Factors Influencing Contraceptive Method Selection Among Postpartum Women At Martha Friska Hospital, Medan Brayan

Irma Situmorang (Institut Kesehatan Helvetia Medan)
Razia Begum Suroyo (Institut Kesehatan Helvetia Medan)
Aida Fitria (Institut Kesehatan Helvetia Medan)
Deli Theo (Institut Kesehatan Helvetia Medan)
Ramadhani Syafitri Nasution (Institut Kesehatan Helvetia Medan)

Promotor: Jurnal Mahasiswa Kesehatan Masyarakat
Vol. 9 No. 5 (2026): OKTOBER

The selection of contraceptive methods among postpartum women is an important component of reproductive health services to prevent unintended pregnancies and promote appropriate birth spacing. Data from Martha Friska Hospital, Medan Brayan, indicated that injectable contraception was the most commonly used method, accounting for 60% of users. This predominance warrants attention because contraceptive selection among postpartum women should consider health conditions, breastfeeding status, medical indications, individual needs, and continuity of use. This study aimed to analyze the factors influencing contraceptive method selection among postpartum women at Martha Friska Hospital, Medan Brayan. This study employed a mixed-methods approach using a sequential explanatory design. The quantitative phase used a cross-sectional design involving 76 postpartum women on the first to second day after delivery, selected using accidental sampling. Data were analyzed using the Chi-Square test and multiple logistic regression. The qualitative phase involved in-depth interviews with eight informants consisting of postpartum women, husbands, and midwives, and the data were analyzed thematically. The results showed that knowledge, religious perspectives, culture, socioeconomic status, and family support significantly influenced contraceptive method selection, with each factor showing a p-value of 0.000. Multivariate analysis indicated that family support was the most dominant factor. The qualitative findings further confirmed that contraceptive selection was influenced by knowledge, religious values, cultural considerations, socioeconomic conditions, family support, and the role of health professionals in providing education and counseling. Injectable contraception was the most predominantly selected method. In conclusion, knowledge, religious perspectives, culture, socioeconomic status, and family support influence contraceptive method selection among postpartum women. Strengthening education and counseling, as well as involving husbands and families, is essential to support informed and appropriate contraceptive choices.