The Relationship of Delivery Method and Family Planning History with Via Examination Results (Visual Inspection of Acetic Acid)”

Indah Rohmawati, Evita Widyawati, Friska Oktaviana, Evi Tunjung Fitriani
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Abstract

VIA (Visual Acetic Acid Inspection) is a type of examination to detect cervical cancer. There are several factors that can cause positive VIA results and every couple of childbearing age (PUS) should carry out early detection of cervical cancer once a year, one of which is through an VIA examination. However, unfortunately there are still many couples of childbearing age who have not done so and when the examination is carried out, some of the results are positive and are even in an advanced stage. The Objective of this study was to determine the relationship between delivery method and birth control history with the results of VIA examination (visual inspection of acetic acid). This type of observational analytic research, cross-sectional design. The research population was all couple of childbearing age (PUS) in Malang Regency. The inclusion criteria were carrying out a VIA examination at the Polowijen Malang Community Health Center and having given birth. The sample consisted of 34 respondents. The research was carried out on November 8 2023. Data was collected by conducting interviews about birth methods and family planning history as well as conducting VIA examinations. Data were analyzed using the chi-square test. There is no relationship between the method of delivery and the results of the VIA examination which is statistically significant with a P value = 0.223. Vaginal delivery does not always cause cervical injury which is needed by HPV to penetrate the transformation zone which can gradually lead to precancerous lesions or positive VIA results. There is no relationship between history of family planning use and VIA examination results which is statistically significant with p value = 0.994. Women who have never used hormonal or non-hormonal contraception can also experience precancerous lesions or positive VIA examination results.  
分娩方式和计划生育史与 Via 检查结果(醋酸目视检查)的关系"
VIA(可视醋酸检查)是一种检测宫颈癌的检查方法。导致 VIA 阳性结果的因素有多种,每对育龄夫妇(PUS)都应每年进行一次宫颈癌早期检测,其中之一就是进行 VIA 检查。但遗憾的是,仍有许多育龄夫妇没有这样做,在进行检查时,有些结果呈阳性,甚至是晚期。本研究的目的是确定分娩方式和节育史与 VIA 检查(醋酸目视检查)结果之间的关系。该研究为观察分析研究,横断面设计。研究对象为马朗地区的所有育龄夫妇(PUS)。纳入标准是在 Polowijen Malang 社区健康中心进行过 VIA 检查并已生育的夫妇。样本由 34 名受访者组成。研究于 2023 年 11 月 8 日进行。通过对生育方法和计划生育史进行访谈以及进行 VIA 检查来收集数据。数据采用卡方检验进行分析。分娩方式与 VIA 检查结果之间没有关系,P 值 = 0.223,具有统计学意义。阴道分娩并不一定会造成宫颈损伤,而宫颈损伤是 HPV 穿透转化区所必需的,这可能会逐渐导致癌前病变或 VIA 阳性结果。计划生育史与 VIA 检查结果之间没有关系,P 值 = 0.994,具有统计学意义。从未使用过激素或非激素避孕药的妇女也会出现癌前病变或 VIA 检查结果呈阳性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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