The Relationship Between Knowledge and Attitudes of Multiparous Mothers Toward Intrauterine Device Contraception

Authors

  • Eva Lusia Bachelor of Nursing Study Program, STIKES RS Husada, Central Jakarta, DKI Jakarta, Indonesia
  • Veronica Yeni Rahmawati Bachelor of Nursing Study Program, STIKES RS Husada, Central Jakarta, DKI Jakarta, Indonesia https://orcid.org/0000-0003-2857-843X
  • Jehan Puspasari Bachelor of Nursing Study Program, STIKES RS Husada, Central Jakarta, DKI Jakarta, Indonesia

DOI:

https://doi.org/10.53770/amhj.v5i4.570

Keywords:

Knowledge, Attitude, Intrauterine Device, Multiparous Women, Contraception

Abstract

The use of long-term contraception, particularly the Intrauterine Device (IUD), remains relatively low among multiparous mothers, despite this method being known for its high effectiveness. This study aimed to analyze the relationship between the level of knowledge and attitudes of multiparous mothers toward the use of IUD contraception. This study employed a quantitative approach with a cross-sectional design. The study involved 133 multiparous mothers in the working area of Sumur Batu Community Health Center, Central Jakarta, selected using purposive sampling techniques. Data were collected using questionnaires and analyzed using the Chi-Square test. The results showed that the majority of respondents were aged 20–56 years, with a mean age of 37.7 years and a standard deviation of 7.85. Most respondents had a low level of knowledge (86.5%), although the majority demonstrated positive attitudes toward IUD use (77.4%). The proportion of IUD use was 37.6%. Bivariate analysis revealed a significant relationship between knowledge level (p = 0.000) and attitudes (p = 0.000) with IUD use. In contrast, no significant relationship was found between age (p = 0.285) and obstetric status (p = 0.799) with IUD use. Educational level also showed a significant relationship with IUD use (p = 0.000). In conclusion, knowledge level, attitudes, and educational level were significantly associated with the use of IUD contraception among multiparous mothers, whereas age and obstetric status were not significantly associated. Therefore, continuous educational and counseling efforts are needed to improve knowledge and foster positive attitudes among multiparous mothers toward IUD contraception in order to increase the use of effective long-term contraceptive methods.

Author Biographies

Veronica Yeni Rahmawati, Bachelor of Nursing Study Program, STIKES RS Husada, Central Jakarta, DKI Jakarta, Indonesia

Department of Maternity Nursing

Jehan Puspasari, Bachelor of Nursing Study Program, STIKES RS Husada, Central Jakarta, DKI Jakarta, Indonesia

Department of Maternity Nursing

References

Amalia, R., Sari, E. P., & Sari, R. G. (2025). Peningkatan Minat Penggunaan IUD Sebagai Metode Kontrasepsi Jangka Panjang Melalui Edukasi Komunitas. Journal Communnity Development, 6(6), 6478–6482. Retrieved from https://journal.universitaspahlawan.ac.id/index.php/cdj/article/view/54601

Aminatussyadiah, A., & Febriani, G. A. (2025). Determinan Penggunaan Metode Kontrasepsi IUD di Indonesia. Jurnal Borneo Cendekia, 9(1), 45–54. https://doi.org/10.54411/jbc.v9i1.626

Amra, R. N., Rambe, R. S., & Bancin, F. (2023). Factors Influencing Intrauterine Contraceptive Device Uptake. Journal of Maternal and Child Health, 8(6), 696–705. https://doi.org/10.26911/thejmch.2023.08.06.03

Anggraina, M., Handayani, D. S., Pramatirta, A. Y., Nirmala, S. A., & Susanti, A. I. (2023). Gambaran Pemilihan Metode Kontrasepsi Jangka Panjang (MKJP) Berdasarkan Karakteristik Ibu Pascasalin Di Upt Puskesmas Kota Bandung 2023. Jurnal Penelitian Keperawatan Kontemporer, 5(4), 1–10. https://doi.org/10.59894/jpkk.v5i4.999

