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According to WHO (2019), the maternal mortality rate (MMR) in the world is 303,000 people. The Maternal Mortality Rate (MMR) in ASEAN (2020) is 235/100,000 live births. Based on data from the Ministry of Health, the Maternal Mortality Rate (MMR) in Indonesia in 2020 was 4,627 deaths. Health Department data (2021) MMR 62 cases. Data from Bumiayu Community Health Center (2022) AKI 2 cases. The aim of this research is to reduce maternal and infant morbidity and mortality rates in Brebes Regency, especially the Bumiayu Community Health Center area. This research method uses descriptive research with a qualitative descriptive approach. The results of this research show that in the results of Comprehensive Care there was a gap between theory and practice after comprehensive midwifery care was carried out on Mrs. E is 39 years old with risk factors for CED age and anemia in Mrs. BPM. R working area of Bumiayu Health Center from third trimester pregnancy, childbirth, newborns, postpartum and family planning using Varney midwifery and SOAP approaches.

Background: World Health Organization (WHO) in 2020 the maternal mortality rate (MMR) in the world is 152 deaths per 100,000 live births. In ASEAN, the highest MMR in 2020 is in Myanmar, which is 235 per 100,000 live births. The maternal mortality rate in Brebes Regency in 2020 was 62 cases. In the Bantarkawung Health Center working area in 2020 there was 1 case, in 2021 there were 5 cases. Objective: To provide comprehensive midwifery care services to Mrs. N Age 19 Years G1P0A0 with Risk Factors Age <20 Years at the Bantarkawung Health Center, Brebes Regency with a midwifery management approach according to Varney's seven steps and SOAP.  Research method: This study uses descriptive qualitative research with a case study design. The Scientific Writing assignment report is written based on a case report of comprehensive midwifery care in pregnant women, childbirth, newborns, and postpartum using the type of case review study research method. Results: The results of comprehensive midwifery care are the absence of gaps between theory and practice where according to the theory pregnant women with a young age <20 years will experience several risks such as in any.N who experienced a short TFU of 28 cm. Conclusion: After conducting an assessment and collecting data on comprehensive midwifery care on Mrs. N with risk factors for age <20 years at the puskesmas from third trimester pregnancy.

Pregnancy, childbirth, childbirth, newborns and family planning (KB) are physiological conditions, but you must be careful if conditions occur that can threaten the life of the mother or fetus. This can be prevented by providing good services during pregnancy, childbirth, postpartum, newborns and family planning. The aim of this report is to improve the quality of services with continuous contact between patients and health workers, including monitoring the condition of pregnant women from the beginning of pregnancy to the delivery process, monitoring BBL for signs of infection, postnatal complications and facilitating for couples of childbearing age in the service. KB. In this report, the approach used is in the form of a case study, where the author collects data and describes the process of comprehensive midwifery care based on Continue Of Care for TM III pregnant women, maternity, postpartum, BBL, and family planning using the SOAP approach. The results of the report showed that there were no gaps in pregnancy, childbirth, postpartum period, BBL and family planning. With continuous monitoring of Mrs. SM, Mrs. SK and Mrs. S. The condition of the mother and baby was monitored well without any accompanying complications.    

Baby blues syndrome occurs in mothers after giving birth, which has an impact on both the mother and the baby. Many factors cause baby blues such as lack of mental preparation to become a mother due to young age and inexperience, the number of children a mother has causes susceptibility to suffer from baby blues. The purpose of this research was to find out the factors related to the occurrence of baby blues syndrome at the Teling Community Health Center Of Manado. This type of research is observational analytic with a cross-sectional approach. The sampling technique used simple random sampling with a total of 59 respondents. Data were collected using the Edinburgh Postpartum Depression Scale (EPDS) questionnaire. The collected data were processed with the help of the SPSS computer program, data analysis with the Chi Square Test with a significance level of α 0.05. The results of the study showed that there was a correlation between age and Blues Syndrome at the Teling Community Health Center (P value 0.000 < α 0.05). There was a correlation between parity and Blues Syndrome at the Teling Manado Community Health Center (P value 0.008 < α 0.05). The conclusion of this study is that there is a correlation between age and parity with Blues Syndrome at the Teling Health Center. It is suggested to nurses as caregivers to not only meet physical needs but also psychological needs, especially identifying abnormal deviations as early as possible and collaborating with other health teams in meeting emotional needs through providing counseling, bonding attachment between mothers and their babies during the postpartum period so that mothers get good health and healthy babies.

