Obstetric Care Of 3-Month Injectable Kb On Mrs. "N" With Side Effects Of Weight Gain At Bataraguru Health Center

Abstract

hormonal contraceptive given every three months at a dose of 150 mg by intramuscular injection in the buttocks. One of the side effects of using this injection is weight gain due to stimulation of the appetite control center in the hypothalamus, which leads to increased food intake and decreased physical activity. Objective: This Final Project Report aims to carry out midwifery care for a three-month DMPA injectable birth control user who experienced side effects of weight gain at the Bataraguru Health Center, using Varney's seven-step management approach and SOAP documentation. Methods: This study used a descriptive method with a case study design, conducted at the Bataraguru Health Center, Baubau City, from January to March 2023. The research subject was Mrs. "N", a 34-year-old woman who used DMPA injectable birth control and experienced side effects in the form of weight gain. Data collection techniques included primary data, namely physical examination, interviews, and observations, and secondary data in the form of medical record document studies. Results: Obstetric care showed that the subject's general condition was good, with compos mentis consciousness. Vital signs included blood pressure 120/80 mmHg, pulse 92 times/minute, respiratory rate 20 times/minute, and body temperature 36.5°C. Body Mass Index (BMI) was in the good enough category. Conclusion: No potential diagnoses were found, because the treatment given was effective so that the subject's weight stabilized at 70 kg in the last two months. There is no gap between theory and application in this case