives. The test results using Coefficient Contingency with a ρ
value of 0.012 < α: 0.05, which means that there is a relationship between husband support and the selection of post-
placental IUD contraceptives at Bhayangkara Hospital TK III Nganjuk. Husband support is needed for women of
childbearing age, especially regarding the selection of contraceptives such as post-placental IUDs. Providing a good
explanation and understanding can increase husband support in the form of giving consent and mutual trust.

Keywords: Husband support, post-placental IUD contraceptive selection

INTRODUCTION Indonesia is the country with the fourth largest

population in the world with a projected number

of births reaching 4.45 million people in 2022.
 This is because the largest population is of
Alamat Korespondensi Penulis:
Risza Risdiana Putri Lestari childbearing age, while the number of long-term
Email : riszarisdiana9@gmail.com
Alamat: Program Studi S1 Kebidanan STIKES Karya contraceptive users is still low. As a developing
Husada Kediri, Jl. Soekarno Hatta, tlp.
country, Indonesia has many women who
(0354) 399912, Pare Kediri.
 Hubungan Dukungan Suami dengan Pemilihan Kontrasepsi IUD pasca plasenta di RS
Bhayangkara Tk III Nganjuk (Lestari, et al.)

experience difficulties in deciding on the type of placental IUD is the installation of an IUD which
contraception. In the 2022 Family Planning is carried out 10 minutes after the placenta is
program, the achievement of IUD acceptors was born in a normal delivery or before suturing the
76.1%, while the target set was 82%. Meanwhile, uterus in a Sectio Caesarea procedure (4).
according to the type of contraceptive data, until Contraceptive use is influenced by two
December 2022, injectable contraceptives were factors, namely internal factors and external
94,028 (45.74%), implants 41,528 (20.2%), pills factors. Internal factors include knowledge,
29,837 (14.51%), condoms 5,586 (2.72%), and perception, level of education, personal
IUDs 27,796 (13.52%) [1]. choices/assumptions, beliefs and beliefs.
One of the strategies for implementing the Meanwhile, external factors include information
National Medium Term Development Plan from officers, husband's support and social
(RPJMN) is increasing the use of Long Term culture. Husband's support is really needed for
Contraceptive Methods (MKJP) such as the Intra women of childbearing age, especially regarding
Uterine Device (IUD). The results of a preliminary the choice of contraceptives such as post-
survey conducted at Bhayangkara TK III Nganjuk placental IUDs. Providing good explanations and
Hospital in 2022 showed that the number of understanding can increase the husband's
clients served with post-placental IUD support in the form of providing approval and
contraception was 517 clients out of a total of mutual trust.
2,123 births. These data show that only 25% of The government in making the Population,
all births are willing to have a post-placental IUD Family Planning and Family Development
installed. (KKBPK) program a success in the 2030
Based on research by Indahsari, et al Sustainable Development Goals (SDGs)
(2019), there are several factors that influence indicators has several strategies, one of the
mothers in choosing an IUD contraceptive, strategies is increasing the independence of PUS
including husband's support, education, in choosing which contraceptive method to use,
ownership of health insurance and information namely by using long-term contraceptive
media. Meanwhile, previous research conducted methods. using the IUD method (6). And the
by Yuni Retnowati in 2018 regarding the government also created a program called "KB
relationship between husband's support and the Village" under the auspices of the BKKBN. This
choice of IUD contraception with a total of 54 program aims to improve the quality of life of the
respondents showed that 33 people did not community at the village or equivalent village
receive husband support (61.1%), and 21 people level through the KKBPK program as well as
supported it (38.9%). Meanwhile, 20 people development of other related sectors in order to
(37.0%) used IUD contraception, and 34 people create quality small families.
(63.0%) did not use IUD. The IUD is a safe and
effective postpartum contraceptive option for
mothers who want to space or limit pregnancies. Providing Information and Education
IUD contraception that is installed immediately Communication (KIE) to families, especially
after delivery is called a Postplacental IUD. Post- husbands, is very important because it can
increase husbands' knowledge about researcher's criteria. The independent variable in
contraceptives and increase the independence of this research is husband's support for post
couples of childbearing age in choosing the type partum and post Sectio Caesarea mothers, while
of family planning. If PUS already knows about the dependent variable is the choice of post
the type of contraceptive device, it can placental IUD contraception at Bhayangkara Tk
immediately determine the choice of long-term Hospital. III Nganjuk. The research was carried
contraception such as using a post-placental IUD out on 11 – 31 July 2023 in the delivery room and
after giving birth. postpartum room at Bhayangkara Tk III Nganjuk
The existence of counseling about Hospital. Data collection techniques use
contraception makes mothers realize the questionnaires and data collection sheets, with
importance of using contraception, especially analysis methods using Coefficient Contingency
post-placental IUD contraception because with the SPSS program.
installing it directly after giving birth can reduce
the pain during installation and there is no need RESULTS AND DISCUSSION
to think about contraception after returning home 1. Univariate Analysis
from the health facility. However, mothers' Respondent characteristics described
interest often does not receive support from in univariate analysis include age, mother's
husbands who think that the use of family education, husband's education, occupation,
planning can be postponed until the postpartum information about IUDs, source of information
period is over. So the husband is not willing to about IUDs, family planning membership
give approval for the post-placental IUD status, history of vaginal discharge, history of
installation. jaundice, history of vaginal bleeding, history of
The aim of this research is to determine uterine tumors. Meanwhile, special data
the relationship between husband's support and regarding husband's support and choice of
the choice of post-placental IUD contraception at post-placental IUD contraception. The
Bhayangkara TK III Nganjuk Hospital. presentation of respondent characteristic data
consists of tables and descriptions. The
RESEARCH METHODS distribution of respondent characteristics is as
This research design uses a correlational follows:
research design (relationship/association). In this
study, cross sectional was used. Cross sectional a. Karakteristik Responden Berdasarkan Usia
research is a type of research that emphasizes Tabel 1 Distribusi Frekuensi Ibu
berdasarkan Usia
measurement/observation time or collecting data
Frekuensi Persentase
Usia
on independent and dependent variables only (F) (%)
once at a time. The population was 175 people, ≤20 tahun 0 0%
20 – 35 tahun 78 64%
using a purposive sampling technique, with a > 35 tahun 43 36%
sample size of 121 respondents who met the Jumlah 121 100%

