MIDWIFE CARE IN NY. Y AGE 43 YEARS OLD PIIA0 OLD ACCEPTOR OF INTRA UTERINE DEVICE (IUD) WITH MENORRHAGIA AND MODERATE ANEMIA IN KEDUNGMUNDU PUSKESMAS, SEMARANG CITY
Abstract
Intra Uterine Device(IUD) is a long-term contraceptive method that has high effectiveness. IUDs also have
some side effects, one of which is menorrhagia. MenorrhagiamMenstrual disorders are characterized by
menstruation for more than 7 days and the amount of blood that comes out is more than 80 ml.The number of
erythrocytes that come out during bleeding can cause anemia. At the Kedungmundu Health Center, it was found
that out of 10 IUD family planning acceptors, 8 of them experienced menorrhagia and 2 had normal menstruation.
The purpose of this study was to provide midwifery care for Intra Uterine Device (IUD) acceptors with
Menorrhagia using a 7-step Varney approach. The method used in this research is a case study. The location of
this case study was conducted at the Kedungmundu Health Center. The subjects of the case study here are IUD
family planning acceptors who experience menorrhagia. The time of the implementation of this case study was
carried out on 06 – 27 June 2022. Data collection techniques were from physical examination, interviews and
observations, secondary data including documentation studies and literature studies. The care given in this case
was the administration of tranexamic acid 500 mg 3x1 for 7 days to treat bleeding and 1x1 blood-added tablets to
help overcome anemia in the mother, as well as providing moral support to reduce maternal anxiety. After being
given care for 22 days, the results were good general condition, no potential problems appeared, the mother was
not anxious and felt comfortable, the bleeding stopped, anemia was resolved, but the mother chose to remove the
IUD and change the method of family planning. After being given midwifery care for 22 days, IUD family
planning acceptors no longer experienced menorrhagia and moderate anemia. However, the mother chose to
remove the IUD and replace the method of family planning with MOW.
some side effects, one of which is menorrhagia. MenorrhagiamMenstrual disorders are characterized by
menstruation for more than 7 days and the amount of blood that comes out is more than 80 ml.The number of
erythrocytes that come out during bleeding can cause anemia. At the Kedungmundu Health Center, it was found
that out of 10 IUD family planning acceptors, 8 of them experienced menorrhagia and 2 had normal menstruation.
The purpose of this study was to provide midwifery care for Intra Uterine Device (IUD) acceptors with
Menorrhagia using a 7-step Varney approach. The method used in this research is a case study. The location of
this case study was conducted at the Kedungmundu Health Center. The subjects of the case study here are IUD
family planning acceptors who experience menorrhagia. The time of the implementation of this case study was
carried out on 06 – 27 June 2022. Data collection techniques were from physical examination, interviews and
observations, secondary data including documentation studies and literature studies. The care given in this case
was the administration of tranexamic acid 500 mg 3x1 for 7 days to treat bleeding and 1x1 blood-added tablets to
help overcome anemia in the mother, as well as providing moral support to reduce maternal anxiety. After being
given care for 22 days, the results were good general condition, no potential problems appeared, the mother was
not anxious and felt comfortable, the bleeding stopped, anemia was resolved, but the mother chose to remove the
IUD and change the method of family planning. After being given midwifery care for 22 days, IUD family
planning acceptors no longer experienced menorrhagia and moderate anemia. However, the mother chose to
remove the IUD and replace the method of family planning with MOW.
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