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                <text>Menurut World Health Organization (WHO) tahun 2016 penggunaan kontrasepsi telah meningkat dibanyak bagian dunia, terutama di Asia dan Amerika Latin dan terendah di Sub- Sahara Afrika. Secara global, pengguna kontrasepsi modern telah meningkat tidak signifikan dari 54% tahun 1990 menjadi 57,4% pada tahun 2015 secara regional, proposi pasangan usia subur 15-49 tahun melaporkan pengguna metode kontrasepsi modern telah meningkat antara tahun 2008-2015. Peserta KB aktif adalah pasangan usia subur yang sedang menggunakan salah satu alat kontrasepsi tanpa intervensi kehamilan. Menurut Profil Kesehatan Kota Medan (2016), peserta KB aktif menggunakan suntikan (33,9%), pil (30,1%), dan MOP (1.1%) sebagai metode kontrasepsi pilihan mereka. Tujuan penelitian dilakukan agar dapat melaksanakan asuhan kebidanan dengan kenaikan berat badan pada akseptor KB suntik tiga bulan menggunakan pendekatan manajemen kebidanan dengan 7 langkah varney. Metode: penelitian yang digunakan adalah penelitian studi kasus. Hasil penelitian yang didapatkan setelah melakukan penelitian dari pemeriksaan kunjungan pertama responden mengelul mengalami kenaikan berat badan secara drastis sehingga dilakukan manajemen asuhan Kebidanan akseptor kb suntik tiga bulan dengan kenaikan berat badan. Kesimpulan yan Hiperoleh Setelah melakukan asuhan kebidanan dengan memberikan penjelasan mengena IE diet dan olahraga dengan benar dan teratur sehingga dapat menurunkan berat badan iba Diharapkan kepada penyedia layanan asuhan kebidanan yang sedang menjalankan praktik untuk selalu mempertahankan dan meningkatkan pelayanan kebidanan yang sudah ada ususnya terhadap pelayanan asuhan kebidanan pada akseptor kb suntik 3 bulan deng naikan berat badan.</text>
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                <text>Masa premenopause akan menyebabkan timbulnya produksi hormone ekstrogen menurun disertai dengan beberapa keluhan psikologis maupun psikis seperti siklus haid tidak teratur disertai dengan nyeri tekan pada area abdomen. Tujuan penelitian ini dilakukan untuk Memberikan Asuhan Pelayanan Kebidanan sesuai standar pelayanan Kerpro Pra Menopause Pada Ny. R terhadap perubahan fisiologis menggunakan metode pendekatan menejemen 7 Langkah Varney. Metode Penelitian ini menggunakan metode deskriptif dengan pendekatan studycase. Hasil penelitian dari Asuhan kebidanan Kespro Pra Menopause yang dilakukan dengan masalah haid tidak lancar dan perubahan mood pada masa pra Menopause telah Terasi setelah melakukan kunjungan sebanyak 4 kali yaitu memberikan asuhan kebidanan mengkonsumsi makanan bergizi, vulva hygen dan olahraga ringan. Saran ditujukan kepada Pra Menopause agar mengetahui cara mengatasi kecemasan menghadapi Pra Menopause sehingga ibu dapat menerima bahwa ibu berada dalam tahap Pra Menopause. &#13;
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