Side Effects of Injectable and Oral Contraceptive and Unintended Pregnancy Among Reproductive Women in Indonesia

Abstract

Using contraception is essential for protecting women from the risk of unintended pregnancy. However, contraceptive discontinuation, caused by side effects of contraceptives or health problems, is still high. This study aimed to assess the impact of injectable and pill contraception discontinuation due to side effects or health problems on unintended pregnancy among women aged 15-49 years in Indonesia. This study is based on the 2017 Indonesia Demographic and Health Survey. As many as 1,613 women who discontinued their oral contraceptives and 5,022 women who discontinued their injectables were followed retrospectively. Pregnancy rates were tested for differences between categories using survival analysis. It was found that one year after stopping contraceptives due to side effects, almost 16-17% of oral/injectable contraceptive users were already pregnant. The pregnancy rate was higher among women aged less than 25 years. Unplanned pregnancy occurred more frequently among women who were not working than women who were working. Counseling services need to be strengthened by improving provider knowledge and skills to give comprehensive information including contraceptives’ side effects.

The Impact of COVID-19 Outbreak on Family Planning Services in Indonesia: Evidence from National Routine Statistics

“…Therefore, couples needing to delay or limit their pregnancies must use effective contraceptives to prevent unintended pregnancies. Unintended pregnancy, especially due to not using contraceptive methods consistently, has a risk factor for unsafe abortion, maternal morbidity, and adverse infant health outcomes (Gayatri & Irawaty, 2021b).…”

Hubungan Efek Samping Dengan Kecemasan Akseptor Kb Suntik 3 Bulan

“…Beberapa pengguna KB suntik sampai saat ini belum mengetahui efek samping yang akan muncul setelah dilakukan penyuntikan kurang lebih 1 bulan ibu baru menyadari bahwa ada perbedaan yang terjadi dalam dirinya contohnya siklus haid mulai berubah, penambahan/penurunan berat badan, timbulnya jerawat, mual dan muntah, rambut rontok, pusing, dan adanya perdarahan bercak (Gayatri & Irawaty, 2021;Hyttel et al, 2012). Berdasarkan data wawancara dan survei awal di Puskesmas Bulango Selatan yang dilakukan oleh peneliti kepada 10 responden terhadap Akseptor KB Suntik 3 Bulan, menyatakan bahwa diantara responden mengalami gangguan menstruasi, peningkatan berat badan, sakit kepala, dan masih banyak alasan yang diakibatkan oleh KB Suntik 3 Bulan di Puskesmas Bulango Selatan.…”