1.

Definition
Birth control pills are contraceptive birth control or prevention of conception is used
by way of oral per-oral/contraceptive. Birth control pills are one of the many types of
contraception used. Pill is preferred because it is relatively easy to obtain and use, and low
cost (Saifuddin, 2006).
Birth control pills or oral contraceptives pill is a hormonal contraceptive medication
in pill form that is inserted through the mouth (drunk), and contains the hormones estrogen or
progesterone. aims for birth control or prevent pregnancy by inhibiting the release of eggs
from the ovaries each month. Birth control pills are effective and safe when used correctly
and consistently (Sastrawinata, 2000).
Type of contraceptive pill types:
1. Pill combination
Each pill contains two hormones synthesis, namely estrogen and progestin
hirmon. The combined pill contains both the benefits of the workings of hormones
that prevent pregnancy, and nearly 100 percent effective.
2. Minipill
This pill contains a small dose of progestin materials synthesis and properties
of birth control, especially with the changing of the mucous of the cervix (cervical
secretions change) so that complicates the transport of sperm. in addition, it also
changes the environment of the endometrium (the inner lining of the uterus) that
inhibits the fertilized egg placement,

2. Strength
A. The advantages of birth control pills in general
1. Highly effective when used correctly
2. Not reduce the comfort of the marital relationship
3. Menstruation (Menstrual) becomes regular, fewer and shorter time, also
relieve menstrual pain.
4. Can be used as long as desired, should not rest first
5. Can be worn by all women of reproductive age
6. Can be worn by women who have never been pregnant
7. Use can be stopped easily anytime
8. Fertility right back after pill use is stopped
B. Advantages of combined oral pills
1. Highly effective as a contraceptive.
2. Risk to health is very good.
3. Did not bother intercourse.
4. Easy to use.
5. Easy discontinued at any time.
6. Reducing bleeding during menstruation.
7. Reduced incidence of menstrual disorders.
8. Reducing the incidence of iron deficiency anemia.
9. Reducing the incidence of ovarian cysts.
10. Reducing the incidence of benign mammary tumors.
11. Reducing endometrial carcinoma.
12. Reducing pelvic inflammatory infections.
C. Advantages of Mini Pill
1. Highly effective when used correctly.
2. Did not affect breast milk.
3. Convenient, easy to use.

3. Weakness
1. No protection against STDS or HIV/AIDS (Use a condom if at risk)
2. Must remember to take a pill every day
3. May have nausea and/or spotting, mainly during the first few cycles
4. May experience headaches, depression, anxiety, fatigue, mood changes, or a
decreased enjoyment of sex
5. Must use a back-up method if you have any question about how many pills you
have missed and whether a back-up is necessary
6. Blood clots may occur but are very rare
7. Pills have little, if any, effect on the risk of developing breast cancer
8. Women at risk for complications include smokers over 35 years old, have high
blood pressure, diabetes, high cholesterol or obesity; history of migraine
headaches or new onset of headaches.


4. How to use.
Free how to use birth control pills are as follows.
A. Combination pills.
1. The General Instructions.
a. Combination pill should be taken every day at the same time.
b. The first pill that begins on the first day until the seventh day of the
menstrual cycle.
c. Recommended the use of combination pills taken on the first day of
menstruation.
d. At 28 pill pack, start taking the placebo pills recommended in accordance
with the existing on the packaging.
e. When packing 28 pills run out, you should start taking the pill from the
new pack.
f. When packing 21 pills run out, wait for 1 week and then start taking the
pill from the new pack.
g. Drink another pill, if vomiting occurs within 2 hours after drinking it.
h. The use of combination pills can be forwarded, if not worsen the situation
when there is severe vomiting or diarrhea for more than 24 hours.
i. The use of the pill in case of vomiting and diarrhea lasting up to 2 days or
more the same as taking a pill to forget the rules.
j. A pregnancy test performed in the absence of menstruation.
2. Rules Forgotten Pills
If missed 1 pill (days 1-21), then the recall immediately after taking 2
pills on the same day (no need to use another method of contraception). If
forget to take 2 pills (days 1-21), should take 2 pills every day until the
specified schedule (preferably using another method of contraception or
abstain from sexual relations until the pills run out).
B. Mini pills or progestin pills
1. Starting Time Using Mini pills or progestin pills.
Mini pill began to be used on the first day up to five days in the menstrual cycle
(it does not require another method of contraception) if .
a. More than 6 weeks postpartum and patients have got my period.
b. The patient was previously using non-hormonal contraception and want
to replace it with the mini pill.
c. The patient had previously used an IUD (including hormone-containing
IUD).
2. Mini pill began to be used at any time if:
a. Suspected pregnancy does not occur.
b. Patients experiencing amenorrhea (no menstruation) and certainly not
pregnant (should not have sexual intercourse for 2 days or use other
contraception for 2 days).
c. breastfeeding between 6 weeks and 6 months postpartum and not
menstruating (when full breastfeeding, do not require additional
contraception).
3. In addition, the mini-pill can be used when:
a. If the patient's previous use of hormonal contraceptives other and want to
replace it with the mini pill. Pills can be given immediately and not have to
wait for the next menstruation, when the previous use of contraceptive used
correctly and not pregnant.
b. If the previous patient using contraceptive injections and would like to
replace the mini-pill. Pills can be given at the next injection schedule and
does not require any additional contraceptive method.
4. Way Drink Mini pills or progestin pills.
Below are instructions on the pill or mini pill progestin, namely:
a. Mini pill taken every day at the same time until they run out.
b. The first pill should be taken on the first day of the menstrual cycle.
c. Barrier methods are used on the seventh day or 4-6 weeks post partum
although menstruation has not returned.
d. At 9 months post partum patient should switch to using the pill because of
the effectiveness of the mini pill combinations began to decline.
e. If the patient vomits within 2 hours after using the pill, others take a pill or
use another contraceptive method if it will have sexual intercourse in the
next 48 hours.
f. Although the patient is not menstruating, start a new pack the day after the
last pack runs out.
g. If the patient gets regular menstruation every month and lost 1 cycle (not
menstruating), or feel pregnant, you should take a pregnancy test.
h. If patients experience spotting or bleeding during the interval, keep taking a
pill on schedule (bleeding is common during the first few months).
i. If patients experience cramps, severe abdominal pain or fever then
immediately check into the health service.
j. Advise patients to use condoms or a spermicide in addition to wearing the
mini pill if it is likely infected with sexually transmitted diseases (including
hepatitis and HIV / AIDS) or forget to take a pill.
5. Rules Forgotten Pills How to drink the pills are forgotten during the first 7 days
include:
a. If you forget to take a pill or take a pill late, remember when taking the pills
immediately and use a barrier method during 48 hours.
b. If the patient forgets to take 1 or 2 pills, taking pills soon forgotten and use
a barrier method until the end of the month.
5. Picture


PIL KOMBINASI
MINI PIL