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One of the efforts to reduce MMR is by increasing the knowledge and skills of pregnant women, including regarding the danger signs of pregnancy. The class for pregnant women coordinated by the Sungai Turak village health center was felt to be less than optimal, where the level of attendance and motivation of mothers in attending the class for pregnant women was felt to be lacking. So a solution is needed to increase mothers' interest and motivation in attending classes for pregnant women held by the Sungai Turak Community Health Center. Completion by providing a creative poster about the importance of classes for pregnant women. The posters created are designed to be as attractive as possible, so that they get the attention of pregnant women who check their pregnancies at the Puskesmas/Posyandu. The poster design is made with minimal text, so that the poster can be more attractive. The posters also use regional languages to make them more interesting and familiar to read by local people. The poster also shows the schedule for holding classes for pregnant women at the Sungai Turak Community Health Center. Posters will be placed at community health centers, posyandu and village offices, as well as in shops frequently visited by the public.

One of the health services needed by pregnant women is maternal and child health counseling. The pregnant women class is a means to learn together about health for pregnant women, in the form of face-to-face in groups that aim to improve mothers' knowledge and skills regarding pregnancy, pregnancy care, childbirth, postpartum care, newborn care, myths, infectious diseases and birth certificates. The class for pregnant women coordinated by the Sungai Turak village health center is considered less than optimal, where the level of attendance and motivation of mothers in participating in classes for pregnant women is considered to be lacking. Other facilities are also needed that can support the implementation of classes for pregnant women. The resolution of obstacles or obstacles is to cooperate with village institutions (Village Government, Village Consultative Bodies, and Village Community Institutions), to include the budget for pregnant women classes in the Village Revenue and Expenditure Budget (APB). Based on the results of discussions with village officials, it was decided to include some proposals for pregnant women classes in the Village Revenue and Expenditure Budget (APB).

Menstrual cycle disorders are menstrual disorders, also known as abnormal uterine The maternal and child health program is one of the priorities of the Ministry of Health and the success of the MCH program is one of the main indicators in the National Long Term Development Plan (RPJPN) 2005 – 2025. The aim of implementing assistance in the use of maternal and child health books (KIA) on the behavior of pregnant women in services. Health During Pregnancy, Maternity and Postpartum in the Working Area of ​​the Gomo Health Center, Gomo District, South Nias Regency, 2023. Pre-Experimental Designs research method. The population in this study was all pregnant women at the Gomo District Health Center, Gomo District Health Center. South Nias in 2023 as many as 102 people. Wilcoxon Signed Ranks Test statistical test. The results of the Wilcoxon Signed Ranks Test showed a p value < 0.05. The results of the research were that the majority of pregnant women who had a positive attitude before the implementation of assistance (pre test) were 31 people (62.00%) after (post test) for four visits there was an increase There were 43 positive attitudes among pregnant women (86.00%). Then the results of the Wilcoxon statistical test obtained p (0.001) < 0.005, so it can be concluded that the null hypothesis was rejected, meaning that there was effectiveness in the actions of pregnant women after being accompanied by the KIA book compared to before being accompanied by the KIA book. Based on the results research, a way to find out early detection of the dangers of pregnancy at the nearest health service on a regular or periodic basis.

Pregnancy is a physiological and natural process. Based on WHO data in 2020, the global prevalence of anemia in pregnant women throughout the world is 41.8%, which is related to anemia in pregnancy caused by iron deficiency and acute bleeding. Efforts that can be made to overcome anemia are by giving beetroot, pomegranate, dragon fruit or guava juice or you can also consume boiled chicken eggs to increase hemoglobin levels. The nutritional content of chicken eggs is rich in high quality protein. The aim of this research is to determine the effectiveness of consuming boiled chicken eggs and fe tablets on hemoglobin levels in anemic pregnant women at Clinic I Bekasi in 2023. The research method used is the Quasi-experimental Pre-Post Test With Control Group Design method. Sampling was taken with a total sampling of 30 people. Data analysis used frequency distribution and independent t test. This study uses primary data from Hb examination values by researchers. The research results showed that the average increase in Hb in the intervention group was higher than in the control group. The calculated t value (6.768) > t table (2.048). The results of the analysis used the Independent t test with a p-value of 0.000 < 0.05, meaning that Ho was rejected and Ha was accepted, meaning that there was an effect of consuming boiled chicken eggs and Fe tablets on hemoglobin levels in anemic pregnant women at Clinic I Bekasi in 2023.It is hoped that this research will provide material for consideration of non-invasive therapy that can be offered to pregnant women in order to reduce the number of pregnancy complications, especially helping pregnant women have a healthy and happy pregnancy.

