The Relationship Between Knowledge and Perception and the Decision-Making on the Use of Post-Placental Intrauterine Contraceptive Devices Among Third-Trimester Pregnant Women

Authors

  • Yuni Wijayanti Poltekkes Kemenkes Denpasar
  • Asep Arifin Senjaya Poltekkes Kemenkes Denpasar
  • Ni Luh Putu Sri Erawati Poltekkes Kemenkes Denpasar

DOI:

https://doi.org/10.24252/jmw.v8i1.64116

Keywords:

Knowledge; Perception; Decision-Making; Intrauterine Device; Post-Placental

Abstract

Introduction Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) in Indonesia remain high. One effort to address this issue is increasing the use of contraception, particularly Long-Acting Reversible Contraceptives (LARC) such as the Post-Placental Intrauterine Device (IUD). However, the coverage of post-placental IUD use remains low. This study aimed to analyze the relationship between knowledge level and perception with decision-making regarding post-placental IUD use among third-trimester pregnant women. Method This study used a descriptive correlational design and was conducted in the working area of UPTD Puskesmas I Denpasar Timur from April to May 2025. The sample consisted of 38 respondents selected using purposive sampling, and data were collected through questionnaires measuring knowledge and perception. Result The results showed that 44.7% of respondents had sufficient knowledge, 31,6% had negative perceptions, and 52.6% planned to use other contraceptive methods. The Chi-Square test indicated a significant relationship between knowledge and decision-making (p = 0.004) and a highly significant relationship between perception and decision-making (p = 0.000). Conclusion It is concluded that there is a significant relationship between knowledge and perception with decision-making regarding post-placental IUD use. It is recommended that health workers intensify education and counseling for third-trimester pregnant women regarding the benefits, effectiveness, and safety of post-placental contraception.

References

Aminudin, A., Persepsi Masyarakat DKI Jakarta Tentang Pemberitaan Penanganan Wabah Covid-19 Di Wilayah DKI Jakarta, Medium, vol. 9, no. 2, pp. 263–75, from https://scholar.google.com/citations?view_op=view_citation&hl=id&user=Di0lAWIAAAAJ&citation_for_view=Di0lAWIAAAAJ:MXK_kJrjxJIC, 2022.

Andini, W. S., Karyus, A., Pramudho, K. and Budiati, E., Determinan Penggunaan Alat Kontrasepsi Dalam Rahim (AKDR) Oleh Akseptor Metode Kontrasepsi Jangka Panjang (MKJP), Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal, vol. 13, no. 4, pp. 1209–32, June 21, 2023. DOI: 10.32583/pskm.v13i4.1284

Aulia, F., Sari, D. K., Ulfa, S. M. and Lestari, P. P., Pengenalan Metode Alat Kontrasepsi Guna Meningkatkan Keikutsertaan Dalam Menjadi Peserta Keluarga Berencana, AMMA: Jurnal Pengabdian Masyarakat, vol. 1, no. 6, pp. 755–61, from https://journal.mediapublikasi.id/index.php/amma/article/view/561, 2022.

Direktorat Kesehatan Keluarga, Pedoman Pelayanan Kontrasepsi Dan Keluarga Berencana, Jakarta: Kementerian Kesehatan, 2021.

Irwanto, Psikologi Umum: Buku Panduan Mahasiswa, Jakarta: PT Prenhallindo, 2002.

Kurniawati, L., Rindu and Rini, A. S., Hubungan Pengetahuan Dan Persepsi Suami Dengan Penggunaan Alat Kontrasepsi IUD Di Wilayah Kerja Puskesmas Haurwangi Kabupaten Cianjur Tahun 2023, Innovative: Journal of Social Science Research, vol. 4, no. 2, pp. 7706–19, 2024.

Lestari, S. and Dewi, R., Aspek Etika Dalam Penelitian Kesehatan, Jurnal Bioetika Medis, vol. 8, no. 1, pp. 55–67, 2020.

Notoatmodjo, S., Metodologi Penelitian Kesehatan, Jakarta: Rineka Cipta, 2018.

