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Abstrak
Tingginya angka kematian Ibu di Indonesia secara langsung diakibatkan oleh perdarahan, eklamsia, dan infeksi. Kematian juga terjadi akibat ‘terlalu banyak’. Tujuan penelitian ini adalah dikembangkannya konsep tentang proses pengambilan keputusan pemakaian kontrasepsi pada ibu grande multipara. Penelitian kualitatif ini menggunakan metode grounded theory dengan pendekatan feminis. Delapan partisipan direkrut secara theoretical sampling di Kabupaten Tangerang, Banten. Data dianalisis secara konten sampai tercapai saturasi. Konsep yang menggambarkan proses pengambilan keputusan pemakaian kontrasepsi pada ibu grande multipara, yaitu “kemauan tidak hamil/melahirkan lagi mengharuskan ibu grande multipara memilih dan memakai kontrasepsi yang tepatâ€. Oleh karena itu, perawat diharapkan melakukan pengkajian kontrasepsi secara komprehensif, meningkatkan pengetahuan tentang kontrasepsi dan ketrampilan negosiasi, dan memberikan konseling KB pada ibu grande multipara dan pasangannya secara adekuat.
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Abstract
High maternal mortality rate in Indonesia is directly caused by hemorrhage, eclampsia, and infection. Maternal mortalities also happen because ‘too much’. The aim of this research is to develop a concept about contraceptive decision making of grand multiparous women. This qualitative was conducted using a grounded theory method with the feminism approach. Eight participants were recruited by theoretical sampling in Tangerang District. The data were analyzed by content until get saturated. A concept that described the process of grand multiparous women contraceptive decision making was “the desire not to pregnant or giving birth again obligated grand multiparous women to choose and utilize the appropriate contraceptiveâ€. It is recommended that the nurse conduct contraceptive assessment comprehensively, increasing the contraceptive knowledge and negotiating skill, and providing contraceptive counseling for grand multiparous women and their husband adequately.
References
- Alaszewski, A., Alaszewski, H., Ayer, S., Manthorpe, J. (Eds.). (2000). Managing risk in community practice. London: Harcourt Publishers Limited.
- Anshor, M.U. (2001). Aborsi, antara fakta dan norma. http://hqweb01.bkkbn.go.id/hqdweb/diperoleh 28 Januari 2008.
- Cline, T. (2005). Hopkins consortium awarded $14 million for Indonesian program. Center of Communication, The John Hopkins University, http://www.jhuccp.org/pressroom/2008/08-28.shtml diperoleh 27 Oktober 2007.
- Creswell, J.W. (1998). Qualitative inquiry and research design: Choosing among five traditions. California: SAGE Publication, Inc.
- Depkes RI & WHO. (2003). Profil kesehatan reproduksi Indonesia. Jakarta: Departemen Kesehatan.
- Herartri, R. (2004). Family planning decision-making: Case studies in West Java, Indonesia. Paper presented at 12th Biennial Conference of Australian Population Council. On Population and society: Issues, research policy, Canberra, Australia.
- Irwanto, Poerwandari, E.K., & Hardee, K. (1998). In the shadow of men: Reproductive decision-making and women’s psychological well-being in Indonesia. Journal of Population, 4 (2), 87-114.
- Iswarati, S.U. (2006). Pemantauan peserta KB aktif melalui mini survey tahun 2005. http://www.bkkbn.go.id/ditfor/research_detail.php?rchid=19 diperoleh 25 Januari 2008.
- Noone, J. (2004). Finding the best fit: A grounded theory of contraceptive decision making in women. Nursing forum, 39 (4), 13-12.
- Matheny, G. (2004). Family planning programs: Getting the most for money. International Family Planning Perspectives, 30 (3), 134-138.
- Parwieningrum, E. (2006). Isu gender, klien, dan pemberi pelayanan dalam KB-KR, http://www.bkkbn.go.id/gemapria/article-detail,php?artid=36 diperoleh 25 Januari 2008.
- Speziale, H.J.S. & Carpenter, D.R. (2003). Qualitative research in nursing: Advancing the humanistic imperative. 3rd ed. Philadelphia: Lippincott Williams &Wilkins.