ANIMMUNIFAH, ANIMMUNIFAH (2026) CASE REPORT PADA AKSEPTOR BARU KONTRASEPSI SUNTIK PROGESTIN DENGAN EFEK SAMPING SPOTTING DI PMB “M” KLAMPIS BANGKALAN. Diploma thesis, POLTEKKES KEMENKES SURABAYA.
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Abstract
CASE REPORT PADA AKSEPTOR BARU KONTRASEPSI SUNTIK PROGESTIN DENGAN EFEK SAMPING SPOTTING DI PMB “M” KLAMPIS BANGKALAN Pendahuluan: Kontrasepsi suntik progestin merupakan salah satu metode kontrasepsi hormonal yang banyak digunakan karena efektif, praktis, dan memiliki tingkat keberhasilan yang tinggi dalam mencegah kehamilan. Namun, penggunaan kontrasepsi ini dapat menimbulkan efek samping berupa spotting atau perdarahan bercak di luar siklus menstruasi, terutama pada akseptor baru. Kondisi tersebut sering menimbulkan kecemasan sehingga dapat memengaruhi kepatuhan akseptor dalam melanjutkan penggunaan kontrasepsi. Metode: Laporan tugas akhir ini menggunakan metode studi kasus dengan pendekatan asuhan kebidanan yang meliputi pengkajian, penegakan diagnosis, perencanaan, pelaksanaan, dan evaluasi. Subjek penelitian adalah seorang akseptor baru kontrasepsi suntik progestin berusia 28 tahun yang mengalami spotting. Asuhan dilakukan melalui tiga kali kunjungan pada bulan Juni 2026 di PMB Musdalifah Klampis Bangkalan. Pengumpulan data dilakukan melalui anamnesis, observasi, pemeriksaan fisik, pemeriksaan penunjang, dokumentasi, dan evaluasi perkembangan kondisi klien. Hasil kasus: Hasil pengkajian menunjukkan bahwa klien mengalami spotting setelah penggunaan kontrasepsi suntik progestin disertai kecemasan. Keadaan umum, tanda-tanda vital, dan kadar hemoglobin berada dalam batas normal. Asuhan kebidanan yang diberikan meliputi edukasi mengenai spotting sebagai efek samping kontrasepsi suntik progestin, dukungan emosional, edukasi personal hygiene, konseling gizi seimbang, kolaborasi pemberian terapi pil kombinasi selama tujuh hari, serta pemantauan kondisi klien. Setelah dilakukan asuhan selama tiga kali kunjungan, spotting berhasil teratasi, kecemasan klien berkurang, klien memahami cara menjaga kebersihan diri dan memenuhi kebutuhan gizi, serta memutuskan untuk tetap menggunakan kontrasepsi suntik progestin. Kesimpulan: Asuhan kebidanan yang komprehensif melalui edukasi, konseling, dukungan emosional, kolaborasi terapi, dan pemantauan berkala efektif dalam mengatasi spotting pada akseptor baru kontrasepsi suntik progestin. Pendekatan tersebut juga meningkatkan pemahaman dan kepatuhan klien untuk melanjutkan penggunaan kontrasepsi sesuai anjuran tenaga kesehatan. Kata kunci : kontrasepsi suntik progestin, spotting. CASE REPORT ON A NEW ACCEPTOR OF PROGESTIN CONTRACEPTION EXPERIENCING SPOTTING SIDE EFFECT AT PMB “M” KLAMPIS BANGKALAN Introduction: Progestin injectable contraception is one of the most widely used hormonal contraceptive methods because it is effective, practical, and has a high success rate in preventing pregnancy. However, its use may cause side effects such as spotting or breakthrough bleeding outside the menstrual cycle, particularly among new acceptors. This condition often leads to anxiety, which can affect the acceptor’s adherence to continuing contraceptive use. Methods: This final project report employs a case study method with a midwifery care approach, encompassing assessment, diagnosis, planning, implementation, and evaluation. The subject of the study is a 28 year old new acceptor of progestin injectable contraception who experienced spotting. The care was provided through three visits conducted in June 2026 at PMB Musdalifah, Klampis, Bangkalan. Data collection was carried out through anamnesis, observation, physical examination, supporting examinations, documentation, and evaluation of the client’s condition development. Case results: The assessment revealed that the client experienced spotting after using progestin injectable contraception, accompanied by anxiety. The client’s general condition, vital signs, and hemoglobin levels were within normal limits. The midwifery care provided included education regarding spotting as a side effect of progestin injectable contraception, emotional support, personal hygiene education, counseling on balanced nutrition, collaboration in administering combined oral contraceptive therapy for seven days, and monitoring of the client’s condition. After three visits, the spotting was resolved, the client’s anxiety decreased, she understood how to maintain personal hygiene and meet nutritional needs, and she decided to continue using progestin injectable contraception. Conclusion: Comprehensive midwifery care through education, counseling, emotional support, collaborative therapy, and regular monitoring proved effective in managing spotting among new acceptors of progestin injectable contraception. This approach also enhanced the client’s understanding and adherence to continue contraceptive use as recommended by healthcare providers. Keywords : progestin injectable contraception, spotting.
| Item Type: | Thesis (Diploma) |
|---|---|
| Contributors: | Contribution Contributor NIDN/NIDK UNSPECIFIED Esyuananik, Esyuananik NIDN4018067502 UNSPECIFIED Rodiyatun, Rodiyatun NIDN4010026601 |
| Additional Information: | 7LTA20260018 |
| Uncontrolled Keywords: | kontrasepsi suntik progestin, spotting. |
| Subjects: | R Medicine > Midwifery |
| Divisions: | Poltekkes Kemenkes Surabaya > Jurusan Kebidanan > Program Studi DIII Kebidanan Bangkalan |
| Depositing User: | Mesgimah |
| Date Deposited: | 15 Oct 2026 02:35 |
| Last Modified: | 15 Oct 2026 02:35 |
| URI: | http://repo.poltekkes-surabaya.ac.id/id/eprint/12747 |
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