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Maternal knowledge of newborn care plays an important role in maintaining neonatal health and preventing early complications. Parity is considered one of the factors that affect the mother's level of knowledge, as previous childbirth experiences can improve the understanding and skills of caring for the baby. However, primipara mothers often face challenges due to limited experience. This study aims to analyze the relationship between parity and newborn care knowledge in primipara mothers at the Tumpunglaung Health Center. The research method uses an analytical quantitative design with a cross-cutting approach. The study population was mothers who had just given birth at the Tumpunglaung Health Center, with a sample of 30 primipara mothers selected through purposive sampling. Data were collected using a structured questionnaire that included maternal characteristics and newborn care knowledge, including breastfeeding, hygiene, thermoregulation, and red flags. Data analysis was carried out by Chi-square test using SPSS at a significance level of p < 0.05. The results showed that most primitive mothers had moderate to low levels of knowledge, with a significant relationship between parity and newborn care knowledge. The conclusion of the study confirms the importance of strengthening education and counseling for primitive mothers to improve infant care practices and support neonatal health.

Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) can be a measure of a country's welfare in determining the optimal degree of health. The maternal mortality rate in the world is 303 thousand people (WHO 2023). MMR in Indonesia was 4,129 people in 2023. Meanwhile, the Infant Mortality Rate (IMR) in the world is 29,945 people (WHO, 2023). In Indonesia, there were 16.85 infant mortality rates in 2023. SEZ is a nutritional deficiency in pregnant women that lasts for several months or years. SEZ conditions can indirectly cause MMR and IMR. SEZ in pregnant women can cause complications such as IUGR, Abortion, LBW, Circulation, Anemia, Bleeding, and Childbirth complications. Research Objective: Providing Comprehensive Midwifery Care in accordance with midwifery care standards starting from pregnancy, childbirth, postpartum, newborn, and family planning in Mrs. A 22 years old with Chronic Energy Deficiency (SEZ) and Chepalo Pelvic Disproportion (CPD) with a midwifery management approach according to Varney and SOAP. Research Methods: Descriptive Qualitative with Case Study approach Results: Comprehensive Midwifery Care on Mrs. A aged 22 years with SEZ can be overcome by an increase in LILA, there is a CPD so that SC delivery is performed and appropriate case management is carried out so that labor, newborn, postpartum period, and family planning goes well. Conclusion: The results of the comprehensive care given to Mrs. A 22 years old with Chronic Energy Deficiency (SEZ) can be resolved marked by an increase in LILA, SC delivery on indications of CPD, normal LBW, normal postpartum, and mini pill birth control.

High-risk pregnancy is a pregnancy with a number of risk factors that can cause more serious risks or complications and disrupt the pregnancy process until the postpartum period which endangers the life of the mother and fetus, and occurs due to several factors including pregnancies that are too close together, pregnancies with a mother's age that is too young or old, or pregnancies with too frequent births. Too close pregnancy spacing is a pregnancy gap of <24 months (2 years) between the current pregnancy and the previous pregnancy. Based on the midwifery management method described by VARNEY and SOAP, this study aims to offer complete midwifery care services to Mrs. T, from pregnancy to the use of contraceptives, through a qualitative descriptive method with a case study approach. Research findings from the comprehensive midwifery care assessment that has been provided to Mrs. T aged 31 years, in pregnancy found problems spacing of less than 2 years. Mrs. T gave birth spontaneously at Siti Asiyah Bumiayu Hospital with severe preeclampsia. At By. Mrs. T visits I, II, III no problems were found. Mrs. T's postpartum. From 6 hours postpartum to 42 days postpartum, problems were found at the second visit, including hypertension and lower extremity oedema. Proper care from midwives during pregnancy, childbirth, newborn care, postpartum care, and family planning is crucial for the health of both mother and baby.