Atikah, R. N. (2024). Faktor-Faktor yang Berhubungan dengan Penggunaan IUD Pasca Plasenta di RSUD dr.H.Moch Ansari Saleh. Health & Medical Sciences, 2(2), 1–12. https://doi.org/10.47134/phms.v2i2.309

Bulu, A., Indriati, I., & Wijayanti, T. R. A. (2024). Hubungan Umur Dan Paritas Dengan Penggunaan Alat Kontrasepsi Suntik 3 Bulan di PMB Zummatul. Jurnal Kesehatan Saintika Meditory, 7(2), 478-487. Retrieved from https://jurnal.syedzasaintika.ac.id/index.php/meditory/article/view/2550

Chadaryanti, D., Zulaika, & Widjayanti, T. B. (2025). Determinants of Intrauterine Device (IUD) Contraceptive Use Decision Among Acceptors at Pauh Public Health Center, Padang City, 2023. Jurnal Kesehatan Masyarakat Perkotaan, 5(1), 96–108. https://doi.org/10.37012/jkmp.v5i1.2729

Delima, M., Andriani, Y., & Permana, D. Y. (2022). Hubungan Pengetahuan dan Dukungan Suami terhadap Minat Ibu dengan Penggunaan AKDR. Jurnal Kesehatan Tambusai, 3(2), 292–303. https://doi.org/10.31004/jkt.v3i2.4876

Febrianti, V., & Andari, F. N. (2024). Peningkatan Pengetahuan Ibu Hamil Primigravida Tentang Perubahan Fisiologis pada Masa Kehamilan Dengan Pemberian Pendidikan Kesehatan. Jurnal Ners Generation, 3(2), 60–70.

Fransiska, P., Saputri, D., & Nurbaiti, S. (2023). Faktor-Faktor Penggunaan Alat Kontrasepsi Intra Uterine Device (IUD) [Factors Related To the Use of Intra Uterine Device (IUD) Contraception]. Cendekia Medika : Jurnal STIKES Al-Ma’arif Baturaja, 8(2), 284–291.

Handayani, S., Amalia, R., & Afrika, E. (2025). Faktor-faktor yang Mempengaruhi Rendahnya Minat Ibu terhadap Pemilihan Kontrasepsi Intrauterine Device (IUD) di PMB Sri Nirmala Kota Palembang. Journal of Innovative and Creativity, 5(2), 8225–8233. https://doi.org/10.31004/joecy.v5i2.1203

Lengkong, S., Desianti, I. W., & Wulansari, M. (2025). Hubungan Pengetahuan dan Sikap Ibu Pasangan Usia Subur (PUS) Terhadap Penggunaan Kontrasepsi Intrauterine Device (IUD) di Desa Tombatu Satu, Minahasa Tenggara. Jurnal Ners, 9(2), 1700–1703.

Lumbantoruan, E. E. C., Tarigan, R. A., & Philip, R. L. (2025). Hubungan Informasi Media Sosial (Facebook) dan Paritas dengan Penggunaan Alat Kontrasepsi IUD pada Wanita Usia Subur di Wilayah Kerja UPTD Puskesmas Sekupang Kota Batam Tahun 2024. Medic Nutricia : Journal Ilmu Kesehatan, 21(4), 431-440. Retrieved from https://cibinstitute.id/index.php/medicnutricia/article/view/3893

Meilani, E., Rini, A. S., & Diana, A. (2023). Hubungan Jarak Kehamilan, Dukungan Suami Dan Dukungan Tenaga Kesehatan Terhadap Perilaku Pemilihan Metode Kontrasepsi Jangka Panjang Di Puskesmas Kecamatan Cilandak Jakarta Selatan Tahun 2022. SENTRI: Jurnal Riset Ilmiah, 2(3), 729–740. https://doi.org/10.55681/sentri.v2i3.623

Oktayanti, Y. D., Wathan, I., & Maksuk. (2025). Analisis Faktor yang Mempengaruhi Minat Ibu Usia Produktif Memakai IUD. Jurnal Kesehatan Qamarul Huda, 13(2), 186–199. https://doi.org/10.37824/jkqh.v13i1.2025

Pratiwi, F., Husna, F., & Puspitasari, R. S. (2024). Konseling Informasi Edukasi Tentang Kehamilan, Persalinan dan Nifas pada pasangan usia subur di Dusun Dadabong, Sendang Sari Kapanewon Pajangan, Bantul. DJurnal Pengabdian Kepada Masyarakat Mulia Madani Yogyakarta, 2(2), 60-66.

