Analyzing The Use Of Kb Pill Contraception Equipment With Hypertension In Fertilizer Age Women

ABSTRACT


Introduction
A quality family is prosperous, healthy, advanced, independent, has the ideal number of children, forward-looking, responsible, harmonious and devoted to God Almighty, and the mission of national family planning in the new paradigm is to emphasize the importance of respecting rights reproductive rights as an integral part of improving family quality which greatly influences the realization of a quality population (BKKBN, 2011). Hypertension is a condition when blood pressure in blood vessels increases chronically (Suiraoka, 2012). Untreated hypertension can cause fatal complications, such as heart attacks, strokes and kidney failure. Hypertension can also cause blindness, irregular heart rhythms and heart failure.
The 2012 World Health Statistics report states that one in three adults worldwide, suffering from high blood pressure, is a condition that accounts for about half of all deaths from strokes and heart disease. In the world the highest prevalence of hypertension is in some low-income countries in Africa. It is estimated that more than 40% of adults in the country have hypertension. The prevalence of hypertension in Indonesia is 31.7% or 1 in 3 adults have hypertension, 76.1% are not aware of the already hypertension (RI Ministry of Health, 2013).
Hypertension is one of the most noncommunicable diseases found in society today. The prevalence and predictions of the World Health Organization (WHO) noted that in 2012 at least 839 million cases of hypertension were estimated to be 1.15 billion in 2025 or around 29% of the total population the world, where sufferers are more in women (30%) than men (29%) (Triyanto, 2014). WHO data (2017) states that 7.5 million deaths are caused by hypertension or around 12.3 of total deaths in the world (WHO, 2017). Riskesdas (2013) data on hypertensive patients in Indonesia amounted to 25.8% (RI, 2013). Data from the City Health Office of Kediri (2015) showed the number of hypertensive patients was 23,857 people (Suprapto, 2016).
In America, an estimated 30% of the population (± 50 million people) suffer from high blood pressure ((140/90 mmHg) with a percentage of health costs quite large each year. The World Health Organization (WHO) noted that in 2012 at least 839 million cases of hypertension, estimated to be 1.15 billion in 2025 or around 29% of the total world population, where the sufferers were more in women (30%) than men (29%) . About 80% increase in hypertension cases occurs especially in developing countries (Triyanto, 2014 age who actively used contraceptives amounting to 1,727 people and 229 of them were using birth control pills, while 623 women in fertile couples women of reproductive age couples who actively use contraception amounted to 127 people and 40 of them were using birth control pills. From the description above, Hypertension in Fertile Couples Couple Women with Long Use of 826 Birth Control Pills found in the lungs, angiotensin I was changed to angiotensin II. AngiotensinII is what has an important role in raising blood pressure through two main actions. This first action is to increase the secretion of antidiuretic hormone (ADH) and thirst. ADH is produced in the hypothalamus (pituitary gland) and works in the kidneys to regulate osmolity and urine volume. With increasing ADH, very little urine is excreted from the body (antidiuresis), so it becomes concentrated and high in osmolity. To dilute it, the volume of extracellular fluid will be increased by drawing fluid from the intracellular part, and consequently, the blood volume increases, which will eventually increase blood pressure. The second action is to stimulate aldosterone secretion from the adrenal cortex.
Aldosterone is a steroid hormone that has an important role in our kidneys. To regulate extracellular fluid volume, aldosterone will reduce excretion of NaCl (salt) by reabsorbing it from the kidney tubules. Increasing NaCl concentration will be diluted again by increasing the volume of extracellular fluid which in turn will increase the volume and blood pressure. Hypertension can have an impact on the sufferer, including: Headache, aches, uncomfortable feeling in the neck, feeling of spinning to fall, pounding, rapid heartbeat, ringing in the ears, Heart failure, Rupture of capillary arteries in the brain and Rupture of retinal blood vessels causes blurred vision and even blindness.
Based on the background, the researchers were interested in conducting a study on the use of contraceptive contraceptives with the incidence of hypertension in women of childbearing age in the village of Paleleh, Paleleh Health Center, Paleleh District, Buol District.
Method design used in the study was a cross sectional survey. Population is all women of childbearing age who have become KB pill acceptors. The sample size is 40 respondents using Accidental sampling technique. The independent variable of the study was the use of pill contraception. The dependent variable is the incidence of hypertension. Data was collected using a questionnaire, then the data were analyzed using thetest Spearman Rho, with a significance level of α ≤ 0.05. The results of the study showed that most of the respondents aged 46-55 years were 19 respondents (47.5%). The results of the study showed that at most of the respondents had high school education as many as 23 respondents (57.5%).  The results of the study showed that more than half of the respondents did not work as many as 30 respondents (75%). Research results obtained that at most respondents had a duration of 12-24 months the use of birth control pills was 18 respondents (45%). The results of the study showed that more than half of the respondents had the incidence of stage 2 hypertension of 15 respondents (37.5% ), Results of the study it was found that most respondents had the incidence of stage 3 hypertension by not working as many as 13 respondents (32.5%). The results of the study showed that most respondents had long-term use of KB pills for 12-24 months with ages 36-45 years as many as 13 respondents (32.5%). The results of the study showed that most respondents had long-term use of KB pills for 12-24 months with high school education as many as 9 respondents (22.5%). The results of the study showed that the majority of respondents had a long use of birth control pills for 12-24 months with no work as many as 10 respondents (25%). The results of the study showed that most respondents had the incidence of stage 3 hypertension with age 46-55 years as many as 13 respondents (32.5%). The results of the study showed that most respondents had a long duration of pill p-ISSN: 2667-1609  The statistical test results obtained p = 0,000 with a = 0,05, which means that H0 is rejected and H1 is accepted so that it can be interpreted that there is a significant relationship on the old variable of use of pill with the incidence of hypertension, with a correlation coefficient of 0.851 which means having a strong relationship.

