Relationship Between Perception Of Body Images, FertilityAnd Side Effects To Postpartum Contraception Use

Abstract

The postpartum period was a period where there was a change in emotional, physical, social — changes in physiology, body image, fertility, and sexual behavior. Disruption of body image due to the use of hormonal contraceptives can make the acceptor feel worried and anxious about the side effects caused to her body. Many acceptors were hesitant to continue contraception. Objective: Find out the effect of fertility body image perception and side effects on postpartum contraception. Methods: Descriptive analytic type observational study with a cross-sectional study design using a quantitative approach. This research was carried out in 4 Palembang City Health Centers. The target population was all postpartum mothers delivered with health workers. The total sample size was 176. Quantitative data analysis consisted of univariable analysis in the form of descriptive, bivariable analysis used chi-square test and multivariable analysis used logistic regression. Results: chi-square analysis showed that individually body image, fertility perception, and side effects variables were significantly related to postpartum contraceptive use with p values of 0.04; 0.03; and 0.03 while the external variables, namely age, education level, and occupation were not significant to the use of postpartum contraception. In multivariable analysis, logistic regression variables influenced the use of postpartum contraception were perceptions of fertility. Conclusion: respondents considered the body image and the perception of fertility were not necessary, and the use of contraception side effects were not safely effected on postnatal contraception. Keywords— Perception of body image, fertility, side effects, postpartum contraception