Background: Colostrum is the first natural food for newborns, containing essential nutrients and antibodies that protect against infection. Health education for pregnant women in their third trimester is crucial to enhance their knowledge and practices regarding colostrum provision. Despite the global decline in neonatal mortality, the rate remains high, partly due to limited access and low quality of neonatal care. In Indonesia, particularly in Semarang, although exclusive breastfeeding coverage has improved, many mothers still lack understanding of colostrum’s importance and remain influenced by misconceptions. Preliminary studies revealed insufficient knowledge among pregnant women about colostrum. Method: This study applied a quasi-experimental method with a pretest-posttest design and a control group. The intervention group received health education, while the control group did not. Results: Before intervention, most respondents in both groups had poor knowledge. After the intervention, knowledge in the intervention group increased significantly, with 88.8% reaching a good category, while the control group showed no significant change. Furthermore, 94.4% of mothers in the intervention group gave colostrum, compared with only 33.3% in the control group. Conclusion: Health education is an effective strategy to increase maternal knowledge and encourage colostrum practice, dispelling myths and promoting better neonatal outcomes.

Maternal mortality remains a challenge in Indonesia, and one contributing factor is chronic malnutrition (CED), which impacts pregnancy, childbirth, the postpartum period, and the newborn. The 2022 registration report shows that of the 3,249,203 pregnant women whose MUAC was measured, 283,833 had a MUAC of less than 23.5 cm (at risk of CED), meaning 8.7% of these pregnant women were at risk of CED. In the Brebes area, the 2022 report recorded 3,475 pregnant women with CED. At the Bantarkawung Community Health Center in 2023, there were 36 cases of preeclampsia, 22 cases of transverse lie, 107 cases of CED, and anemia. Objective: Provide comprehensive midwifery care in accordance with standards of care for pregnant women, women giving birth, newborns, postpartum women, and family planning. Research method: Qualitative descriptive method, the type of research approach used in this study is a comprehensive case study approach. Results: Comprehensive care was provided to Mrs. R who suffered from chronic energy deficiency, and was successfully overcome. Delivery was carried out by caesarean section, the baby was born normally, and the postpartum period went smoothly, and the mother chose a contraceptive method, namely a three-monthly birth control injection. Conclusion: Comprehensive obstetric care has been proven effective in overcoming chronic energy deficiency, ensuring a safe delivery, a normal baby born, a normal postpartum period, and compliance with contraceptive methods.

A 37-year-old woman, G3P2A0, at 16 weeks of gestation, came to the community health center for her first antenatal check-up. The patient had no characteristic clinical symptoms, but the triple elimination screening results showed reactivity for HBsAg, with negative HIV and syphilis results. An ultrasound examination revealed a viable intrauterine fetus with normal findings. The patient had not received Hepatitis B immunization or vitamin supplements previously, and the patient's partner had not undergone Hepatitis B screening despite having a work-related risk factor. The patient was given iron and vitamin supplements and referred to the hospital for further evaluation. Comprehensive education was provided regarding modes of transmission, risks of maternal and fetal infection, prevention of vertical transmission, as well as the importance of Hepatitis B immunization and the administration of HBIG to the newborn within 12 hours after birth. This case emphasizes the importance of early antenatal screening, comprehensive education, psychosocial support, and collaboration between the patient, family, and healthcare providers to prevent vertical transmission of Hepatitis B. The education provided included essential preventive measures and infection control steps to protect both the mother and the baby. Proper management and follow-up monitoring are necessary to ensure the health of the mother and baby and prevent further complications.

Breast milk (ASI) is the primary and natural food for newborns, providing the necessary energy and nutrients from birth to six months of life, promoting optimal growth and development. However, according to information obtained, about 30% of mothers face challenges in breastfeeding, particularly during the first few days after delivery. To address this issue, interventions such as breast care and oxytocin massage can stimulate breast milk production and prevent issues like mastitis. Oxytocin massage helps stimulate the milk ejection reflex, while breast care ensures the cleanliness of the breasts, making it easier for the baby to latch. The aim of this community service activity is to enhance mothers' knowledge through an educational program focused on oxytocin massage and breast care to improve milk production in postpartum mothers. The method used for this activity is an interactive educational session using tools like PowerPoint and leaflets, followed by a Q&A session and discussion. The evaluation was conducted through oral questioning, as well as by observing participants' enthusiasm during the session. The expected outcome of this activity is to provide mothers with practical knowledge and skills on breast care and stimulating breast milk production, ultimately supporting successful exclusive breastfeeding.