Anemia is a dangerous condition that can occur in pregnant women, this case often occurs in the first, second and third trimesters. Anemia is a reduction or reduction in the capacity of the blood to carry oxygen. Based on data from the Indonesian Ministry of Health (Kemenkes), the population of pregnant women who experience anemia is 37.1%. The proportion of anemia in pregnant women in urban areas is 36.4% and in rural areas is 37.8%. The most common type of anemia in pregnant women is microcytic hypochromic anemia (59% of pregnant women are anemic). This study aims to determine the description of MCH, MCV and MCHC in pregnant women in the second trimester at the Wonokerto I Community Health Center, Pekalongan Regency. The research method used is descriptive. The research was conducted at the Wonokerto I Community Health Center Laboratory, Pekalongan Regency. The total sample was 20 second trimester pregnant women. Using the Hematology Analyzer Dirui BCC 3600. From 20 samples of pregnant women in the second trimester, the MCV was obtained for 11 Normocytic pregnant women (80-100 fL), 8 Microcytic pregnant women (<80 fL), and 1 Macrocytic pregnant woman (>100 fL). . MCH description of 9 Normochrome pregnant women (27-34 pg), 10 Hypochrome pregnant women (<27 pg) and 1 Hyperchrome pregnant mother (>34 pg). MCHC description of 9 pregnant women is Normal (32-36 g/dL), 10 pregnant women are Low (<32 g/dL) and 1 pregnant woman is High (>36 g/dL). The conclusion of this study is that from 20 samples of second trimester pregnant women, the most common type of anemia was Hypochromic Normocytic Anemia with low and normal MCHC index levels.  

Nausea and vomiting in pregnancy occur as a result of changes in the endocrine system that occur during pregnancy. According to WHO, pregnancies with excessive nausea and vomiting reach 12.5% of all pregnancies in the world with varying incidence rates. In Bekasi Regency in 2018 there were 206 pregnant women with nausea and vomiting in the first trimester. Therapy to reduce nausea and vomiting can be done by means of acupressure at pericardium point 6 3 times a day with a minimum duration of 10 minutes. The aim of this study was to determine the effect of acupressure at pericardium point 6 on the intensity of nausea and vomiting in pregnant women at TPMB I in 2023.The research method used is the Pre-experimental One Group With Pre-Post Test Design method. Sampling was taken with a total sampling of 30 people. Data analysis used frequency distribution and Wilcoxon test. This research uses primary data from observation values by researchers.The results of the study showed that all respondents experienced a decrease in nausea and vomiting after acupressure was carried out at point P6. The P value is 0.000 < 0.05 so it can be concluded that Ha is accepted or Ho is rejected, meaning there is a significant influence on administering acupressure at point P6 to pregnant women with nausea and vomiting at TPMB I in 2023.It is hoped that this research can be used as an alternative non-pharmacological technique that is easy to carry out without harmful effects in providing intervention for cases of nausea and vomiting in pregnant women.

