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of swelling in the breast due to increased venous and lymph flow which causes milk dams &#13;
and pain accompanied by an increase in body temperature (Winkjosastro, 2016). The &#13;
purpose of this study was to determine in the relationship between breast care and the &#13;
incidence of ASI dams in the Ns Baby Spa And Mom Care Clinic Medan Johor District &#13;
Medan City in 2019. This type of research is an observational analytic case control study &#13;
approach. The population was all breastfeeding mothers who experienced breastfeeding &#13;
dam events in the 2019 Ns Baby Spa And Mom Care Clinic , totaling 80 people. The number &#13;
of samples used was 31 people obtained using simple random sampling technique. Data &#13;
collection using questionnaires and checklist sheets to monitor the management of breast &#13;
care. Data analysis techniques and checklist sheets to monitor the management of breast &#13;
care. Data analysis techniques using the chi square test. The results obtained are p value &#13;
(0,000) which means there is a relationship between breast care and the incidence of breast &#13;
milk dams at the Ns Baby Spa And Mom Care Clinic in Medan Johor District Medan City in &#13;
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                <text>Juliana Munthe, Marliani, Intan Ida Sihombing, Siska Wardani, Yusra Farid, Sriwahyuni Br Manalu, Krisnina Panjaitan</text>
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                <text>DECISIONS ON SELECTION OF CONTRACEPTIVE DEVICES AND SOCIO-ECONOMIC CONDITIONS ON FERTILITY</text>
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                <text>Indonesia has a population that is quite high compared to 2007, namely 237,641,326 people in 2014 or an increase of 1.5 percent, namely from 232,900,000 people and in 2020 there were 270,203,917 people. The distribution of the female population is 133,542,018 and the male population is 136,661,899. Based on the results of population projections, in 2019 the population of North Sumatra is 14,562,549 people consisting of 7,266,207 men and 7,296,342 women or with a sex ratio of 99.59 (every 100 women there are 99 men). The aim of the study was to find out the relationship between the decision to choose contraceptive devices and socio-economic conditions on the fertility of couples of childbearing age in the working area of the Bukit Kapur Health Center in Dumai City in 2022. The research method is observational and the type of research is descriptive analytic with cross sectional, namely studying the correlation between risk factors with effects in the form of certain health status.&#13;
The results of the study showed that there was a relationship between the decision to choose the type of contraception and fertility in the working area of the Bukit Kapur Health Center, Dumai City, in 2022 where the p-value was 0.003 (p &lt;0.05) and there was no relationship&#13;
between socio-economic status and fertility in the Bukit Kapur City Health Center work area. Dumai in 2022 where the p-value is 0.078 (p &lt;0.05). Communities are able to seek information and increase knowledge about the Relationship between Contraceptive Selection Decisions</text>
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