Background: Maternal health is a measure of the level of social welfare. Maternal death is the death of a woman during pregnancy, childbirth or within 42 days after the end of pregnancy. Perineal rupture is the second most common cause of postpartum bleeding. Tearing may coincide with uterine atony. Based on data from the World Health Organization (WHO), 2.7 million cases of perineal rupture occurred in mothers giving birth. This figure is estimated to reach 6.3 million in 2050. One way to prevent perineal rupture is to maintain the elasticity of the perineum. Increasing the elasticity of the perineum is done by means of pregnancy exercises. The aim of this study was to determine the relationship between pregnancy exercise and perineal rupture in postpartum mothers at Anemia Of Pregnant Women At BPM Helena Astuti Sinaga. The research design is an analytical study with a cross-sectional approach. The population in this study was all mothers giving birth at Anemia Of Pregnant Women At BPM Helena Astuti Sinaga in November-March 2023, namely 764 people with a research sample of 88 people. The sampling technique used random sampling and research analysis used the chi square test. The research results showed that the majority of pregnant women who took part in pregnancy exercise at BPM were 47 (53.4%) and those who did not do pregnancy exercise were 41 (46.6%). Inpartum mothers who experienced perineal rupture were 42 (47.3%) and those who did not experience perineal rupture were 46 (52.3%). Based on the results of statistical tests between pregnancy exercise and perineal rupture, the p value = 0.003 (p < 0.05). The conclusion of this study is that there is a significant relationship between pregnancy exercise and perineal rupture during birth at BPM Helena Astuti Sinaga. So it was suggested to Anemia Of Pregnant Women At BPM Helena Astuti Sinaga to improve services, especially for pregnant women, to do pregnancy exercises.

Pregnancy is an important period of life, during that time you must prepare yourself as best as possible to welcome the birth of your baby. Factors that influence maternal health are nutrition. Chronic energy deficiency (KEK) can disrupt health and has the risk of having an adverse impact on the mother and baby both during pregnancy, childbirth and postpartum, such as inhibiting fetal growth which can lead to abortion, birth of low birth weight (LBW) babies, anemia in babies and death. neonate . Catin knowledge is very influential in actions to prepare for a healthy pregnancy. The research aims to determine the relationship between knowledge and attitudes of catin couples regarding pregnancy preparation at KUA Galis . This research design uses correlational analytics with a cross sectional approach , namely research that leads to explaining data on the independent variable (knowledge) and the dependent variable (attitudes of catin). The results of this research show that most of the knowledge possessed by catin couples is at a sufficient level of knowledge. The knowledge possessed by a person does not appear by itself, but is influenced by several factors, including age, environment and social culture.

One of the MGDS global targets is to reduce MMR and IMR. The maternal mortality rate in Indonesia is still high at 390 per 100,000 live births. Referring to the link between birth management and various countermeasures for the biggest cause of AKI is postpartum hemorrhage. Efforts have been made in problems related to bleeding, even several studies have carried out IMD in treating bleeding problems considering that the presence of IMD can affect the hormone oxytocin which is associated with bleeding. The purpose of this study was to see how IMD influences the amount of bleeding in the fourth stage.This research is a Quasi Experiment using primary data. The population and sample were all primiparous women with a total of 46 respondents using the purposive sampling method. The data analysis was univariate and bivariate using the Independent t-test. The results showed that there was a significant effect between IMD on the amount of bleeding in the fourth stage. The average number of bleeding in the fourth stage of respondents who underwent Early Breastfeeding Initiation was 150.63 with a standard deviation of 22.149. Meanwhile, for respondents who did not undergo Early Breastfeeding Initiation, the average number of bleeding in the fourth stage was 166.09 with a standard deviation of 21.580. In the statistical test, the value of P = 0.000 was obtained. With this study, it was found that there was an effect of IMD on the amount of bleeding in the fourth stage of labor. It is hoped that midwives and doctors will implement IMD in order to reduce morbidity and mortality of mothers and babies.

With a scar from a caesarean section operation sectio caesarea cause pain to the patient so the patient tends to just lie down, therefore postpartum mothers with a history sectio caesarea early mobilization care is needed. On mother sectio caesarea allowed to get out of bed no later than 24-48 hours after giving birth. one way to reduce pain in mothers after surgery sectio caesarea is by doing reflexology massage therapy. The purpose of this case study is to find out adaptation of pain levels in post-mothers sectio caesarea after reflexology massage therapy. The method used in this case study case study design with a nursing care process approach. The subjects in this case study were 2 patients, obtained from inclusion and exclusion criteria, data collection using Numerik rating scale (NRS). The case study results show that on average pain level of the two patients after being given therapeutic intervention reflexology massage for 2x8 hours, namely experiencing changes from severe pain to moderate pain and the patient looks more comfortable and relaxed. The conclusion of this case study shows that there are changes that occur after it is given reflexology therapy intervention for the two patients and experienced a decrease in the pain scale so that both patients are able to adapt to the pain what they feel.