Iron plays a crucial role in fetal growth, making its consumption essential for pregnant women. This community service journal discusses initiatives to enhance adherence to iron tablet consumption among pregnant women, involving the active participation of healthcare professionals in the Puskesmas Kabupaten Asahan area in 2023. The research aims to identify factors influencing pregnant women's adherence to iron tablet consumption and to develop intervention strategies involving healthcare professionals. The research methodology employs a participatory approach, engaging healthcare professionals and pregnant women as research subjects. Results indicate that factors such as knowledge, motivation, and social support significantly contribute to improving adherence to iron tablet consumption among pregnant women. Intervention approaches involving active roles of healthcare professionals, such as counseling, regular monitoring, and emotional support, have proven successful in increasing adherence levels. These findings serve as a foundation for developing more effective intervention programs to enhance the health of pregnant women in the working area of Puskesmas Kabupaten Asahan in 2023.

WHO (World Health Organization) data show that AKI in developing countries is about 20 percent related to gestational hypertension due to lack of rest patterns and a good diet. Hypertension in pregnancy becomes the second category of causes of maternal death. The purpose of the devotion is to increase the knowledge of pregnant women about a healthy diet to prevent hypertension in pregnancy. The lecture method was used in this service by means of delivering material directly to pregnant women in RW 06 Sirnagalih Village, sampling with saturated sampling of 25 respondents. The results obtained a T value of -9,798.and p value = 0.000 (α < 0.05), which means that there is an educational influence of the pregnant woman's diet to prevent hypertension. Results obtained from the pretest and post test that there was an increase in participants' understanding of the pre test score of 1.08 and the post test score of 1.88. The conclusion is that it can improve the knowledge of pregnant women about diet to prevent hypetence in pregnancy in RW 06 Sirnagalih Village.

Chronic energy deficiency (CED) in pregnant women can also be interpreted as a situation when pregnant women have insufficient energy intake for a long period of time, causing the pregnant woman to gain less weight and can disrupt the health of the mother and fetus she is carrying. CED in pregnant women can trigger various health problems, such as anemia, respiratory tract infections, metabolic disorders, and increase the risk of complications during childbirth. The aim of this research was to determine the consumption pattern of Ferros (Fe) tablets among pregnant women who experience chronic energy deficiency (KEK) at the Kurra Health Center, Tana Toraja Regency. This research method is quantitative with a cross-sectional research design. The population in this study were 31 pregnant women who experienced Chronic Energy Deficiency (CED) at the Kurra Health Center, Tana Toraja Regency and the sample in this study were 31 pregnant women who experienced Chronic Energy Deficiency (KEK) at the Kurra Health Center, Tana Toraja Regency. pregnant mother. The sampling technique used in this research is total sampling where the researcher will take the entire population. This research was processed using a computerized system with the help of the SPSS program. The data analysis method used is statistical test analysis with a statistical test (chi-square) to determine the consumption pattern of Ferros (Fe) tablets in pregnant women who experience chronic energy deficiency (KEK), where if a p value of 0.000 < 0.05 is obtained, it can be interpreted as significant. Therefore, it is recognized that the pattern of consumption of Ferros (Fe) tablets in pregnant women who experience chronic energy deficiency (KEK)

Preeclampsia is a hypertensive disorder in pregnancy. This situation can be pregnancy emergency if this don’t received proper treatment, which is bring a risk for the mother and her fetus. This risk can be continue in birthing period and the postpartum period. The preeclampsia’s signs likes hypertension and proteinuria is a frequently encountered. Other signs of symptoms include edema (especially on the face and around the eyes and hands), weight gain, nauseous and vomiting, stomach pain spreads to the upper limbs, headaches and visual disturbances (blurred vision), tachypnea and anxiety. In community, Edema in pregnant usually considered common and commonplace, however this is sign of preeclampsia. Health education about getting a pregnancy check-up at the health service needs. This community dedication service aims to increasing the knowledge of pregnant women about the signs, symptoms and prevention of preeclampsia and it is hoped that they can prevent this at the start of pregnancy, so the mother and baby are healthy. The counseling method have be used, the sub topic are the signs, symptoms and prevention of preeclampsia. Counseling participants were pregnant women in the Lebaksiu Kidul area, Tegal Regency.

