PAKE KB IUD TAPI TETEP HAMIL, KOK BISA ? | Bidan Merina

Summary

In this video, the host discusses why pregnancy can still occur even when using an IUD (Intrauterine Device), a common long-term contraceptive method. Despite IUD's high effectiveness (97%), factors like displacement, expired devices, or incorrect fitting can reduce its success. The video covers potential causes for failure, such as postpartum IUD placement and individual anatomical differences. Viewers are encouraged to check IUD placement regularly and seek medical advice if pregnancy occurs. The host also shares tips on how to ensure the IUD remains effective, ensuring informed decisions for women using this contraceptive method.

Takeaways

• 😀 IUDs (Ayudi) are a long-term contraceptive method with an effectiveness rate of 97%. However, they are not 100% foolproof and can sometimes fail.
• 😀 The main causes of IUD failure include the device shifting or coming loose due to heavy menstrual bleeding or improper installation.
• 😀 IUDs may become less effective if they expire, so it's important to check the expiry date and consult a doctor or pharmacist regularly.
• 😀 Incompatibility with the size or shape of a woman's uterus can also cause an IUD to shift or fail. A proper assessment by a healthcare provider is crucial before insertion.
• 😀 Pregnancy while using an IUD can happen, although it’s rare. If it occurs, an ultrasound should be done to check the IUD's position in the uterus.
• 😀 If the IUD is still in place during pregnancy, doctors generally allow it to remain until delivery to avoid complications. The IUD is removed after childbirth, if necessary.
• 😀 Risks of pregnancy with an IUD include miscarriage, preterm labor, or an ectopic pregnancy, but these are uncommon.
• 😀 For women who have just given birth, checking the IUD placement 42 days after delivery is recommended before resuming sexual activity.
• 😀 Women should have their IUD checked annually by a healthcare provider to ensure it is still in the correct position, as its placement can shift over time.
• 😀 It's essential for women to be proactive about their reproductive health by checking the IUD's placement regularly and following up with doctors, especially after childbirth or if experiencing irregular menstrual bleeding.
• 😀 Despite some risks, IUDs are generally a reliable contraceptive method when used correctly, but regular check-ups are necessary to maintain their effectiveness.

Q & A

What is an IUD, and how does it work?

An IUD (Intrauterine Device) is a long-term contraception method that is inserted into the uterus. It works by preventing fertilization by either changing the environment of the uterus or altering the movement of sperm. There are different types of IUDs, such as hormonal and copper, but they all have the same basic function of preventing pregnancy.

Can a woman still get pregnant while using an IUD?

Yes, although IUDs are highly effective, they are not 100% foolproof. Around 3 out of 100 women might still experience a pregnancy even after using an IUD. This is because of various factors such as device displacement, expiration, or individual uterine conditions.

Why does the IUD fail in some cases?

IUD failure can occur for several reasons, including the device shifting or coming out of the uterus, the device being expired, or the size/shape of the woman's uterus being incompatible with the IUD. In some cases, the IUD might also not be inserted properly.

What happens if the IUD shifts or comes out?

If the IUD shifts or comes out, the woman may not be protected from pregnancy anymore. This can happen during heavy menstrual bleeding, or if the device was not properly inserted, leading to it dislodging from its position.

What is an 'IUD position after placenta delivery' and how does it affect effectiveness?

When an IUD is inserted immediately after childbirth, especially during placenta delivery, the uterus is still large and might not be in the best condition for IUD placement. This can lead to a higher risk of the device dislodging or shifting, decreasing its effectiveness in preventing pregnancy.

How do I know if my IUD is still in place?

You can check the position of your IUD by visiting a healthcare provider for an ultrasound or a physical examination. It's essential to ensure the IUD hasn't moved, especially before having unprotected sex. Regular check-ups, at least annually, are recommended to confirm its position.

What should I do if I become pregnant while using an IUD?

If you suspect you're pregnant while using an IUD, the first step is to see a doctor for an ultrasound. The doctor will check whether the pregnancy is viable, and the IUD's position within the uterus. If the IUD is still in place, it may be left in, or removed if necessary, to avoid complications.

Is it dangerous to have an IUD inside the uterus during pregnancy?

Generally, it's not dangerous, but there are risks such as miscarriage, premature birth, or an ectopic pregnancy. If the IUD is not removed, it could interfere with the development of the fetus, so a healthcare provider will decide the best course of action.

How can I avoid getting pregnant while using an IUD?

To avoid pregnancy while using an IUD, ensure it is properly inserted and regularly monitored. If you're in the postpartum period, check the IUD’s position at least 42 days after delivery before engaging in sexual activity. Additionally, an annual check-up with a healthcare provider is important to ensure the device is still effective.

What are the risks of using an expired IUD?

An expired IUD loses its effectiveness in preventing pregnancy. If used past its expiration date, the device may not work properly, increasing the risk of pregnancy. Always check the expiration date and consult a healthcare provider for timely replacement.