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Background : The maternal mortality rate in the world is about 303,000 out of 91.45/100,000 KH (WHO, 2022). In ASEAN, the maternal mortality rate in developing countries is 250 per 100,000 (ASEAN Secretariat, 2022). In Indonesia, the maternal mortality rate in 2022 is 183/100,000 KH (Indonesian Ministry of Health, 2022). In Central Java Province, the maternal mortality rate in 2022 was 76,93/100,000 KH (Central Java Health Office, 2022). In Brebes Regency, the maternal mortality rate in 2022 was around 105 cases (Brebes Health Office, 2022). Kaliwadas Health Center in 2022 recorded 1 case of maternal mortality (Health Profile of Kaliwadas Health Center in 2022). Objective : Provide comprehensive midwifery care for pregnant women, maternity, newborns, postpartum and family planning (KB) using the Varney and SOAP management approaches. Research Methods: The method used in this research is a qualitative descriptive method with a comprehensive case study approach. Results : Pregnancy midwifery care that has been given to Mrs. Y aged 20 years with Chronic Energy Deficiency and CPD has been given management according to the needs of the mother, In labor, newborn, postpartum until family planning Mrs. Y did not have complications and there were no gaps between theory and practice. Conclusion: Comprehensive midwifery care given to Mrs. F with Chronic Energy Deficiency (SEZ) and CPD has been carried out in accordance with Standard Operating Procedures (SOP) with the condition of the mother and baby is good.

Background: Sexually transmitted infections (STIs) during pregnancy are a significant public health concern because they can adversely affect maternal and fetal health. STIs such chlamydia, gonorrhea, and syphilis can cause complications including preterm labor, intrauterine growth restriction, and increased risk of low birth weight (LBW) in newborns (Sari, 2020). LBW is defined a birth weight of less than 2,500 grams and is associated with higher infant morbidity and mortality (Nurhidayah, 2021). Despite public health efforts, STIs remain prevalent in reproductive-aged women, and their relationship with LBW requires further investigation in local healthcare settings. Objective: This study aimed to determine the relationship between sexually transmitted infections in pregnant women and the incidence low birth weight newborns. Methods: A quantitative, observational study with a cross-sectional design was conducted. Results: The results indicated a significant relationship between the presence of sexually transmitted infections in pregnant women and the occurrence of low birth weight in newborns. Among the 30 participants, mothers with STIs showed a higher incidence of LBW (p = 0.000), indicating statistically significant association. These findings suggest that STIs in pregnancy can adversely affect fetal growth and contribute to neonatal health risks. Conclusion: Sexually transmitted infections in pregnant women are significantly associated with the incidence of low birth weight in newborns. Screening, early detection, and appropriate management of STIs during pregnancy are crucial strategies reduce the risk of LBW and improve neonatal outcomes. Healthcare providers should integrate STI prevention and treatment programs into routine antenatal care to promote maternal and infant health.

Tetanus Toxoid (TT) immunization is a key preventive intervention to protect women of reproductive age and newborns from tetanus infection. Despite its importance, limited knowledge among prospective brides may reduce the effectiveness of TT immunization programs. This study aimed to analyze the effect of TT immunization counseling on the knowledge levels of prospective brides at Wayabula Public Health Center. A quantitative study using a quasi-experimental one-group pretest–posttest design was conducted involving 40 prospective brides selected through total sampling. Data were collected using a structured questionnaire measuring respondents’ knowledge before and after counseling. The Wilcoxon Signed Rank Test was used to analyze differences in knowledge levels. The results showed a significant improvement in knowledge after counseling, with the majority of respondents demonstrating higher posttest scores compared to pretest scores and no respondents experiencing a decrease in knowledge. These findings indicate that counseling plays an important role in enhancing understanding of TT immunization, including its purpose, benefits, and preventive value. In conclusion, TT immunization counseling is effective in improving knowledge among prospective brides and should be integrated as a mandatory component of routine immunization services. Strengthening counseling activities is expected to support informed decision-making, promote positive health behavior, and contribute to the prevention of tetanus in mothers and newborns.

