Factors Associated with Post Placental Intrauterine Device (IUD) Use

An intrauterine device (IUD) is the right choice for post-placental contraception because it has high effectiveness, reversible, long-term effects, and low side effects. Factors that cause low IUD use are knowledge, the role of health workers, husband support and psychological factors such as anxiety during insertion, side effects and trauma during past insertion. The study aims to determine the factors associated with using post-placental IUDs at Mangusada Hospital. This study used an analytic cross-sectional design. The sampling technique used purposive sampling, with 66 respondents, in September and October 2023. Data analysis using the Chi-square test, Mann Whitney and logistic regression with 95% CI and p-value significance <0.05. The results showed the p-value of knowledge, husband support, health worker information and anxiety <0.05, which means there is a relationship between knowledge, husband support, health worker information and anxiety on the use of post-placental IUD. The results of multivariate analysis showed that one sub-variable (husband's support) was most associated with post-placental IUD use with a p-value of 0.00 <0.05. Conclusion: Husband support partially relates to post-placental IUD use at Mangusada Hospital.


INTRODUCTION
Planning and Reproductive Health (Wardoyo, 2021).This study's results align with (Suryanti, Sipasulta and T, 2023).Good health worker information about the IUD makes it easy for respondents to understand the advantages of the IUD; the greater the number of living children, the greater the possibility of limiting births, and family income affects the use of the IUD, which requires a relatively expensive cost.There is an influence of health worker informatio n, parity and family income on interest in using the IUD.The results of the analysis can be concluded that of all the independent variables that are thought to be associated with the use of postplacental IUD, there is one sub-variable The results of the 2020 Population Census show that Indonesia's population continues to grow (positive growth) by 32.56 millio n people compared to the results of the 2010 Census, with a Population Growth Rate (PGR) of 1.25 per cent.PGR has indeed managed to slow down if we compare it to the 2000-2010 period of 1.49 per cent per year.The balance between fertility and mortality is still relatively unshifted, with the Total Fertility Rate (TFR) at 2.45.The National Population and Family Planning Board (NPFPB) has set the direction of policies and strategies by the NPFPB Strategic Plan for 2020-2024, namely,

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husband's support) that is most partially associated with the use of post-placental IUD with a p-value of 0.000 <0.05.The most significant OR value obtained is 8.002, meaning that the husband's support has a chance of 8.002 times causing the mother to use the post-placement IUD.This aligns with the research results (Id et al., 2022) that Knowledge about the IUD and its benefits is associated with post-placental IUD use.post-placental IUD use.In addition, the results of research conducted by (Shintia et al., 2022) stated that there was a relationship between the mother's anxiety level and the husband's support with the selection of an intrauterine device (IUD).CONCLUSIONS Based on the study's results, it was found that the variables of knowledge, husband's support, health worker information and anxiety were associated with the use of postplacental IUDs at Mangusada Hospital, with a p-value <0.05.However, the results of the multivariate analysis show that one subvariable (husband's support) is most partially associated with the use of postplacental IUDs with a p-value of 0.000 <0.05.The most significant OR value obtained is 8.002, meaning that the husband's support has a chance of 8.002 times causing the mother to use the postplacement IUD.Suggestions in this study need to be carried out on the effectiveness of reproductive health education programs in improving understanding and knowledge about post-placental IUDs by involving the

Table 1 .
Characteristics of Respondents based on Age, Parity, Income, Knowledge, Husband's Support, Health worker Information, Maternal Anxiety and IUD (Grandi et al., 2023).IUD is a long-term L.P.Widiastini, I.G.A.M.Karuniadi, L.G.S.Dewi.Factors Associated with Post Placental Intrauterine Device (IUD) Use 258 DOI: 10.32668/jitek.v11i2.1421a. Univariate Analysis to explain or describe the characteristics of each variable studied in a simple way, which is presented in the form of a frequency distribution table b.Bivariate analysis to test two variables that are thought to be related between the independent variable and the dependent variable, using the Chi-Square statistica l L.P.Widiastini, I.G.A.M.Karuniadi, L.G.S.Dewi.Factors Associated with Post Placental Intrauterine Device (IUD) Use 260 DOI: 10.32668/jitek.v11i2.1421

Table 2 .
Chi-square analysis of the relationship between knowledge of post-placental intrauterine device (IUD) use at Mangusada Hospital

Table 3 .
Chi-square analysis of the relationship between husband support and post-placental intrauterine device (IUD) use at RSD Mangusada.

Table 4 .
Chi-square analysis of the relationship between health worker information on using post-placental intrauterine devices (IUDs) at Mangusada Hospital.

Table 5 .
Mann Whitney analysis of the relationship between Maternal Anxiety Using Intrauterine Device (IUD) Use of Intrauterine Device (IUD) Post Placenta at Mangusada

Table 6 .
Logistic regression analysis of the variables of knowledge, husband's support, health worker information and anxiety about the use of post-placental intrauterine devices (IUD) at Mangusada Hospital

Table 7 .
Multiple regression analysis of the variable of husband support and anxiety of Intrauterine Device (IUD) use after placenta at Mangusada Hospital.