inclusion criteria which had been determined by

the researcher to obtain a sample that met the
 Hubungan Dukungan Suami dengan Pemilihan Kontrasepsi IUD pasca plasenta di RS
Bhayangkara Tk III Nganjuk (Lestari, et al.)

Table 1 shows that the majority of mothers d. Karakteristik Responden berdasarkan

aged 20 – 35 years, namely 78 respondents Pekerjaan
or 64% Tabel 4 Distribusi Frekuensi Berdasarkan
pekerjaan
Pekerjaan suami Frekuensi Persentase
b. Karakteristik Responden berdasarkan (F) (%)
Pendidikan Tidak bekerja 0 0%
Petani 68 56%
Tabel 2 Distribusi Frekuensi Ibu Wiraswasta 19 16%
Berdasarkan Pendidikan Lain – lain 34 28%
Jumlah 121 100%
Pendidikan Frekuensi Persentase
(F) (%)
Tidak tamat 0 0% Table 4 shows that the majority of husbands'
SD occupations are farmers, namely 68
SD 14 12%
SMP 22 18% respondents or 56%.
SMA 80 66%
Perguruan 5 4%
Tinggi e. Karakteristik Responden berdasarkan
Jumlah 121 100% Informasi tentang IUD
Tabel 5 Distribusi Frekuensi Berdasarkan
Table 2 shows that the majority of mothers'
Informasi tentang IUD
education is high school with 80
Informasi Frekuensi Persentase
respondents or 66% tentang IUD (F) (%)
Pernah 59 49%
Tidak pernah 62 51 %
c. Karakteristik Responden berdasarkan Jumlah 121 100%
Pendidikan Suami
Tabel 3 Distribusi Frekuensi Berdasarkan Table 5 shows that the majority of mothers
Pendidikan Suami have never received information about IUDs,
Pendidikan Frekuensi Persentase
(F) (%) namely 62 respondents or 51%
Tidak tamat SD 0 0%
SD 19 16%
SMP 82 68% f. Karakteristik Responden berdasarkan Sumber
SMA 15 12% Informasi tentang IUD
Perguruan 5 4%
Tinggi Tabel 6 Distribusi Frekuensi Berdasarkan
Jumlah 121 100%
Sumber Informasi tentang IUD
Table 3 shows that the majority of husbands' Sumber Frekuensi Persentase
Informasi (F) (%)
tentang IUD
education is junior high school, namely 82 Petugas 27 22%
kesehatan
respondents or 68%. Media cetak 9 8%
Media elektronik 85 70%
Lain – lain 0 0%
Jumlah 121 100%