Anxiety has a negative impact on pregnant women from conception to delivery by inhibiting growth and weakening uterine muscle contractions, among other things. Pregnant women who are anxious are more likely to have premature babies and even miscarriage. A lack of information and beliefs about what is valid (myths) can influence pregnant women's attitudes toward childbirth preparation, causing them to be unconcerned about childbirth preparation. This study aims to determine the relationship between anxiety and knowledge levels and childbirth preparedness in third trimester pregnant women at Kasihan II Primary Health Center. This research employed correlation analysis with cross sectional. The population in this study were third trimester pregnant women. In this study, there were 53 third trimester pregnant women at the Kasihan II Primary Health Center. Data collection techniques in this study used anxiety, knowledge and preparedness questionnaires. The data were then analyzed using the Spearman Rank Test. The study's findings revealed a 0.000 Sig (2-tiled) showing the relationship between the level of anxiety and childbirth preparedness at the Kasihan II Primary Health Center. The statistical test results showed Sig (2-tiled) 0.05, indicating that Ha is accepted, showing that there is a relationship between the level of anxiety and childbirth preparedness at the Kasihan II Primary Health Center. At the Kasihan II Primary Health Center, there is a Sig (2-tiled) value of 0.000 between Trimester III pregnant women's knowledge and their readiness for childbirth.  The statistical test results showed Sig (2-tiled) 0.05, indicating that Ha is accepted and that there is a relationship between third trimester pregnant women's knowledge and childbirth preparedness at the Kasihan II Primary Health Center. In order to reduce anxiety, it is hoped that third trimester pregnant women will learn as much about pregnancy as possible from the midwife during ANC. It is hoped that mothers will be able to attend classes for pregnant women held at the Puskesmas to further their education.

This study aimed to evaluate the effect of prenatal gentle yoga on reducing lower back pain in third-trimester pregnant women at PMB Midwife Aida Nospita S.Keb in Labuhan Deli District, Deli Serdang Regency, in 2023. The research method employed a quasi-experimental design with treatment and control groups. The study sample consisted of 30 third-trimester pregnant women divided into two groups: one receiving prenatal gentle yoga and the other serving as the control group without yoga intervention. Measurement of lower back pain was conducted before and after the intervention using a visual analog pain scale. The results indicated that prenatal gentle yoga significantly reduced lower back pain in third-trimester pregnant women compared to the control group. In conclusion, prenatal gentle yoga can be an effective alternative in alleviating lower back pain in third-trimester pregnant women.

The increase in the incidence of anemia in Medan City from 2020 to 2023, peaking at 32.39%, is the focus of research. This study aims to assess the relationship between parity and maternal age and anemia in third trimester pregnant women at BPM Erlina Herawati, Medan City in 2023. The chi-square test was used for data analysis. The results showed that there was no significant relationship between maternal age and anemia in pregnant women in the third trimester at BPM Erlina Herawati in 2023 (p-value 0.243). However, there was a significant relationship between parity and anemia in this group (p-value 0.023, RP 0.328). The research conclusion states that there is no significant relationship between maternal age and anemia, but there is a significant relationship between parity and anemia in pregnant women in the third trimester at BPM Erlina Herawati in 2023. This study provides new insights regarding the risk factors for anemia in this population.

Pregnant women who have poor sleep quality during pregnancy have a negative impact on labor and fetal health. Pregnancy exercise is a body movement in the form of exercises with rules, systematics and special movement principles that are adapted to the condition of pregnant women, with the aim of making pregnant women mentally and physically ready to face the birthing process. The aim of the research was to determine the effect of pregnancy exercise on anxiety levels and sleep quality in pregnant women at the Pratama Salbiyana Clinic, Deli Serdang District in 2023. The results of the study showed that there was an effect of giving pregnancy exercise on changes in the anxiety level of pregnant women where there was a decrease in the value of anxiety level after administration. pregnancy exercise as indicated by a significance value of p=0.000. It is recommended that physiotherapists should participate more in promotive, preventive, curative and rehabilitative actions for pregnant women, such as providing pregnancy exercises to pregnant women.

