Case Report: Type I Obesity Associated with Three-Month Injectable Contraceptive Use at Mrs. “P” Independent Midwifery Practice

Refiola Priska Talia, Triana Septianti Purwanto, Agung Suharto, Astuti Setiyani

Abstract


Type I obesity is a condition of weight gain observed in a user of the 3-month injectable contraceptive, characterized by a Body Mass Index (BMI) of 25–29.9 kg/m². Long-term use (over 10 years) of this contraceptive was associated with a weight gain of 17 kg. This is attributed to the progesterone hormone in DMPA, which increases appetite and affects fat metabolism, thereby contributing to weight gain. The objective was to describe the implementation of midwifery care for a 3-month injectable contraceptive user with Type I obesity. This report employs a case study method focusing on Mrs. E, a user of the 3-month injectable contraceptive with Type I obesity, at the Independent Midwifery Practice (TPMB) of Mrs. "P" in Magetan Regency. Midwifery care was provided over four weeks, involving three nutritional guidance visits facilitated by a midwife; the process included comprehensive assessment, monitoring of weight and BMI, a low-calorie diet, increased physical activity, and counseling regarding hormonal contraceptive use. The comprehensive and continuous midwifery care provided proved successful, resulting in a weight loss of 3 kg. The client's weight gradually decreased from 67 kg to 64 kg over the one-month care period (comprising three sessions), accompanied by reductions in waist circumference and BMI. Periodic monitoring helped control weight gain and prevent obesity-related complications.Through a balanced, low-calorie diet, the client was able to maintain a healthy lifestyle by adhering to balanced nutrition, engaging in regular physical activity, and monitoring weight periodically; these measures prevent the worsening of obesity and the onset of complications.

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References


Kementerian Kesehatan Indonesia. (2021). Profil Kesehatan Indonesia.

Hanun Siregar, M., Ayu Dewi Sartika, R., Junengsih, J., & Hanifar, K. (2024). Association Of Demographic and Dientary Factors With Abdomen Obesity Among Women of Childbearing Age in Indonesia. JURNAL KESEHATAN REPRODUKSI, 15(1), 80–90. DOI: 10.58185/jkr.v15i1.187

Astuti, W., & Nabila, A. (2023). Kontrasepsi Suntik Progresteron 3 Bulan Dengan Kenaikan Berat Badan Pada Akseptor Kontrasepsi Hormonal Di Desa Kalangan Kabupaten Tulungagung. Jurnal Farmasi SYIFA, 1(1), 31–35. DOI: https://doi.org/10.63004/jfs.v1i1

Sari, K. T., & Oktavia, E. (2025). Hubungan Antara Lama Pemakaian Dengan Kenaikan Berat Badan Berlebih Pada Akseptor KB Suntik 3 Bulan di Puskesmas Piyungan Tahun 2025. Jurnal Penelitian Ilmiah Multidisipliner, 2(03), 543–554. Available from: https://ojs.ruangpublikasi.com/index.php/jpim/article/view/916

Wahyuni, S., Saryani, D., & Altika, S. (2022). Hubungan Penggunaan KB Suntik 3 Bulan Dengan Kejadian Peningkatan Berat Badan Dan Kejadian spotting Pada Akseptor KB di Desa Ngagel Kecamatan Dukuhseti Kabupaten Pati. Jurnal Ilmiah Ilmu Kebidanan Dan Kesehatan Sekolah Tinggi Ilmu Kesehatan Bakti Utama Pati, 13(2), 43–47

Irianti D, Tiarahma L. Program Studi Diploma Tiga Keperawatan Stikes Intan Martapura. 2021;9(May):20–3.

Pratiwi, R. E., Pratamaningtyas, S., & Rahayu, D. E. (2023). Hubungan Pemakaian KB Suntik 3 Bulan Dengan Kenaikan Berat Badan Pada Akseptor: Studi Literatur. Indonesian Health Issue, 2(1), 1–8. DOI: 10.47134/inhis.v2i1.39

Octavia, Z. F., & Azzhira, N. C. (2025). Hubungan Tingkat Kecukupan Zat Gizi Makro dengan Tingkat Kegemukan pada Wanita yang Menggunakan Kontrasepsi Hormonal. JURNAL RISET GIZI, 13(1), 50–58. https://doi.org/10.31983/jrg.v13i1.12704

