Author : Nova M. Wulur*, Mey Tongotongo, Arend Mapanawang, Abner Watofa, Dewi Eriyanti, Widyawaty Ismail
The new paradigm of the national family planning program has been changed from realizing his vision Small Family Happy and Prosperous (NKKBS) into a vision to create quality family planning by 2015. Participants are active in Indonesia in 2016 as Mrs as 48. 536. 690 couples of childbearing age (EFA). Most family planning acceptors in Tobelo Hasima Bunda Maternity Hospital in 2017 was 3-month injections participants 214 participants (51, 10%). One side effect of injections 3 months is spotting. Spotting is irregular bleeding or spotting, but not dangerous is going on outside of the menstrual cycle. Acceptors injections 3 months experience spotting at Bunda Maternity Hospital Hasima Tobelo total of 52 participants. This study aims to implement midwifery care at 3 months acceptors syringe with spotting accordance with midwifery management Varney step. This research uses a descriptive method. Bunda Maternity Hospital Locations in North Halmahera Tobelo Hasima, Mrs subject. P1 S A0 age of 21 years 3 months acceptors syringe with spotting. the format Midwifery Care Family Planning with 7 steps Varney and growth data using SOAP documentation. Midwifery care is done in Mrs. S P1 A0 during the 7 days that experienced spotting Mrs. S P1A0 on treatment day 7 can be resolved but no treatment to eliminate spotting. Of Mrs case. S there is a gap between theory and the case is in the case of Mrs. S action immediately only therapy Fe tablets to prevent anemia and cefixime to prevent infection due to moisture. While in. theory should be given two choices for treatment if the patient wants to continue the injections. Key words: Midwifery Care, Acceptor KB Inject 3 Months, Spotting.
Dr. Arend L Mapanawang, Sp.PD, FINASIM, PhD