Breast milk (ASI) is a natural food that is good for babies, practical, economical and easy to digest. The reason why babies need breast milk is because breast milk has benefits, one of which is that it has many advantages, it contains important substances, it can make babies develop optimally. Breast milk also plays a role in bringing closer spiritual closeness between mother and child. The first factor that influences breastfeeding failure is the mother's lack of knowledge about exclusive breastfeeding (32%), namely mothers stop breastfeeding because breast milk production is low. Actually, this is not caused by the mother not producing enough breast milk but because of the mother's lack of knowledge. The second is caused by working mothers. The third is caused by the intensive promotion of formula milk. The purpose of this research was to determine the effect of Marmet Massage on increasing breast milk products for postpartum mothers at the Tanjung Tiram Community Health Center, Tanjung Tiram District, Batu Bara Regency, North Sumatra Province in 2022. This research uses a quasi-experimental method (Quasi Experiment) with the approach used is a comparative design of control and intervention groups (One Group Post Test Design). to determine the effect of Marmet Massage on increasing breast milk products in postpartum mothers. In this study, the samples were all non-working mothers who had babies aged 0-6 months as many as 30 people with 15 people in each group who received marmet massage during the 1-4th day in a row followed by breast milk measurement for 30 minutes and The guinea pig technique was not carried out followed by breast milk measurement. Conclusion, Based on the results of research and data analysis that has been carried out regarding the Influence of the Marmet Technique on the Fluency of Mother's Milk in the Working Area of ​​the Tanjung Tiram Health Center, Tanjung Tiram District, Batu Bara Regency, North Sumatra Province in 2022, it can be concluded that: The Marmet Technique has a significant influence on the Fluency Breast milk. This is indicated by the results of the Wilcoxon test sig-p value (0.007) < 0.05

Reducing MMR and AKB is a priority for health development as stated in Presidential Regulation Number 18 of 2020 concerning the 2020-2024 National Medium-Term Development Plan. The main causes of maternal death are hypertension in pregnancy and postpartum hemorrhage. This cause can be minimized if the quality of Antenatal Care is carried out properly. Some conditions that can cause the condition of pregnant women are not healthy. High-risk pregnancy is a pregnancy condition that can threaten the health and safety of the mother and fetus. This condition can be caused by complications during pregnancy, but it can also be caused by a medical condition that the mother has had since before pregnancy. The Poedji Rochjati scorecard (KSPR) is a scorecard used as a family-based antenatal screening tool to find risk factors for pregnancy. The challenges faced by cadres in carrying out health development activities are generally caused by the lack of education level and lack of training provided to them regarding their duties as Posyandu cadres. The purpose of the activity "SOSIS POSKA (Socialization of Poedji Rochjati Scores with Cadres) is expected that pregnant women with high risk can be detected as early as possible so that action planning can be carried out and can reduce maternal and infant mortality (AKB). This activity will be carried out in January 2024, carried out in two places, namely the Pandansari village Polindes and at the cadres' house, in the Kintap Health Center Working Area, Tanah Laut Regency, South Kalimantan. Pandansari Village was chosen to be given the innovation of the POSKA SOSIS program because it is a village with 89 pregnant women and most of them have a high risk (pregnant women >35 years, hypertension, pregnant women with comorbidities). The participants of this activity were cadres totaling 15 people. The activities carried out were Socialization about Poedji Rohjati Score, Simulation of Poudji Rochjati Score implementation, Evaluation, and question and answer. In this activity participants gave a fairly good response and discussed with each other, what things can help so that the objectives of this program are understood and can be implemented properly and correctly.

According to WHO (2022) the MMR in the world is 91.46/100,000 live births, the MMR in ASEAN (2022) is 235/100,000 live births (ASEAN secretariat, 2022). In Indonesia, the MMR in 2022 is 230/100,000 live births (Indonesian Ministry of Health, 2022). The MMR in Central Java in 2022 was 98.6/100,000 live births (Central Java Health Office, 2022) and the MMR at the Bumiayu health center in 2022 was 2 cases (Bumiayu Health Center, 2020-2022). Objective : To reduce morbidity and mortality rates of mothers and infants in Brebes district, especially the working area of Puskesmas Bumiayu. this research is a qualitative descriptive study, the type of research used in this study is using a comprehensive case study approach. Comprehensive case study research is a method for understanding individuals that is carried out interactively (Notoadmojo, 2019). Research Results : This comprehensive care found a gap in theory and practice in pregnancy and childbirth care. Conclusion: Comprehensive Midwifery Care for Mrs. S aged 43 years with preeclampsia and high risk factors at BPM Mrs. R in the working area of the bumiayu health center from third trimester pregnancy, childbirth, newborns, postpartum and family planning with the Varney and soap midwifery approach.