Discussion
has the incidence of stage 2 hypertension as many as 15 respondents (37.5%), and at least has the incidence of stage 1 hypertension of 15 respondents (27.5%).
Hypertension or high blood pressure is an abnormal increase in blood pressure in the arteries continuously for more than one period. This happens when the arteriolearteriole is contricate. Contrast arterioles make it difficult for blood to flow and increase pressure against arterial walls. Hypertension adds to the workload of the heart and arteries which if it continues can cause damage to the heart and blood vessels (Udjianti, 2014). Several factors are thought to be related to the development of essential hypertension such as genetics, sex and age,diet.
lifestyle Based on the results of research on the incidence of hypertension in women of childbearing age using KB pill contraception in the village of Paleleh Health Center, Paleleh District, Buol District has the most stage 2 hypertension This situation occurs when the blood pressure in the main arteries in the body is too high. Hypertension is now increasingly common in the elderly. Hypertension is a disorder that is difficult for our body to know. The only way to find out hypertension is to measure your blood pressure regularly (Shanty, 2011). This state of hypertension can be caused due to KB hormonal response or adrenal response. Adrenal medullary dysfunction or the adrenal cortex can cause secondary hypertension. Adrenal-mediated hypertension is caused by excess primary aldosterone, cortisol, and catecholamines. In primary aldoteronism, excess aldosterone causes hypertension and hypokalemia.
Based on the results of the study it was found that at most respondents had the incidence of stage 3 hypertension with ages 46-55 years as many as 13 respondents (32.5%). The higher the age, the function of the heart will also decrease. According to (Susilo, 2011) the handling of hypertension depends on the attitude and discipline of the sufferer. Actually, to prevent hypertension, it is almost the same as prevention in various diseases in general, namely the existence of a healthy diet and a healthy lifestyle. Usually the more age a person has to be able to prevent symptoms of acute illness, by carrying out a healthy diet and a healthy lifestyle. There are some respondents who have stage 3 blood pressure, some The results of the study showed that most respondents had a longer use of birth control pills for 12-24 months with the incidence of stage 2 hypertension in 11 respondents (27.5%). The statistical test results obtained p = 0,000 with a = 0,05, which means that H0 is rejected and H1 is accepted so that it can be interpreted that there is a significant relationship on the old variable of use of pill with the incidence of hypertension, with a correlation coefficient of 0.851 which means having a strong relationship. Based on the results of the research that the relationship between the use of birth control pills and the incidence of hypertension is in accordance with research that can cause cardiovascular disorders.
Women should not choose pills, if they have tumors that are influenced by estrogen hormones, such as uterine tumors and breasts, have active liver disease, vascular disease or varices thrombophlebitis, have had a stroke and have diabetes (Sulistyawati, 2013). They absolutely must not take pills, and must choose another method of contraception. Hypertension or high blood pressure is an abnormal increase in blood pressure in arteries continuously for more than one period (Sulistyawati, 2013). This happens when the arteriole-arteriole is contricate. Contrast arterioles make it difficult for blood to flow and increase pressure against arterial walls. Hypertension adds to the workload of the heart and arteries which if it continues can cause damage to the heart and blood vessels.
Based on the results of the study, it was found that there was a significant relationship on the variable length of birth control pills with the incidence of hypertension, with a correlation coefficient of 0.851 which means having a strong relationship. The use of birth control pills is longer then it can increase the risk of hypertension, it is also supported by age factors, education which may have an indirect impact. This shows that prolonged use of birth control pills can affect blood pressure, the impact of using birth control pills in the long term needs to be considered to reduce the adverse effects of using longterm birth control pills. Prevention and further planning in the use of family planning need to be continuously evaluated to get optimal results.

Conclusion
1. The results of the study showed that at most respondents had a duration of 12-24 months for the use of family planning as many as 10 respondents (52.6%). 2. The results showed that more than half of the respondents had the incidence of stage 2 hypertension of 15 respondents (37.5%) . 3. The statistical test results obtained p = 0,000 with a = 0,05, which means that H0 is rejected and H1 is accepted so that it can be interpreted that there is a significant relationship on the old variable of use of pill with the incidence of hypertension, with a correlation coefficient of 0.851 which means having a strong relationship.