Author : Maria Dondokambey*, Widyawaty Ismail, Mei Adrina Tongotongo
The new paradigm of the national family planning program has been modified from its vision embodies the small family Norm happy and prosperous (NKKBS) became a vision to realize quality family 2015 year. Participants active in Indonesia year KB 2016 as much fertile age couples 48,536,690 (PUSSY). Acceptors in the Birthing House KB Mother Hasima Tobelo year 2017 is the participant KB syringe 3 months as many as 214 participants (51.10%). One of the side effects is 3 months of injecting KB spotting. Spotting is bleeding irregular bleeding or spotting but not dangerous is happening outside of the menstrual cycle. Acceptors KB syringe 3 months who experience spotting at home Maternity Mother Hasima Tobelo as much as 52 participants. The purpose of this research is to carry out the direction of midwifery on the acceptors KB syringe 3 months with spotting in accordance with the midwifery management 7 steps Varney. This scientific paper using a descriptive method. Location at home Maternity Mother Hasima Tobelo North Halmahera Regency, the subject of Ny. S aged 21 years P1 A0 acceptors KB syringe 3 months with spotting. A case study done on 02 July until 9 July 2018 using the format of Midwifery care of family planning with the 7 steps Varney and data development using documentation of SOAP. Midwifery care is done in Ny. S P1 A0 for 7 days that spotting experienced Ny. S P1 A0 on 7 day care can be resolved but not given the therapy for removing spotting. From case Ny. S There is a gap between theory and case in the case of Ny. S immediate action is only given Fe tablet therapy to prevent anemia and cefixime to prevent infection because it is moist. Whereas in theory should be given two treatment options if the patient wants to continue the injection. Key words: Midwifery Care, 3 Month Injection Injector Acceptor, Spotting.
Dr. Arend L Mapanawang, Sp.PD, FINASIM, PhD