The writing of this article aims to analyze postpartum mental health disorders can be categorized as psychiatric disorders for reasons of criminal expungement and analyze the imposition of criminal sanctions in the criminal act of child abuse by mothers who suffer from baby blues syndrome in the Karawang District Court Decision Number 296/Pid.B/2018/PN.Kwg. The type of research used is normative with a statutory approach and a case approach. Based on the results of research conducted by the author, it is obtained that postpartum mental health disorders can basically be used as an excuse for criminal erasure in accordance with the severity experienced. The imposition of imprisonment by the judge in the case of child abuse by a mother with mental health disorder in the verdict was not appropriate because the judge did not pay attention and consider the condition of the perpetrator of the crime who suffered from mental health disorders of a fairly severe type and level.

The mother's condition during pregnancy, childbirth, the postpartum period, and the baby being born are greatly influenced by the mother's health. The consequences of anemia in pregnant women include the risk of abortion, premature birth, fetal growth restrictions, increased risk of infection, low birth weight babies, as well as other complications such as difficulties during delivery, congenital abnormalities, and the risk of shock during the birth process. Complementary therapies refer to various systems of medicine and health care that are not included in conventional medicine. This therapy aims to complement conventional medical treatment and must be in accordance with applicable health values and laws. The aim of the activity is to create complementary educational media to overcome anemia in pregnant women at the Kotabaru Community Health Center. Activities will be carried out in January 2024 involving pregnant women and the community in the Kotabaru Community Health Center working area. The result is that activities have been carried out by providing education using poster media. Complementary implementation can be continued to inform the public so that pregnant women can be independent in maintaining their pregnancy and also have support from health workers and the community.

BACKGROUND The exact incidence of infertility is not yet known with certainty, it varies greatly. Birth can occur in two ways, normal or natural (vaginal) and abnormal or delivery which is usually known as caesarean section. SC (Sectio Caesarea) is an artificial birth where the fetus is born through an incision in the abdominal wall and uterus, which can result in bleeding and incision wounds (Meo, 2021). In Indonesia, the number of caesarean sections increases along with the incidence of post-SC wound infections, where around 90% of post-cesarean section morbidity in the data obtained is caused by surgical wound infections. The incidence of caesarean sections (SC) is increasing every year, and according to the World Health Organization the standard for caesarean sections in a country is 5-10% of every newborn in the world (Hastutik, 2020).OBJECTIVE: To analyze the relationship between postpartum mothers' knowledge about post-SC wound care and the incidence of SC wound infections in Multatuli Village, Natal District, Mandailing Natal Regency in 2023. METHOD chi square test p value < 0.05 means H0 is rejected and Ha is accepted, the statistical test results show a significant relationship . RESULTS: There is a significant relationship between the knowledge of postpartum mothers regarding post-SC wound care and the incidence of SC wound infections. Suggestions are given for research and for research sites and for educational institutions regarding Post SC Wound Care    

Background: Postpartum Blues is a psychological condition that occurs in mothers after childbirth. In Indonesia, the prevalence of Postpartum Blues is 1 to 2 per 1000 births. As many as 53% of postpartum mothers experience symptoms such as mood swings and difficulty regulating emotions for no apparent reason, which is an indication of Postpartum Blues syndrome. Objective: This study aims to determine the factors associated with the occurrence of Postpartum Blues syndrome in mothers after childbirth. Methods: This study used a quantitative approach using a cross-sectional strategy. This study involved a sample of 30 postpartum mothers selected by the Accidental Sampling technique. The data collection process was carried out using a questionnaire. This study used the Chi-Square test. Results: The results showed that in PMB X Batam City, the majority of postpartum mothers were adults (56.6%), had several previous pregnancies (56.7%), had completed high school education (46.6%), and did not receive social support (53.3%). The results showed that there was a significant relationship between age, parity, education, and social support with the occurrence of Postpartum Blues in postpartum mothers (p=0.003, p=0.024, p=0.441, p=0.282, and p=0.011). Conclusion: The incidence of Postpartum Blues in postpartum mothers is influenced by age, parity, and social support. However, there is no relationship between education level and the incidence of Postpartum Blues.

