Professional Documents
Culture Documents
Definition Implant
Contraception threaded under the skin of the upper arm side in the form of capsules silastik (flexible)
length is slightly shorter than the matchstick and in each bar contains the hormone levonorgestrel that can
prevent pregnancy (BKKBN, 2006).
Contraceptive implants are shaped rod containing progestin. After the midwife numbing the skin by using
an anesthetic, then a tool such as a needle (trocar) used to place the implant under the skin on the upper
arm. Implant does not require sutures on the skin. Slowly, the implant releases progestin into the
bloodstream. The implant is effective for 3 years.
B. Implant type
The types of implants according to Saifuddin (2006) is as follows:
a. Norplant consists of six rods silastik soft hollow with 3.4 cm long with a diameter of 2.4 mm, which is
filled with 36 mg of levonorgestrel and his 5-year old.
b. Implanon consists of one white flexible rod with a length of approximately 40 mm, and a diameter of 2
mm, which is filled with 68 mg ketodesogestrel and his 3 year old.
c. Jadena and Indoplant consists of two rods containing 75 mg of levonorgestrel at work 3 years old.
C. Working Mechanism
How it works implants every implant capsule containing 36 mg of levonorgestrel released every day as
much as 80 mg. The concept is its mechanism of action according Manuaba
1) Can blocking LH spending so that ovulation does not occur.
2) thicken cervical mucus and hinder the migration of spermatozoa.
3) Diluting the endometrium so not ready to be a nidasi.
D. Effectiveness Implant
According Hartanto, (2002) the effectiveness of the implant are:
a. Norplant a failure rate of approximately 1 per 100 women per year in the first five years. This is lower
than oral contraceptives, IUDs and barrier methods.
b. Effectiveness Norplant is reduced slightly after 5 years and in the year to 6 approximately 2.5-3%
acceptors become pregnant.
c. -2 Norplant as effective as Norplant also be effective for five years, but it turns out after 3 years use
pregnancy occurs in a large number of unforeseen, ie 5-6%. The cause is unclear, unexpected decline in
the release of hormones.
E. Indications
iv. If there is bleeding more than usual, give 2 tablets pill combination for 3-7 days and then followed by
one cycle of the combination pill, or it can also be given 50 mg or 1.25 mg estrogen estinilestradiol equin
conjugate for 14-21 days.
c. Ekspulasi
i. Pull the capsule expulsion, check whether another capsule is still in place, and whether there are signs
of local infection insertion.
ii. If there is no infection and other capsules were still in place, install a new capsule 1 piece at a different
insertion site.
iii. If there is infection around the capsule existing unplug and plug the new capsule on the other arm, or
encourage clients to use another contraceptive method.
d. Infection in the insertion area
i. If there is no pus infection, wash with soap and water or antiseptic. Give appropriate antibiotic for 7
days.
ii. Implants should not be removed and clients were asked to return one week.
iii. If not improved, unplug and plug the new implant. On the other side of the arm or find another method
of contraception.
iv. If found abscess, clean with antiseptic, and stream incision pus out, remove the implants do wound
care and oral antibiotics given 7 days.
e. Weight up / down
i. Inform the client that changes in body weight 1-2 kg is normal. Review the client if there is a change
diet weight 2 kg or more.
ii. If the weight change is unacceptable, help clients look for other methods.