Anomalous positioning is an abnormal position of the fetal vertex (with the small fontanelle as a marker) relative to the maternal pelvis. Oblique malposition is a cause of maternal mortality rate (MMR) of 3-10%. Obesity in pregnancy is a condition characterized by an imbalance between body weight and height. According to WHO data, the prevalence of obesity in 2021 was 340 million, with data in Central Java province reaching 6.62%. In Brebes Regency, the figure was 20.51% (2019). In the Bumiayu Community Health Center, data on obesity in pregnant women reached 63 in 2022. This study aims to provide comprehensive midwifery care for pregnant women, childbirth, postpartum, newborns, and family planning for Mrs. N, 23, with malposition and obesity. This study used a qualitative descriptive method with a comprehensive case study approach. Based on the comprehensive midwifery care provided to Mrs. N, 23, with malposition and obesity, the pregnancy outcome was found to be grade I. Her gestational age was not commensurate with her gestational age. Delivery was performed by vaginal delivery. No problems were found during newborn care up to 28 days. No problems were found during the postpartum period. Mrs. N chose intrauterine contraception (IUD) during pregnancy, but her husband did not allow it due to religious reasons. Appropriate midwifery care during pregnancy, childbirth, newborn care, postpartum care, and family planning is crucial for the health of both mother and baby. This allows early detection of risk factors, preventing potential complications, and reducing maternal and infant mortality.

The right to health services for residents of Senawang Village and evaluating the legal protection mechanisms that can be taken by residents of Senawang Village due to the lack of health services, the type of research used is empirical legal research. The approach method used is a sociological approach and a legislative approach, the type of data is primary data, secondary data and tertiary data. While the data collection techniques are in the form of interviews, literature, and documentation. Finally, with the analysis of the data obtained from this study, it can be concluded that the fulfillment of the right to a healthy life is a basic right that must be guaranteed, because health is part of the primary needs of every human being, which is clearly regulated in Article 28 H paragraph (1) of the 1945 Constitution and Law of the Republic of Indonesia Number 17 of 2023. However, the reality in the field shows that the implementation and implementation of these various policies is still far from expectations. This shows a gap between the ideal regulations on paper and their implementation in real life. Therefore, synergy between infrastructure policies and health services is crucial because without concrete improvements in the infrastructure sector, the goal of realizing equitable, fair, and high-quality access to health services for all Indonesians will be difficult to achieve.

Breech presentation is a condition in which the fetus is in an elongated position with the head at the uterine fundus and the buttocks in the lower part of the uterine cavity. This condition can increase the risk of labor complications, especially if accompanied by serotinus (post-term pregnancy). Based on data from the Indonesian Ministry of Health (2021), the maternal mortality rate caused by breech presentation and serotinus in Indonesia was recorded at 1,309 cases. In Central Java, the incidence of breech presentation reached 11.5% (Central Java Health Office, 2021). This study aims to determine the implementation of comprehensive midwifery care for Mrs. D, aged 24 years, with breech presentation and serotinus at Mrs. S's PMB in the Kaliwadas Community Health Center area in 2023. The research method used a qualitative descriptive design with a case study approach. Data collection was carried out through interviews, observations, physical examinations, documentation studies, and medical record searches. The results of midwifery care showed that during pregnancy, Mrs. D had a good quality of life. Mrs. D underwent three antenatal care (ANC) visits, during which signs of pregnancy complications suggestive of serotinus were detected. Delivery was performed via cesarean section due to serotinus and breech presentation. During the neonatal period, three visits were conducted, with the baby's examination results within normal limits. During the postpartum period, four visits were conducted, during which the mother's condition was generally good, but at the third postpartum visit, problems with breastfeeding were discovered. Mrs. D was also known not to be using postpartum contraception. The results of this study emphasize the importance of early detection and appropriate management of breech presentation and serotinus pregnancies to prevent complications that endanger the mother and baby. Comprehensive midwifery care covering pregnancy, labor, postpartum, and newborn care is an integral effort to ensure the safety of mothers and babies.  