One of the main causes of maternal mortality in developing countries such as Indonesia is puerperal infection. One of them is perineal wounds caused by childbirth, which, if not treated, has the potential to cause infection due to the entry of germs through the wound sutures. This research design is a Quasy experiment, a posttest-only control group design. The population was postpartum mothers, with a sample size of 20 people taken by simple random sampling. The study results were then analyzed univariately and bivariately using the t-test statistical test. Of the ten respondents from the experimental group studied, the average healing time of perineal wounds after the use of a combination of betel leaf decoction water and binahong leaves was 3.00 days, while in the control group, it was 7.80, meaning that the experimental group was four days faster than the control group. The results of statistical tests with independent t-tests with α = 0.05 obtained p value = 0.001, which means p-value <0.05; thus, there is an effect of using betel leaf decoction water and binding leaves on perineal wound healing time.

Low rates of exclusive breastfeeding pose a threat to children's growth and development, affecting the quality of human resources. The majority of breastfeeding mothers discontinue breastfeeding within a few weeks postpartum due to perceived insufficient breast milk and dissatisfaction of the infant during breastfeeding. The objective of this community service activity is to enhance the knowledge, attitudes, and behaviors of postpartum mothers regarding breastfeeding their infants. The methods employed included lectures and question-and-answer sessions with mothers. This activity took place in the Postnatal Care Room of Padjonga Daeng Ngalle Hospital, Takalar Regency, on March 20, 2024, with the participation of six postpartum mothers. The results of education and support provided to postpartum mothers on exclusive breastfeeding using leaflets and flip charts showed that prior to the intervention, only 2 mothers (33.33%) had good knowledge, and after the education and support, this number increased to 5 mothers (83.33%) in the post-intervention test. Therefore, through education and support, motivation and behavioral changes in exclusive breastfeeding practices among postpartum mothers can be enhanced

The puerperium is an important period, as the risk of maternal and infant morbidity and mortality increases during this period. Hemorrhage is the leading cause of maternal death worldwide and most occur before 24 hours postpartum. Therefore, the birth attendant must ensure that the uterus contracts properly so that bleeding does not occur. The postpartum period is influenced by many factors, one of which is socio-cultural. Indonesia is a country consisting of various tribes and cultures that have their health traditions. Not all existing traditions have a bad effect on health but some have a positive impact on health. Efforts to assist and therapy to shape the coping skills of postpartum women are complementary therapy. Complementary therapy is a therapy that is used as a companion in conventional therapeutic efforts that a person has done. This type of research is descriptive by applying a case study approach. The implementation of this research was carried out at the Pratama Medical Center Clinic on Mrs. F by providing complementary health education education for mothers in the postpartum period.

The background of this study is still high Maternal Mortality Rate (MMR), MMR is one indicator to see efforts to succeed in maternal health, mortality rates can occur during pregnancy, childbirth and postpartum. Miscarriage during pregnancy and incomprehensive post-miscarriage care is one of the causes of MMR. The purpose of this study was to find out how the implementation of post-miscarriage care in the working area of the South Paringin Health Center, Balangan Regency. This research method is descriptive quantitative, using secondary data derived from medical records, the population of this study is all post-miscarriage mothers from January 2021 to October 2022, the sample in this study uses total sampling techniques where all populations are sampled, namely 37 post-miscarriage mothers. The results showed that post-miscarriage care has not been said to be comprehensive because it still focuses on medical management and is only based on patient complaints.

Background: one of the activities that create a bonding between mother and child is bathing the baby. But most mothers are afraid when doing it, this is because the baby's physical condition is still weak. Therefore, it is important for postpartum mothers to know how to bathe the baby correctly and safely. However, based on preliminary studies conducted at PMB SR, it was found that most postpartum mothers still use shamans or in-laws to bathe their babies. Objective: to determine the skills overview postpartum mothers in PMB SR. The benefits of research for the population in the research area are to increase the knowledge and skills of postpartum mothers about how to bathe babies properly and safely, so as to prevent hypothermia, infection, and infant death, and increase bonding attachment between mother and baby. Research design: this study uses a descriptive design with a cross sectional approach. the population of all postpartum mothers in PMB SR who met the inclusion criteria amounted to 30 people in the period 08 May - 08 June 2023 the measuring instrument in this study was the baby bathing skills checklist. Results: from the results of descriptive analysis obtained, respondents with skilled categories of 7 people (23%), and unskilled obtained 23 people (77%). Discussion: based on the results obtained, most postpartum mothers are not skilled in bathing their babies. It is expected that this study can be used as data to improve the skills of mothers by changing the method in the class of pregnant women from lectures to a combination of lectures and demonstrations.