Ramadhana, T. R., Kirana, R., Megawati, & Laili, F. J. (2024). Hubungan pengetahuan, umur dan paritas ibu dengan penggunaan kontrasepsi IUD di wilayah kerja di Puskesmas Perawatan Simpang Empat. Integrative Perspectives of Social and Science Journal (IPSSJ), 2(1), 305–315.

Ren, X., Cai, Y., Wang, J., & Chen, O. (2024). A systematic review of parental burnout and related factors among parents. BMC Public Health, 24, 1–17. https://doi.org/10.1186/s12889-024-17829-y

Rua, S., Cardoso, C., & Silva, I. (2026). Contraceptive methods: Knowledge and factors influencing their choice among women of reproductive age A cross-sectional study in Portugal. Atención Primaria, 58(4), 103381. https://doi.org/10.1016/j.aprim.2025.103381

Rualemba, N. K., Rifai, M., & Azis, R. (2025). Analisis Faktor Yang Memengaruhi Penggunaan Metode Kontrasepsi Jangka Panjang (MKJP) Pada Wanita PUS Di Wilayah Kerja Puskesmas Kawua Kabupaten Poso. Bina Generasi : Jurnal Kesehatan, 16(2), 62–72. https://doi.org/10.35907/bgjk.v16i2.415

Sagita, W., & Salanti, P. (2023). Hubungan Waktu Pemasangan Alat Kontrasepsi Intrauterine Device (IUD) Pascasalin dengan Kejadian Ekspulsi di RS X Tahun 2021. Jurnal Ilmiah Bidan, 7(1), 13–19.

Santi, A., Yuliastuti, E., Tunggal, T., & Laili, F. J. (2025). Hubungan Pengetahuan Tentang Kontrasepsi IUD Dengan Sikap Terhadap Pemilihan Kontrasepsi IUD Di Wilayah Kerja Puskesmas Beruntung Raya Tahun 2024. Jurnal Penelitian Multidisiplin Bangsa, 1(8), 1176–1183. https://doi.org/10.59837/jpnmb.v1i8.217

Soleha, M. (2022). Gambaran Faktor Umur, Paritas Dan Pendidikan Dengan Penggunaan Alat Kontrasepsi Dalam Rahim. Cendekia Medika Jurnal Stikes Al-Ma`arif Baturaja, 7(1), 41–49. https://doi.org/10.52235/cendekiamedika.v7i1.107

Sumastri, H., Novita, N., & Dwi Putri, D. A. (2026). The Relationship between Mothers’ Knowledge and Attitudes with the Use of IUD Contraception in the Work Area of the Lumpatan Community Health Center UPTD in 2025. Journal of Maternal and Child Health Sciences (JMCHS), 5(2), 79–83. https://doi.org/10.36086/maternalandchild.v5i2.3198

Wati, E., Sari, S. A., & Fitri, N. L. (2023). Penerapan Pendidikan Kesehatan tentang Tanda Bahaya Kehamilan untuk Meningkatkan Pengetahuan Ibu Hamil Primigravida Di Wilayah Kerja UPTD Puskesmas Purwosari Kec. Metro Utara. Jurnal Cendikia Muda, 3(2), 226–234.

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Published

2026-03-31

How to Cite

Lusia, E., Yeni Rahmawati, V. ., & Puspasari, J. . (2026). The Relationship Between Knowledge and Attitudes of Multiparous Mothers Toward Intrauterine Device Contraception. Ahmar Metastasis Health Journal, 5(4), 374–381. https://doi.org/10.53770/amhj.v5i4.570