Pregnant women in Indonesia are required to have a Maternal and Child Health (MCH) Book. The latest edition of the MCH Book was published in 2020, the contents of which are increasingly complete and complex, on page 21 of this book contains a description of 6 Danger Signs in Pregnancy which are very important for a pregnant mother to know and be aware of. This study aims to determine the description of pregnant women's knowledge about the 6 Danger Signs in Pregnancy based on the KIA Book in the working area of ​​the Madising Na Mario Community Health Center. This type of research is descriptive research using primary data collected through a questionnaire instrument. The population in this study was 84 pregnant women and a sample of 51 respondents was obtained (purprosive sampling). This research was carried out from February 13 to March 13 2023. The research results obtained were that 56.9% (29 respondents) of respondents had poor knowledge about the 6 Danger Signs in Pregnancy based on the MCH Book they owned. So it is hoped that pregnant women will pay more attention to the MCH Book they have, not only to record their pregnancy history, but it can also be used as a guidebook during their pregnancy to avoid pregnancy complications.  

Factors that influence anxiety in pregnant women include lack of family support, financial adequacy, stress from the environment, high frequency of nausea and vomiting (physical health factors of pregnant women), attitudes towards pregnancy and ability to control pregnancy, good adjustment process to pregnancy. physically and psychosocially, as well as information about frightening birth experiences from the environment. (Andriana, 2016) This research aims to determine the influence of the class of pregnant women on anxiety among primigravida mothers in Parmonangan Village, Samosir Regency in 2023. This research uses a quantitative research design using correlational research and a cross-sectional approach, the population and sample size are primigravida mothers with a gestational age of 8-37 weeks in Parmonangan Village, Samosir Regency, namely 40 people using the total sampling method in April-June 2023. Analysis uses the Chi Square test for significance and if the p-value is > 0.05. Based on the results of the Chi Square statistical test research, the p value = 0.001, so p > 0.05, means H0 is rejected and Ha is accepted. This means that there is a relationship between the class of pregnant women and primigravida anxiety at the Tanjung Pura District Hospital, Langkat Regency based on Spearman's rho calculations with ᾳ = 0.05, a p value of 0.010 is obtained because the p value < ᾳ means that the test results are statistically significant, or reject Ho. described that pregnant women who attended classes for pregnant women had mild levels of anxiety. It is hoped that this will provide information about the implementation of pregnancy classes for primigravida mothers in reducing anxiety about their pregnancy

Fluorus albus (vaginal discharge) is white fluid that comes out of the sexual canal in excess. Fluorus albus is a vaginal fluid, not blood. During pregnancy, vaginal discharge increases in quantity. According to the World Health Organization (WHO), recommendations in America that reproductive health problems include 31.6% of pregnant women experiencing vaginal discharge (fluor albus) caused by the fungus Candida albican. In Indonesia, the problem of vaginal discharge is increasing, with more than 75% of women experiencing vaginal discharge due to the humid temperature in Indonesia, making them easily infected. candida albicans fungus, parasites such as pinworms or germs (trichomonas vaginalis) (WHO, 2019). According to data from the 2019 North Sumatra Province Health Profile, there were 648,829 pregnant women in 2019, 1,566 cases of pregnant women experiencing vaginal discharge, in the city of Medan in 2019 there were 855,281 people and 45% had experienced vaginal discharge (North Sumatra Health Profile, 2020) . Method: This activity begins with the preparation, implementation and evaluation stages. Results: 15 participants in this activity were pregnant women who visited PMB Shinta in Medan Polonia, Medan City. In its implementation, it was explained that the genital organ problem that pregnant women often experience, especially in the third trimester, is fluoride albus (vaginal discharge). The types of vaginal discharge also need to be understood as well as the treatment and therapy that needs to be given to pregnant women in preventing and treating cases of Fluor Albus. Conclusion: The results obtained from this community service activity are an increase in knowledge about preventing vaginal discharge and the treatment that will be carried out if complications occur. Pregnant women who experience vaginal discharge will pose a risk to the health and growth and development of their fetus later. The risk of vaginal discharge before and after was an increase of 15% for the good level of knowledge, and 27% for the sufficient level, and at the level of poor knowledge it decreased by 40%. With this change in the level of knowledge and strengthening understanding of Fluor Albus, it is hoped that pregnant women will be more aware of the conditions of their pregnancy, especially in maintaining personal hygiene which will result in disruption of fetal growth and development. Conclusion: The results obtained from this community service activity are an increase in knowledge about preventing vaginal discharge and the treatment that will be carried out if complications occur. Pregnant women who experience vaginal discharge will pose a risk to the health and growth and development of their fetus later. The risk of vaginal discharge before and after was 15% increased for the good level of knowledge, and 27% for the sufficient level, and for the poor knowledge level it decreased by 40%.