Background:Breastfeeding is expected to help achieve SDGs goal 3, target 2, which is to reduce neonatal mortality to at least 12 per 1,000 live births in all countries by 2030 and stop unnecessary deaths of newborns and children under five. Encouraging healthy breastfeeding is essential to prevent more than 820,000 deaths of children under five each year. Oxytocin massage has been shown to increase the sensation of relaxation, improve sleep quality and comfort, reduce pain and tension, and help increase prolactin and oxytocin levels, which in turn increase breast milk production. Research Method:The research design used the Pre Experimental Design method, namely with the form of a One Group pretest and posttest design without a control group. This study used purposive sampling, with a sample size of 22 respondents. Data analysis used univariate and bivariate. Result:This study showed that the value before oxytocin massage was 16.14 and after oxytocin massage the mean was 27.73. The conclusion of the study shows that the results of the experimental test have a significant value with a p value of 0.000 <0.05. This shows that there is a significant gap in breast milk production between before and after oxytocin massage. Suggestion: It is hoped that midwives at the Lidya Clinic can use this study as input to support increased breast milk production in mothers, especially those in the postpartum period.

Breast milk (BM) is the optimal source of nutrition for newborns up to six months old, providing essential antibodies, complete nutrition, and easier digestion compared to formula milk. Exclusive breastfeeding is crucial for infant health, and efforts to support lactation include consuming a balanced and nutritious diet. This study aimed to examine the effect of papaya and watermelon consumption on breast milk expression in nursing mothers. The research utilized a true experimental design with a two-group post-test approach, conducted over five consecutive days. The intervention involved consuming 400 grams of cut papaya and 300 grams of watermelon daily. The study population consisted of postpartum mothers with infants aged 0–6 months, and the sampling technique used was probability sampling, resulting in a total of 42 respondents. Participants were divided into two groups: 21 in the control group and 21 in the intervention group. The Wilcoxon test was applied for statistical analysis. The findings revealed that papaya consumption significantly affected breast milk expression, with a p-value of 0.046 (<0.05), accepting the alternative hypothesis (Ha). This result indicated that papaya intervention increased breast milk expression by 2,000 times. Similarly, the watermelon intervention showed a significant effect, with a p-value of 0.02 (<0.05), also leading to the acceptance of the alternative hypothesis (Ha). The analysis suggested that watermelon consumption improved breast milk expression in nursing mothers by 3.162 times. These findings highlight the potential benefits of consuming papaya and watermelon in enhancing lactation, providing valuable insights for nursing mothers and healthcare professionals in supporting breastfeeding practices.

Readiness for exclusive breastfeeding was important in supporting the development of newborns. Mrs. Priigravida does not know what influences the relationship in the readiness of exclusive breastfeeding. The purpose of this study is to find out the factors that affect the readiness to give exclusive breastfeeding to primigravida. This study uses a quantitative research method with a cross-sectional approach. The sample used was primigravida pregnant women in the Bangetayu Health Center working area of Semarang City. The number of respondents in this study was 50 people, with the technique used being total sampling. The data obtained were processed statistically using the spearmen rank correlation test. The results showed that the majority of respondents at the age of not at risk were 90%, the last education of high school/vocational school was 56%, mothers who were not working were 60%, knowledge of primigravida was high as 100%, family support was good as 98%, nutritional status of primigravida was high as 96%, and spiritual support of primigravida was high by 100%. The results of the statistical test obtained that the factor that most affects the readiness of exclusive breastfeeding in primigravida is spiritual support with a beta score of 0.582. There was a relationship between knowledge, family support, nutriall status, and spiritual support to readiness of exclusive breastfeeding in primigravida. The most powerful factor of influence is spiritual support.

Teenage pregnancy is important issue because reproductive organs are not ready and can endanger mother and child she is carrying. Other impacts are premature babies and increased maternal and child mortality rates, due to lack of proper newborn care. was determine relationship between teenage pregnancy and incidence of prematurity and ability to care for newborns. This research is a type of quantitative research using a Cross Sectional approach. Data collection was carried out using questiobbaire. Number of respondents was 70 people with a purposive sampling technique. Based on analysis result, it was obtained that from 70 respondents of study, majority had characteristics of adolescence as much 64,3%. Overall gender characteristics were female 100%, with characteristics of majority of education level having a high school education of 57,1%. Characteristics of majority of jobs were housewives as much 45,7% and private employees as much 42,9%. Result of study also showed that teenage pregnancy less than 19 years old experienced premature births 28% and mature 72%, while teenage pregnancy more than 19 years old experienced premature births 4,4% and mature 95,6%. Teenage pregnancy less than 19 years old were able to carry out newborn baby care with 48% good ability, 40% moderate ability, and 12% poor ability, while teenage pregnancy more than 19  years old were able to carry out newborn baby care with 77,1% good ability, 4,4% moderate ability, and 2,2% poor ability. Research result it can be concluded there is relationship between teenage pregnancy and incidence of prematurity and ability to care for newborns with p-value of 0,008 (<0,05) for incidence of prematurity and p-value of 0,000 (<0,05) for newborn care.

