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Salah satu KB Pasaca salin adalah IUD dengan cakupan penggunaan terbanyak tahun 2018 yaitu di wilayah kerja Puskesma sRasimah Ahmad sebesar 29,73%. Terlihat bahwa banyaknya jumlah persalinan tidak seimbang dengan jumlah penggunaan kontrasepsi IUD pascasalin. Penelitianini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi penggunaan kontrasepsi pascasalin di Wilayah Kerja Puskesmas Rasimah Ahmad Kota Bukittinggi Tahun 2018. Desain penelitian ini bersifat deskriptif analitik kepada 64 orang ibu yang mempunyai bayi usia 42-60 hari dengan teknik pengambilan sampel secara total sampling. Penelitian ini dilaksanakan pada bulan Oktober- Desember 2018. Instrumen yang digunakan adalah kuesioner dengan pengolahan data dilakukan dengan teknik komputerisasi dan analisa secara univariat dan bivariat dengan uji chi-square. Dari hasil analisa univariat diperoleh sebanyak 47% multipara, 59,5% dengan dukungan keluarga, 59.5% peran petugasbaik dan 71.9% tidak menggunakan KB PP. Dari hasil uji statistik menunjukan terdapat hubungan yang bermakna antara dukungan keluarga (p value = 0,002 dan OR8.529)dan peran petugas (p value = 0,002dan OR 5,455)dengan penggunaan KB PP, sedangkan antara paritas (p value= 0,117) dengan penggunaan KB PP tidak terdapat hubungan yang signifikan. Disimpulkan dukungan keluarga dan peran petugas sangat berpengaruh dalam penggunaan KB PP. Saran bagi Puskesmas Rasimah Ahmad agar meningkatkan sosialisasi penggunaan alat kontrasepsi pasca kelahiran melakukan konseling kepada calon akseptor sebagai pemantapan persiapan KB setelah melahirkan serta membuat sarana Promosi Kesehatan (Promkes).

One of the kind childbirth KB is IUD. It is the most coverage usage in 2018 in the Rasimah Ahmad Community Health Center (29.73%). It inferred the number of births is not balanced with the number of postpartum IUD contraceptive use. This research aimed to determine Some Factors Related to Postpartum Contraception Use in Rasimah Ahmad Community Health Center Bukittinggi in 2018. The design of this research was descriptive analytical. The populations were 64 mothers who have babies at 42-60 days. Then, by using total sampling technique, all of the populations were chosen as the samples. It was conducted on October to December 2018. The data were collected ttrough questionnaire and it was analyzed by with computerization (univariate and bivariate analysis with chisquare test). From the results of the univariate analysis showed that 47% of them were multiparas. Then, 59.5% the respondents had family support. After that 59.5% of them stated that the role of officers was good. Next, 71.9% of them did not use KB PP. Moreover, statistical tests described that there was a significant relationship between family support (p value = 0.002 and OR8.529) and the role of officers (p value = 0.002 and OR 5.455) with the use of KB PP. Meanwhile, parity (p value = 0.117) had no correlation with use KB PP. In short, it can be concluded that family support and the role of officers were very influential in using KB PP. Then, it is suggested for Rasimah Ahmad Community Health Center to increase the socialization of the use of postnatal contraception by doing counseling prospective acceptors as stabilizing family planning preparations after childbirth and making health promotion facilities.