Table 6 shows that the majority of mothers

received information about IUDs from
 electronic media, namely 85 respondents or Table 9 shows that almost all mothers never
70%. had a history of jaundice, namely 119
respondents or 98%.
g. Karakteristik Responden berdasarkan Status
j. Karakteristik Responden berdasarkan
Kepesertaan KB
Perdarahan Pervaginam
Tabel 7 Distribusi Frekuensi Berdasarkan
Tabel 10 Distribusi Frekuensi Berdasarkan
Status Kepesertaan KB
Perdarahan Pervaginam
Kepesertaan KB Frekuensi Persentase
(F) (%) Perdarahan Frekuensi Persentase
Baru pertama kali 63 52% pervaginam (F) (%)
Pernah pakai KB 58 48% Ya 39 32%
Jumlah 121 100% Tidak 82 68%
Jumlah 121 100%
Table 7 shows that the majority of mothers
Table 10 shows that the majority of mothers
used family planning for the first time,
have never had a history of vaginal
namely 63 respondents or 52%.
bleeding, namely 82 respondents or 68%.

h. Karakteristik Responden berdasarkan

k. Karakteristik Responden berdasarkan
Riwayat Keputihan
Riwayat Tumor Rahim
Tabel 8 Distribusi Frekuensi Berdasarkan
Tabel 11 Distribusi Frekuensi Berdasarkan
Riwayat Keputihan
Riwayat Tumor Rahim
Riwayat Frekuensi Persentase
keputihan (F) (%) Riwayat Tumor Frekuensi Persentase
Ya 40 33% Rahim (F) (%)
Tidak 81 67% Ya 0 0%
Jumlah 121 100% Tidak 121 100%
Jumlah 121 100%
Table 8 shows that the majority of mothers
Table 11 shows that all mothers never had a
did not have a history of vaginal discharge,
history of uterine tumors, namely 121
namely 81 respondents or 67%.
respondents or 100%.

i. Karakteristik Responden berdasarkan

l. Karakteristik Responden berdasarkan
Riwayat Sakit Kuning
Dukungan Suami
Tabel 9 Distribusi Frekuensi Berdasarkan
Tabel 12 Distribusi Frekuensi Berdasarkan
Riwayat Sakit Kuning
Dukungan Suami
Riwayat Sakit Frekuensi Persentase Dukungan Frekuensi Persentase
Kuning (F) (%) Suami (F) (%)
Ya 2 2% Negatif 28 23%
Tidak 119 98% Positif 93 77%
Jumlah 121 100% Jumlah 121 100%
 Hubungan Dukungan Suami dengan Pemilihan Kontrasepsi IUD pasca plasenta di RS
Bhayangkara Tk III Nganjuk (Lestari, et al.)

Table 12 shows that almost all of them had

positive husband support, namely 93
respondents or 77%.

m. Karakteristik Responden berdasarkan

Pemilihan Kontrasepsi IUD
Tabel 13 Distribusi Frekuensi Berdasarkan
Pemilihan Kontrasepsi IUD
Pemilihan Frekuensi Persentase
Kontrasepsi IUD (F) (%)
Tidak memilih 57 47%
Memilih 64 53%
Jumlah 121 100%

Table 13 shows that the majority of mothers

chose IUD contraception, namely 64
respondents or 53%.

2. Bivariate Analysis
a. Contingency Coefficient Test
The results of the bivariate analysis
of the relationship between husband's
support and the choice of post-placental
IUD contraception using the Coefficient
Contingency statistical test. This test is to

see the hypothesis Ha: There is a

relationship between husband's support
and the choice of post-placental IUD
contraception and H0: There is no
relationship between husband's support
and the choice of post-placental IUD
contraception. The results of the
Coefficient Contingency test can be seen
in the following table:
 Tabel 14 Hubungan Dukungan Suami
Dengan Pemilihan Kotrasepsi IUD Pasca

Pemilihan Kontrasepsi IUD

Pasca Plasenta
Dukungan Total T mean ρ value Α
Tidak Memilih
Suami
Memilih
F % f % F %
Negatif 19 16 9 7 28 23
50 0.012 0.05
Positif 38 31 55 46 93 77
Jumlah 57 47 64 53 121 100
Plasenta