Congenital hypothyroidism is a condition of decreased or non-functioning thyroid gland that is present since newborns. This occurs due to anatomical abnormalities or metabolic disorders of thyroid hormone formation or iodine deficiency. Congenital Hypothyroidism Screening (CHS) is an important health program that aims to detect thyroid disorders early in newborns. Congenital Hypothyroidism Screening is a screening/screening test to sort out babies suffering from Congenital Hypothyroidism from babies who do not suffer. This study aims to determine the effect of health education on pregnant women's knowledge about congenital hypothyroidism screening (CHS). This study used a Pre-Experimental Design with a One Group Pre-test and Post-test Design. The sample consisted of 56 pregnant women with sampling using a purposive sampling technique. Data collection was carried out by questionnaire and analyzed using the Wilcoxon Test. The results of the study obtained that most of the respondents' knowledge before being given the intervention was in the sufficient category (42.9%). While most of the knowledge after being given the intervention was in the good category (78.6%). The Wilcoxon test yielded a p-value of 0.00 < 0.05, indicating an effect of health education on knowledge about congenital hypothyroidism (CHS) screening among pregnant women at the Pulisan Community Health Center. This study is expected to provide input to pregnant women, who should be more critical, especially regarding indicators of understanding, examination timing, and the impact of not undergoing CHS. They can frequently read the KIA book and leaflets provided during counseling sessions to gain better and more quality knowledge.

Because breast milk contains a wide range of chemicals and protective elements that are essential for the growth and development of newborns and reduce infant morbidity and mortality, breast milk is the healthiest nutrient for babies. With hundreds of bioactive chemicals that can protect babies from disease and aid in the development of the ideal immune sistem, its composition is very comprehensive and complex. The purpose of this study is to find out how much motivation postpartum mothers at pujon Health Center, Central Kalimantan are to breastfeed after receiving information about exclusive breastfeeding. Quantitative research with a quasi experimental design using pretest and posttest with uneven control groups is the research methodology used. Both pretest and posttest are given before and after the intervention. WHO or UNICEF nursing observation sheets, lactation method films, and questionnaires are the tools used. Data analysis was carried out using the Mann Whitney bivariate test and the univariate test for education, parity, and knowledge. 

The postpartum period is a critical time for both the mother and newborn, where healthcare is essential to avoid the risk of mortality. This study aims to analyze the behavior of postpartum mothers and Acehnese families in postpartum care at the Beutong Health Center, Nagan Raya Regency in 2024. A quantitative research method with a descriptive design was used, and the sampling technique applied was total sampling, with a population of 40 postpartum mothers. Data collection was carried out through interviews using a questionnaire. The results showed that 77.8% of mothers and families were aware of the nutrition needed for postpartum mothers, 58.3% understood the process of uterine involution, and 100% of postpartum mothers knew daily activities to accelerate recovery. The family's supportive attitude towards postpartum care was evident in their dietary recommendations, such as providing vegetables (83.3%) and fish (80.5%), forbidding the mother from leaving the house (100%), and administering algae (88.9%). However, 30.6% of postpartum mothers did not consume vegetables regularly. These findings highlight the importance of improving family understanding and support in postpartum care to accelerate the recovery of mothers and babies. The implication of this research is expected to improve postpartum care programs at Beutong Health Center.

Mother's milk (ASI) has an important role in increasing the baby's immune system and baby's weight. Breast milk production that is not strong enough causes the baby's needs to not be fulfilled and the failure of exclusive breastfeeding. Based on a survey conducted by the research and development agency in the field of Health, it was found that 46% of the inability to breastfeed occurred due to lack of breast care, 25% due to the frequency of breastfeeding less than 8x/day, 14% due to newborns (LBW), 10% premature, and 5% due to acute or chronic disease. The decrease in breast milk production during the puerperium can be caused by a lack of stimulation of the hormones prolactin and oxytocin which play a very important role in the smooth production of breast milk. Marmet massage and oxytocin massage are safe ways to stimulate the breasts to produce more milk.