Okvitasari, Y., Rochani, S. and Daud, I., Faktor–Faktor Yang Berhubungan Dengan Pengambilan Keputusan Penggunaan Kontrasepsi Intra Uterine Device (IUD) Pada WUS Di Puskesmas Rantau Pulut 1, Journal of Nursing Invention, vol. 5, no. 1, pp. 24–32, June 30, 2024. DOI: 10.33859/jni.v5i1.529

Prasida, D. W., Faktor-Faktor Yang Mempengaruhi Pemilihan Alat Kontrasepsi, JURNAL ILMIAH GLOBAL EDUCATION, vol. 1, no. 1, pp. 809–13, 2023.

Putri, D. R., Keamanan Dan Efektivitas Alat Kontrasepsi Dalam Rahim (AKDR) Dalam Program KB Nasional, Jurnal Kesehatan Masyarakat, vol. 6, no. 2, pp. 89–103, 2019.

Rahayu, S. and Utami, N., Impact Of Health Education On Women’s Perception And Knowledge Regarding Intrauterine Devices, Journal of Maternal and Child Health, vol. 7, no. 1, pp. 55–68, 2019.

Rochani, S., Oktavitasari, Y. and Daud, I., Faktor-Faktor Yang Berhubungan Dengan Pengambilan Keputusan Penggunaan Kontrasepsi Intra Uterine Device (IUD) Pada WUS Di Puskesmas Rantau Pulut 1, Journal of Nursing Intervention, vol. 5, no. 1, pp. 24–32, 2024. DOI: 10.33859/jni.v5i1.529

Rusmini, R., Efektivitas Alat Kontrasepsi Dalam Rahim Pasca-Plasenta, Jurnal Kebidanan Dan Kesehatan Reproduksi, vol. 4, no. 2, 2017.

Sothornwit, J., Lumbiganon, P., Saranrittichai, K., Sangkomkamhang, U., Singhdaeng, T. and Jampathong, N., Barriers and Facilitators to Implementing Immediate Postpartum Contraceptive Implant Programs: A Formative Implementation Research, International Journal of Women’s Health, vol. 14, pp. 945–56, July 2022. DOI: 10.2147/IJWH.S370012

Sutrisminah, E., Lisani, F. and Hudaya, I., Faktor Yang Memengaruhi Rendahnya Minat Penggunaan Metode Kontrasepsi Jangka Panjang Intrauterine Device Di Kampung Keluarga Berencana, Faletehan Health Journal, vol. 10, no. 01, pp. 41–47, March 30, 2023. DOI: 10.33746/fhj.v10i01.467

Ulfah, H. R., Wardani, R. P. K. and Kurniawati, E., Hubungan Tingkat Pendidikan Dan Paritas Dengan Pemilihan Alat Kontrasepsi Bawah Kulit Pada Pasangan Usia Subur Di Desa Sukabumi, Jurnal Cakrawala Keperawatan, vol. 1, no. 2, pp. 92–100, from https://ejurnal.stikeseub.ac.id/index.php/jck/article/view/749, 2024.

Walgito, B., Pengantar Psikologi Umum, Yogyakarta: Andi Offset, 2010.

Downloads

Published

2026-01-05

How to Cite

Wijayanti, Y., Arifin Senjaya, A., & Sri Erawati, N. L. P. (2026). The Relationship Between Knowledge and Perception and the Decision-Making on the Use of Post-Placental Intrauterine Contraceptive Devices Among Third-Trimester Pregnant Women. Jurnal Midwifery, 8(1), 1–10. https://doi.org/10.24252/jmw.v8i1.64116

Issue

Vol. 8 No. 1 (2026): FEBRUARY

Section

Artikel

License

Copyright (c) 2026 Yuni Wijayanti, Asep Arifin Senjaya, Ni Luh Putu Sri Erawati

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Once an article was published in the journal, the author(s) are:

  • granted to the journal right licensed under Creative Commons License Attribution that allows others to share the work with an acknowledgement of the work's authorship.
  • permitted to publish their work online in third parties as it can lead to wider dissemination of the work.
  • continue to be the copyright owner and allow the journal to publish the article with the CC BY-NC-SA license
  • receiving a DOI (Digital Object Identifier) of the work.