Neonatal jaundice is a common health problem in newborns, characterized by yellow discoloration of the skin and sclera due to increased bilirubin levels in the blood. This condition, if not detected and treated properly, can lead to serious complications such as kernicterus, which can lead to long-term neurological developmental disorders. Risk factors contributing to jaundice include suboptimal breastfeeding practices, delayed initiation of breastfeeding, and low birth weight. Adequate breastfeeding from an early age plays a crucial role in accelerating the excretion of bilirubin through feces, while monitoring birth weight can help identify infants at risk of hyperbilirubinemia. This outreach activity aims to increase mothers' and families' knowledge about the importance of early and exclusive breastfeeding, as well as monitoring birth weight as a preventive measure for neonatal jaundice. The activity was conducted at Andi Makkasau Regional Hospital using lectures, interactive discussions, and the use of educational media such as leaflets and posters. The training materials covered the definition, risk factors, signs and symptoms of jaundice, early detection procedures, the benefits of breastfeeding in preventing jaundice, and the importance of recording and monitoring infant weight. The activity was evaluated through pre- and post-tests to gauge participants' understanding. The evaluation results showed a significant increase in participants' knowledge, particularly regarding the relationship between delayed breastfeeding, low birth weight, and an increased risk of neonatal jaundice. Furthermore, participants gained a better understanding of home-based measures to detect early symptoms and when to immediately take their baby to a health facility.

Hydrocephalus increases cerebrospinal fluid due to either excessive production or impaired absorption, often accompanied by increased intracranial pressure. In Indonesia, hydrocephalus affects 10 out of every 1,000 newborns annually. In adolescents and adults, toxoplasmosis is the most common cause. Among infant cases, 46% result from brain development abnormalities, 50% from subarachnoid hemorrhage and meningitis, and less than 4% from posterior fossa tumors. Central Java reports the highest rate of toxoplasmosis at 10%. Common signs and symptoms of hydrocephalus include increased cerebrospinal fluid, seizures, irritability, headaches, vision problems, and head enlargement. To improve reduced intracranial adaptive capacity caused by cerebrospinal fluid obstruction, nurses can apply a 30° head-up therapy. This intervention helps lower intracranial pressure and improve brain oxygenation. the effectiveness of 30° head-up positioning in addressing decreased intracranial adaptive capacity in post-VP shunting hydrocephalus patients. The nursing intervention was implemented on Mrs. S using the 30° head-up position. As a result, the patient reported reduced headache, and her blood pressure decreased to 135/90 mmHg.

Immunity to one disease in a child does not mean immunity to other diseases. Immunization is a way to increase a person's immunity, such as when a child is actively fighting a disease in his body. The aim of this study was to determine the relationship between husband's support and mothers' attitudes towards immunization of newborns in Denai Sarang Burung Pantai Labu Village in 2023. In this study a cross-sectional technique was used. Cross sectional techniques are used to study the dynamics of the relationship between risk and impact variables by accessing, viewing or collecting data at once. Total population 45. Results of research on the relationship between husband's support and mother's attitude. Implementation of infant immunization in Denai Sarang Burung Village.

Overview: Low Birth Weight (LBW) is a significant health problem in Indonesia because it is at risk of increasing neonatal mortality and morbidity. Objective: This study aims to analyze the risk factors associated with the incidence of LBW in newborns at Prof. Dr. Margono Soekarjo Purwokerto Hospital. Research Method: The method used is an analytical observational study with a cross-sectional design. A sample of 200 mothers and babies was obtained through purposive sampling techniques. Data were collected from medical records and analyzed using the chi-square test and logistic regression. Research Results: showed that prematurity had a partial effect on LBW with a sig value of 0.000 <0.05, and showed that if the incidence of prematurity increased by one percent, assuming the value of other variables remained constant, it would increase the incidence of LBW by 2.769 percent. Variables parity, maternal age, anemia, twin pregnancy, hydramnios, PEB, Placenta Previa, KPD, prematurity, fetal pregnancy simultaneously affected LBW. Conclusion: parity, maternal age, anemia, twin pregnancy, hydramnios, PEB, Placenta Previa, KPD, prematurity, fetal pregnancy simultaneously affect LBW.