It is hoped that breastfeeding can help achieve SDGs goal 3, target 2, namely efforts to reduce the neonatal mortality rate to at least 12 per 1000 live births in all countries by 2030 and stop unnecessary deaths of newborns and toddlers. Encouraging healthy breastfeeding is so important that it can prevent more than 820,000 deaths of children under five every year. Oxytocin massage has been shown to increase the sensation of relaxation, improve sleep quality and comfort, reduce pain and tension, and help increase prolactin and oxytocin levels, which in turn increases breast milk production.The research design uses the Pre Experimental Design method, namely in the form of a One Group pretest and posttest design without a control group. This research used purposive sampling, with a total sample of 22 respondents. Univariate and bivariate data analysis. The results of this study showed that the value before the oxytocin massage was a mean of 16.14 and after the oxytocin massage the mean was 27.73. The conclusion of this research shows that the results of the experimental test have a significant value with a p value = 0.000 <0.05. This proves that there is a significant difference in breast milk production between before and after oxytocin massage. It is recommended that midwives at the Afisya clinic use this research as input in efforts to increase breast milk production in post partum mothers.

Neonatal asphyxia is a critical emergency condition in newborns characterized by the failure to initiate or maintain spontaneous and regular breathing, leading to hypoxemia, hypercapnia, and acidosis. One of the primary interventions to manage this condition is positive pressure ventilation using a resuscitation device such as a T-piece resuscitator or Neopuff. The Neopuff device has advantages over manual methods because it can provide stable and controlled Peak Inspiratory Pressure (PIP) and Positive End-Expiratory Pressure (PEEP), thereby reducing the risk of lung injury in newborns. The results show that the Arduino-based Neopuff device is capable of producing PIP pressures between 15–25 cmH₂O and PEEP pressures between 4–6 cmH₂O, which are within the recommended clinical standards for neonatal resuscitation. The pressure sensor successfully detected real-time changes, and pressure adjustment could be performed precisely. Therefore, this device can serve as a simple, affordable, and effective alternative for neonatal resuscitation, with potential for further development through an automatic control system to enhance accuracy and safety

Baby massage is very useful in optimizing the growth and development of babies/children, including increasing food absorption so that babies get hungry faster and babies will breastfeed more often from their mothers, thereby increasing the baby's weight. The aim of the research was to analyze the effect of baby massage on weight gain in babies. The method used is Pre Experiment with pretest and posttest control group design. The sample in this study were 30 newborn babies at Bhayangkara Hospital, Banjarmasin. The sampling technique in this research is non-probability sampling, namely purposeve sampling. Baby massage was given for 7 days to increase the baby's weight before and after treatment analyzed using the Wilcoxαon Test. The research location was carried out at Bhayangkara Hospital. The research time was 3 months in July – September 2024. The results obtained were P value = 0.000 (α < 0.05 ) which means there is a difference in body weight before and after the massage intervention. The conclusion is that there is an effect of baby massage on weight gain in babies.

MMR (WHO) in 2022 will reach 91.46/100,000 live births. MMR in Indonesia (2021) 7,389/100,000 KH. Brebes MMR in (2021) is 105 cases and IMR is 259 cases in 2022. Data from the Kaliwadas Health Center in (2022) is 1 case and IMR (2022) is 0 cases. In WHO (2021), there are (73.2%) pregnant women with CED. And in Bebes there will be 64 cases of pregnant women with Chronic Energy Deficiency (KEK) in 2022. Objective: To provide comprehensive care for pregnant women, giving birth, newborns, postpartum and family planning. Research method: Qualitative descriptive research method with a case study approach. Results: Midwifery care during Mrs. N from the results of Mrs. N experienced chronic energy deficiency KEK and was given treatment and care according to his needs. Furthermore, on the third visit, the results of Mrs. N no longer experiences chronic energy deficiencies. Birth of Mrs. N was assisted in accordance with the standards for midwifery services for childbirth (APN). Neonatal Visits and Newborn Visits I to III Baby Mrs. N experienced no complications and neither did postpartum visits I to IV. Family planning midwifery care Mrs. N is a 3-month injectable contraceptive. Conclusion: Comprehensive midwifery care has been provided to Mrs. N with KEK is in accordance with obstetric services and there are no complications.