Based on table 1, the maternal age factor

Based on the research results in table
is that most of the 78 (64%) respondents were
14, the research results obtained from the
aged 20-35 years. At that age the mother's desire
Coefficient Contingency statistical test that have
to getting pregnant and having another child is
been carried out show a p value of (0.012), which
still high.
means the p value < α (0.05). which means that
So the majority choose to use the Copper
there is a relationship between husband's
T post-placental IUD because it is highly effective
support and the choice of post-placental IUD
and does not contain hormones that can affect
contraception.
the fertile period after delivery. The mother's
Based on the research results, it was
perception regarding the use of post-placental
found that 9 (7%) respondents had negative
IUD contraception is that it is considered very
husband support and chose the IUD, while
painful if it is inserted immediately after giving
positive support and 55 (46%) respondents
birth, in addition to the perception that the
chose IUD. Meanwhile, negative support and not
position of the contraceptive device moves. IUDs
choosing an IUD was 19 (16%) respondents and
are also considered dangerous and cause
positive support but not choosing an IUD was 38
disease.
(31%).
Post placental IUDs are safe and
Husband's support is the effort given by
effective, but the expulsion rate is higher than
the husband both mentally, physically and
expulsion of insertion after ≥4 weeks postpartum.
socially as well as encouragement given by the
Expulsion can be reduced by inserting the IUD
husband in terms of realizing a plan, which in this
within 10 minutes after expulsion of the placenta,
case is the choice of contraception, husband's
ensuring that the insertion reaches the uterine
support makes the family able to carry out its
fundus, and is carried out by trained and
functions, because family members are
experienced medical and paramedical personnel
supposed to give and support each other. pay
(13).
attention to the wife's condition and needs (13).
Based on 3 previous studies regarding
the choice of IUD contraception, it is known that 2
studies stated that the majority did not use IUDs
 Hubungan Dukungan Suami dengan Pemilihan Kontrasepsi IUD pasca plasenta di RS
Bhayangkara Tk III Nganjuk (Lestari, et al.)

and in 1 study the majority used IUD placental IUD contraception from skilled and
contraception. In the 1st study from Junita trained health personnel.
Henriette (2021) it was shown that 51.5% did not
CONCLUSIONS AND SUGGESTIONS
use an IUD. The results of the second study from
Based on the results of the analysis and
Yuni Retnowati (2018) showed that the majority
discussion regarding the relationship between
did not use IUDs, 63%. The results of the 3rd
husband's support and the choice of post-
study from Yulianti (2019) showed that the
placental IUD contraception at Bhayangkara Tk
majority used IUDs, 59.6%.
III Nganjuk Hospital, the following conclusions
According to Henriette (2021), one of the
can be drawn:
indirect ways of husband participation in
1. Husband's support at Bhayangkara Hospital
choosing contraception is to provide support and
TK III Nganjuk from 121 respondents, it was
freedom to the wife to use the contraceptive
found that the majority of 93 (77%)
method that will be used. Before starting to install
respondents had positive husband support.
a contraceptive device, a husband and wife need
2. Selection of post-placental contraception at
to have IEC from a health worker. Most husbands
Bhayangkara Hospital TK III Nganjuk of 121
are passive about the contraceptives their wives
respondents, it was found that the majority of
choose and will use. This is because the
64 (53%) respondents chose IUD.
husband's knowledge is still minimal. This
3. From statistical testing using the Coefficient
inadequate information can lead to indifference
Contingency test with a ρ value of 0.012 < α :
and not wanting to know in wives, so that
0.05, Ho is rejected and H1 is accepted,
husbands think that family planning is only a
which means there is a relationship between
woman's duty as a wife.
husband's support and the choice of post-
Apart from that, there are also things that
placental IUD contraception at Bhayangkara
can influence the husband's role in making
TK Hospital. III Nganjuk.
decisions about a wife's participation in family
Researchers have several
planning, including recent education,
suggestions that may be useful for all parties
employment, income, number and gender of
involved in the research process, namely as
children in the family. Meanwhile, the wife
follows:
refused to use the IUD contraceptive because
1. For Respondents
she was afraid of the installation process and the
It is recommended for all post partum
experiences of people she trusted, such as her
mothers and husbands to always support
mother, relatives and neighbors. However, there
the choice of post partum contraception to
are also wives who want to use a post-placental
support government programs.
IUD because it does not contain hormones so
Considering that there are no
that the fertile period returns immediately after
contraindications for the mother when
removal, has a long duration, and is highly
using a post-placental IUD.
effective. Based on the various
assumptions/perceptions of married couples,
there is a need for counseling regarding post-
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