Nurhalizah, N., Dewi, M. K., & Sugesti, R. (2023). Hubungan Pengatahuan, Aktivitas Fisik, Lama Penggunaan KB Terhadap Kenaikan Berat Badan Pada Aseptor KB Suntik 3 Bulan di PMB Hj. Sumiyati, S. ST. Bdn Kabupaten Bogor Tahun 2023. SENTRI: Jurnal Riset Ilmiah, 2(12), 5347–5355 DOI: https://doi.org/10.55681/sentri.v2i12.1930

Fitria, N. E., Aprianti, E., & Ariyani, F. (2022). Asuhan Kesehatan Kontrasepsi Kb Suntik 3 Bulan dengan kenaikan Berat Badan Yang Mengganggu Aktivitas Pada Ny. N di Kecamatan Nanggalo Kota Padang Tahun 2021. Jurnal Menara Ilmu, 16(02), 66–73. DOI: 10.31869/mi.v16i2.3139

Prabawati, R. A., Martini, D. E., Maghfuroh, L., Tyas, L. C., Yanti, N. R. D., & Fitriana, N. Y. (2025). Hubungan Lama Pemakaian Kontrasepsi Terhadap Tekanan Darah Dan Kadar Kolesterol Total Pada Akseptor KB Suntik 3 Bulan. Jurnal Ilmiah Biosaintropis (Bioscience-Tropic), 11(1), 150–158. https://doi.org/10.33474/ejbst.v11i1.603.

HI.Sanuddin, N., Nurhayati, & Evi Istiqamah. (2023). Asuhan Kebidanan Keluarga Berencana pada Ny. N Akseptor KB Depo Progestin. Window of Midwifery Journal, 86–93. https://doi.org/10.33096/wom.vi.896

Azizah, D. L., & Fitriahadi, E. (2024). Asuhan komprehensif Efek Samping Kenaikan Berat Dadan Pada Akseptor KB Suntik 3 Bulan. Prosiding Seminar Nasional Penelitian Dan Pengabdian Kepada Masyarakat LPPM Universitas’ Aisyiyah Yogyakarta, 2, 135–138. DOI: 10.31004/jkt.v6i1.41675

Sumaifa, S., Ibrahim, S. H., & Ramadhani, R. S. (2025). Peningkatan Berat Badan Pada Akseptor Kb Suntik 3 Bulan Dengan Pendektan Asuhan Kebidanan. Jurnal Kesehatan Tambusai, 6(1), 841–849. https://doi.org/10.31004/jkt.v6i1.41675

Kemenkes. (2021). Pedoman Pelayanan Kontrasesi dan Keluarga Berencana.

Ratmawati, Handini, K. D., & Fachri, I. (2024). Manajemen Obesitas. In DeepublishDigitalAvailable from: https://books.google.co.id/books

Dwi Astuti, N., Maineny, A., Jesdika Longulo, O., Sumiaty, Widyayanti, A., & Suryani, S. (2024). Efek KB Suntik 3 Bulan (DMPA) terhadap Berat Badan. Napande: Jurnal Bidan, 3(1), 41–48.

Yulianingsih, N. (2023). Pengaruh KB Suntik 3 Bulan Terhadap Penigkatan Berat Badan di Wilayah Kerja Puskesmas Bulukerto. FAKULTAS ILMU KESEHATAN UNIVERSITAS KUSUMA HUSADA SURAKARTA.

Meysetri, F. R., Amir, A. Y., & Jesica, F. (2021). Pengaruh KB suntik pada akseptor KB terhadap efek samping pemakaian kontrasepsi suntik. Prosiding Seminar Nasional STIKES Syedza Saintika, 1(1).

Raharjo, R. (2025). Analisis Perbedaan IMT Antra Aseptor KB Suntik 1 Bulan dan 3 Bulan Pada Wanita Usia Subur. ASSYIFA: Jurnal Ilmu Kesehatan, 3(1), 94–100. DOI: 10.62085/ajk.v3i1.142

Purwaningtyas, D. R., Tanjung, N. P., & Dhanny, D. R. (2023). Analisis Faktor yang Terkait dengan Kejadian Obesitas Sentral pada Wanita Dewasa. Nutri-Sains: Jurnal Gizi, Pangan Dan Aplikasinya, 7(1), 25–38. https://doi.org/10.21580/ns.2023.7.1.10771

Fadila. (2024). Provil Pengetahuan dan Deskripsi Efek Samping pada Aseptor KB Suntik 3 Bulan di Puskesmas Samudra Kabupaten Aceh Utara. Doctoral Dissertation, Universitas Bina Bangsa Getsempena.Available from: https://books.google.co.id/books




DOI: https://doi.org/10.33846/%25x

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