The common issue faced by newborn babies is their difficulty in regulating body temperature with their environment. This often leads to hypothermia, which is a significant cause of mortality in newborns. Therefore, biomedical equipment that can regulate temperature in the newborn environment is crucial. In the design and development research of an Infant Warmer Temperature Control System using the PID method, key components include the Atmega328P microcontroller, a Skin Sensor for monitoring baby body temperature, and an SSR driver circuit for heater control. The PID control method utilizes feedback mechanisms to correct errors between measured values and their deviations.To ascertain accuracy, functional testing was conducted using an Incubator Analyzer. The comparison between the skin sensor and the Incubator Analyzer showed minimal differences, with the largest difference being 0.15℃ and the smallest 0.01℃. It can be concluded that the skin sensor readings are accurate within tolerance limits. The maximum error percentage of the device was 0.2%, while the minimum error percentage was 0%. Based on these findings, it is concluded that the PID method Infant Warmer temperature control system designed functions effectively, manages overshoot well, and maintains stability.

Indonesia’s infant mortality rate remains a pressing public health challenge, recorded at 24 per 1,000 live births in 2021. Most infant deaths occur within the first month of life and are preventable through adequate parental knowledge of newborn care. This study aimed to analyze the effect of health education on mothers’ knowledge of newborn care at home. A quantitative pre-experimental design with a one-group pretest–posttest approach was employed. The sample consisted of 30 mothers with newborns aged 0–3 months, selected using purposive sampling. Knowledge was measured using a validated questionnaire before and after health education interventions delivered through counseling and group discussions. Data were analyzed using the Shapiro-Wilk normality test and the Paired T-Test. Results showed that prior to the intervention, 46.7% of mothers had insufficient knowledge, 36.6% had sufficient knowledge, and 16.7% had good knowledge. After the intervention, knowledge improved significantly, with 56.7% achieving good knowledge. The average score increased from 58.40 to 78.60, with a t-value of -9.84 and p = 0.000 (p < 0.05). The findings confirm that health education significantly enhances maternal knowledge of newborn care, supporting efforts to reduce infant mortality in Indonesia through improved home-based practices.

Continuity of care in midwifery is a series of continuous and comprehensive service activities ranging from pregnancy, childbirth, postpartum, newborn services and family planning services that connect women's health needs, especially and the personal circumstances of each individual. Comprehensive care is an examination that is carried out in complete with simple laboratory examinations and counseling. Comprehensive midwifery care includes places for continuous examination activities, including pregnancy midwifery care, childbirth midwifery care, postpartum midwifery care and newborn midwifery care and birth control acceptors. Pregnancy care prioritizes continuity of care is very important for women to get services from the same professional or from a small team of professionals, because that way the development of their condition will be monitored at all times and they will also become trusting and open because they feel that they already know the caregiver. The type of research used is descriptive, with a case study (Case Study), the sample used is Mrs. AS. After taking care of her, she has provided comprehensive obstetric care starting from pregnant women, childbirth, postpartum, babies and the results are normal pregnancy, normal childbirth, normal babies, and up to family planning. There is no gap between theory and case in the Comprehensive Midwifery Care for Mrs. AS and By.Mrs. AS in Kandangan Village.

