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Maternal Mortality Rate (MMR) is a component of the development index and quality of life index which is calculated by taking into account and considering women's health status (MMR). The aim of this research is to determine the factors associated with hyperemesis gravidarum at the Birem Bayuem Community Health Center in 2024. The design of this research is an analytical survey using a cross-sectional approach. The sample in this study was all 1st trimester pregnant women who visited ANC at the Birem Bayuem Community Health Center in 2024, namely 26 pregnant women. The results of the analysis using the Telst Chi-sqularel test showed a value of p=0.008 (95% CI 1.522-26.081). Mothers who are working have a rate of 6,300 times more likely to experience hyperreleasing disease compared to mothers who are not working. It is hoped that by increasing the number of antenatal care, follow-up or maternal visits in research will reduce the number of cases of hyperelelmosis. Apart from that, it is highly recommended that you learn about health regularly by actively asking health professionals every time you visit a health care facility.

Antenatal care is carried out to avoid interference as early as possible with anything that endangers the health of the mother and the fetus she is carrying. Coverage of visiting services for pregnant women who have made their first visit to a health service facility to receive antenatal care. Coverage of visiting services for pregnant women who have made their first visit to a health service facility to receive antenatal care. One of the services provided is Pregnant Women's Classes. Of the 23 Regencies/Cities in Aceh, 16 Regencies/Cities (69.6%) have implemented classes for pregnant women, including East Aceh Regency (Aceh Health Profile, 2022). This type of research is descriptive research, namely a research method that describes a situation or research carried out with the aim of getting a picture of a situation. The approach used is cross sectional. The cross sectional approach is research to study correlation dynamics by approaching, observing and collecting data at one time (point time approach). This means that each research subject is only observed once and measurements are made on the character status or variables of the research subject observed at the same time (Notoatmodjo, 2010). Based on the above, researchers are interested in researching the Evaluation of the Implementation of Mother's Classes at the Lubuk Pempeng Community Health Center, East Aceh Regency, Aceh Province in 2024.

Delivery assistance is a delivery service process that starts from stage I to stage IV of delivery. The achievementcofcmaternal healthc effortsc isc measured through the indicator of the percentage of deliveries assisted by qualified health workers (Ministry of Health of the Republic of Indonesia 2015).Based on the description above, the problem discussed in this research is: to determine the effect of counterpressure massage techniques to reduce labor pain in active phase first stage mothers at Darul Aman Community Health Center, East Aceh. The type of research used is quasi-experimental with a pre-test design and post test control group design, cause or risk and effect variables or cases that occur in the research object are measured or collected simultaneously (at the same time) (Notoatmodjo, 2012) Darul Aman East Aceh Community Health Center is a BPJS Health First Level Health Facility in Aceh Tkmur Regency whose address is Jalan Medan, Gp Kuede Village, Darul Aman District, East Aceh Regency, NAD. The Darul Aman Health Center in East Aceh has the Motto: SIMPATI, namely Smiling and Greeting, Informative, Serving, Professional, Accountable, Transparent, Sincere. Based on the results of the analysis and discussion of research results, conclusions can be drawn regarding the effect of massage techniques to reduce labor pain at the Darul Aman Community Health Center, East Aceh. 1. The level of labor pain before the counterpesure massage was performed, all respondents experienced severe pain. 2. The level of labor pain after the counterpesure massage was performed. Most of the respondents experienced moderate pain. 3. There was an effect of using massage techniques to reduce labor pain in mothers during the first stage of the active phase.