An antenatal care visit is a visit of a pregnant woman to a health worker as early as possible since she must trust her to get antenatal care services. An assesment of the implementation of antenatal care services can be done by looking at the coverage of K1 and K4. This study was conducted in Lubuk Buaya Primary Health Centre at december 28th 2022- February 20th2023 with a cross sectional design. Thirty nine sample was taken by total population technique to all pregnant women who give birth in Lubuk Buaya Primary Health Centre. Data was collected use questionnaire, processed data  and analyzed by univariate and bivariate. Results of this study found 23.5% respondents did not have complete visit, 12.5% respondents had a low level of knowledge, 56.4% respondents have negative attitude,  and 33.3% respondents did not have husband’s support. Statistical analysis shows correlation between complete visit (p<0.05) with knowledge (p=0.007) and husband’s support (p=0.039) and no correlation with attitude (p=0.052). We can conclude that there is a correlation between knowledge and family support with complete visit coverage. However, there is no correlation between attitude and complete visit.

Counseling with media is able to arouse and bring pregnant women into an atmosphere of joy and excitement, where there is emotional and mental involvement. The effectiveness of using outreach media is largely determined by the number of senses of reception involved. The more senses are used, the easier it is to understand the delivery of the extension message. This research aims to determine the effect of counseling using audiovisual media on compliance with iron tablet consumption behavior among pregnant women at Kenangan Public Health Center, Medan Denai District, Medan City in 2024. This type of research is research using a quasi-experimental research method (quasi-experiment) with a pretest-posttest design. The population and sample are all pregnant women from TM III Kenangan Health Center, Medan Denai District, Medan City in 2024 in May-June, as many as 32 people using the Purposive Sampling technique using the Chi Square statistical test. It was concluded that counseling using audiovisual media had an influence on compliance with iron tablet consumption behavior among pregnant women at the Kenangan Community Health Center, Medan Denai District, Medan City in 2024

Back pain is an inconvenience found in pregnant women, especially trimester III pregnant women. Back pain becomes a common problem for pregnant women and could make them feel anxious, afraid, and stressed. The birthing ball and lavender aromatherapy combination is a non-pharmacological therapy and simple physical therapy with the ball. This research determined the combination of birthing ball and lavender aromatherapy combination toward the backpain of trimester III pregnant women at an Obstetrician Practice Erta Faulina Semarang. This pre-experimental research used a one-group-pretest post-test design. The population consisted of all trimester III pregnant women at OB Erna Faulina Semarang. The researchers took 36 samples with purposive sampling. The instruments were a questionnaire and pain observation sheet. Then, the researchers used the Wilcoxon statistic test. The result showed the pain scale before implementing the combination was 5, moderate pain; after the implementation of a combined birthing ball and lavender aromatherapy, the pain scale relieved into 2, mild pain. The Wilcoxon test showed a p-value lower than < α (0,05). The result accepts Ha, indicating the influence of combined birthing ball and lavender aromatherapy on the back pain of trimester III pregnant women. The researcher recommends obstetricians provide the combined birthing ball and lavender aromatherapy for trimester III pregnant women with back pain. This research result could be a reference and insight for students of obstetrics and be an effective obstetric intervention to relieve the backpain of trimester III pregnant women.