Sectio Saesarea is a way of delivering a fetus by making an incision in the uterine wall through the front wall of the abdomen or vagina or SC is a hysterotomy to deliver a fetus in the uterus (Batara, 2022, p.1). SC is known as one of the procedures that can save both mother and baby. SC can effectively prevent death and disability in mothers and newborns. SC is performed on 3 indication factors, namely maternal, fetal and obstetric factors themselves. The problem that usually arises after SC is pain. Patients after sectio caesarea surgery will feel pain when the effects of anesthetic drugs have disappeared (Solehati & Kosasih, 2015). Postoperative pain after anesthesia is a common complication and will appear 1-3 hours (Saputra, at, al.2023). Pain appears due to the release of pain receptors due to the disconnection of tissue continuity due to the incision process during surgery. Post SC patients usually complain of pain in the abdominal incision area (Wahyuningsih et al., 2022). Pain in patients must be treated immediately so as not to interfere with the mother's activities. There are 2 pain management, namely pharmacological and non-pharmacological. Pharmacological therapy is carried out by administering drug therapy to reduce pain. Non-pharmacological therapy that can be done to reduce pain is one of them early mobilization. Early mobilization after cesarean section is a movement, position or activity carried out by the mother several hours after giving birth by cesarean section (Mawarni, 2018). Early mobilization techniques are very effective in relieving pain. Early mobilization is recommended for post-SC mothers, because it can increase the independence of post-SC patients, as well as support the wound healing process, and reduce pain (Dirgahayu, 2019). Early mobilization interventions can help patients reduce the pain scale felt postoperatively. Case studies using descriptive methods with a nursing process approach were carried out on 3 respondents of post op pregnant women using the One Group Pretest Posttest research design which was measured using the NRS instrument for 3 days. The results showed a decrease in the pain scale in respondents after being given early mobilization interventions. 

Stunting is a condition of growth failure in toddlers due to chronic malnutrition that occurs over a long period of time, especially in the first 1,000 days of life. Several major risk factors for stunting that are often found in Posyandu include the nutritional status of pregnant women, parenting patterns, exclusive breastfeeding, and environmental sanitation. To analyze the Identification of Risk Factors for Stunting in Toddlers: A Study in the Working Area of ​​the Aek Godang Health Center, North Padang Lawas. The type of observational study with a cross-sectional design, the study population was 139 people. This study used samples from all mothers who had stunted toddlers in Hulu Sihapas District, North Padang Lawas Regency, with the total sampling method. Data collection used a research questionnaire. Data were analyzed univariately, bivariate (chi-square), and multivariate (logistic regression) with the enter method. Newborn weight (p = 0.001) and healthy toilets (p = 0.001) significantly influenced the risk of stunting, with low birth weight and poor sanitation increasing the risk of growth disorders in toddlers. This study shows that newborn weight (p = 0.001) and healthy toilets (p = 0.001) have a significant effect on the risk of stunting in toddlers. Babies with low birth weight and environments with poor sanitation increase the likelihood of stunting. More attention is needed to monitor newborn weight and increase access to healthy latrines to reduce the prevalence of stunting. The government and health workers are expected to strengthen nutrition and sanitation programs at the community level. 

Building an effective and efficient health system is an important effort to improve the quality of health services in Indonesia, the implementation of RME is an integral component in the modern health service system. The government issued the One Healthy policy in efforts to implement Health Data governance. In order to achieve this, data variables and data formats/values ​​determined by the Ministry of Health must be used as a reference in the implementation of RME based on Minister of Health Regulation No. 24 of 2022. The aim of this research is to analyze data variables in the ETI Care application for outpatient registration at Budi Kemuliaan Hospital Jakarta according to the applicable guidelines, that is Minister of Health Decree Number HK.01.07/MENKES/1423/2022. This research uses descriptive qualitative methods. Data variables were obtained and their conformity with the existing meta data in the ETI Care application with government meta data, that is in the general identity there were 13 missing data variables and 2 variables that did not exist in the identity of the newborn baby, and 7 data variables that did not match the general identity and 1 data variable whose format/value did not match the identity of the newborn baby.  It is necessary to develop the system by involving users in adjusting technical and organizational policies. There are still data variables that do not exist in the ETI Care application in the outpatient registration section, and there is also a discrepancy between the format/value of outpatient registration in the ETI Care application and the format/value of Minister of Health Decree Number HK.01.07/MENKES/1423/2022. This requires further communication with the vendor regarding system development in accordance with applicable guidelines.