PENGARUH PENGGUNAAN PIL KB YANG MENGANDUNG LEVONORGESTREL DAN LYNESTRENOL TERHADAP POLA PERDARAHAN PADA IBU MENYUSUI
Background: Contraception methods for postpartum and breastfeeding women was still very limited. Progesterone-Only Pill (POP) is one ideal for them. Levonorgestrel (LNG) and Lynesterol is a progesterone derivative. Discontinuation of POP was mostly due to bleeding pattern disturbance. By knowing thi...
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| Main Authors: | , |
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| 格式: | Theses and Dissertations NonPeerReviewed |
| 出版: |
[Yogyakarta] : Universitas Gadjah Mada
2013
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| 主題: | |
| 在線閱讀: | https://repository.ugm.ac.id/126920/ http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=67158 |
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| 機構: | Universitas Gadjah Mada |
| 總結: | Background: Contraception methods for postpartum and breastfeeding women
was still very limited. Progesterone-Only Pill (POP) is one ideal for them.
Levonorgestrel (LNG) and Lynesterol is a progesterone derivative.
Discontinuation of POP was mostly due to bleeding pattern disturbance. By
knowing this effect, POP was expected to be produced in the country and can be
the national family planning programs.
Objective: Determine the effect of the use of contraception pills containing LNG
and Lynesterol to bleeding patterns in breastfeeding women.
Method: The study is a double blind block randomized controlled trial for the
treatment group (the group given LNG or Lynestrenol pills) and non-randomized
controlled trial for the control (IUD acceptors group) to mothers 6-8 weeks
postpartum, 20-35 years, and breastfeeding. Follow up was done until the baby is
6 months old. At each follow-up visits we perform physical examination,
checking and giving pills and daily cards. Bivariable analysis was by survival
analysis and 2 and multivariable was by Cox Proportional Hazard with Time
Varying Covariate.
The results: 107 women were included with drop-out rate of 17.8%. Most of
32 years, multiparous, ever used contraception with birth spacing of > 60 months.
Most complaints were spotting. Amenorrhea has the common pattern. LNG pill
users, participant with BMI 18.5 kg/m2, who aren�t compliant and non
exclusively breastfeeding resume menstruation faster. p results was not
meaningful.
Conclusion: LNG cause bleeding/menstrual resumption faster in breatfeeding
women than Lynestrenol. Body mass index, compliance in taking the pill and
breastfeeding status were not statistically significant. |
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