The problem of anemia in adolescents is still a fundamental problem in the world. Anemia is associated with insufficient food intake and low food quality. Factors that correlate with the incidence of anemia in adolescents both in urban and rural areas are age, sex, health status of toddlers (ARI, diarrhea, tuberculosis), physical activity, nutritional status, breakfast, and diet, parenting and so on. This study aims to determine the anemia in adolescents. This study is an observational analytical study with a cross sectional design. This research was conducted in February-March 2024 in Cinta Damai Village, West Tanjung Jabung Regency. The population in this study were all toddlers aged 12-18 years. A sample of 89 people was taken by total sampling technique. Data collection using questionnaire sheets. The data obtained were analyzed univariately, bivariately using chi square and multivariate tests. The results showed that there was a relationship between infectious diseases (p =), toddler diet (p =) and parenting style (p =) with anemia in adolescents because the p value < 0.05. There was no relationship between giving MP-ASI too early and anemia in toddlers with a value of p = 0.647 > 0.05. The results showed that there was a significant relationship between the incidence of anemia during pregnancy with breakfast (p = 0.003), diet (p = 0.001) and head circumference because the p value < 0.05. There is no significant relationship between the incidence of anemia during pregnancy and chest circumference in newborns at the Jambi Kecil Muaro Jambi Health Center in 2023 with p values of 0.001 > 0.05. The most dominant factor affecting anemia in toddlers is the diet of toddlers with a value of p = 0.001 with OR = 13.108. It is hoped that the results of this study can provide information and recommendations to conduct a series of counseling and counseling activities for mothers of toddlers to prevent and overcome the problem of underweight.

Exclusive breastfeeding for newborns is an effort to prevent infectious diseases, malnutrition and death in babies and toddlers. The achievement of exclusive breastfeeding is still low, indicating that there are factors preventing mothers from giving exclusive breastfeeding for six months to their babies. The low number of breastfeeding mothers is motivated by the lack of awareness among mothers regarding the importance of breast milk for the growth and development of their children. This study aims to determine the characteristics of mothers who do not provide exclusive breastfeeding at the Bajeng Community Health Center, Gowa Regency. The method used in this research is a descriptive design which is a type of analytical and observational research design with a total sample of 30 people selected using total sampling techniques. The results of the research showed that of the 30 respondents, 24 respondents were able to provide exclusive breastfeeding with the age of 20-35 years and the highest number of domestic workers were 18 respondents or (100%), while in terms of family support the highest number of respondents were able to provide exclusive breastfeeding were 12 respondents or (66.7%). In terms of education, the highest number of mothers who were able to provide exclusive breastfeeding were high school/vocational school education with 17 respondents or (56.7%) and the highest number of mothers who were able to provide exclusive breastfeeding were primigravida mothers with 8 respondents.

The maternal and child mortality rate in Indonesia is still quite high, where one of the main causes of death is in the neonatal period. The postpartum mother is one of the people closest to the newborn and who must take care of the baby's health. This community service activity is carried out in the form of educational activities or health counseling regarding newborn health care for prenatal and postpartum mothers at Arjawinangun Hospital, Cirebon Regency, with the provision of lies and direct counseling for the effectiveness of activities. Based on the health counseling activity, it was found that there was an increase in the knowledge of prenatal and postpartum mothers about newborn health care after the activity was carried out. The follow-up plan for the implementation of this activity will be carried out in collaboration with the Health Center to carry out assistance in the practice of newborn health care for newborn mothers. Conclusion: there is an increase in prenatal and postpartum maternal knowledge about newborn care.

According to the Indonesian Ministry of Health in 2020, the number of maternal mortality rates (MMR) in Indonesia is still quite high, totaling 4,627 cases of maternal death. This number shows an increase compared to 2019 of 4,221 cases of maternal death (Indonesian Health Profile, 2021). Objective: To apply the theory that has been obtained at the academy with comprehensive midwifery care for pregnant women, laboring women, postpartum women, newborns, and family planning in practice using Varney and SOAP documentation, is there a gap between theory and practice. Research method: In this study the authors used a qualitative research method with a case study approach which was carried out by examining a problem through a case consisting of a single unit. Results: At the first pregnancy obstetric care visit, there was a problem of Chronic Energy Deficiency (CHD) where LiLA was 22.5 cm and also breech location. After being given counseling about high calorie balanced nutrition there was an increase in the size of LiLA by 2, 5 cm so that the mother did not experience SEZ. In the process of childbirth was done by Sectio Caesarea. In the postpartum period there was no complication in the postpartum period. Newborn was normal, no problems. In family planning, Mrs. M chose to use a 3-year family planning implant. Conclusion: During the assistance to Mrs. M, the health problems experienced by Mrs. M, especially the incidence of SEZ in pregnant women can be resolved, and there is a gap between theory and practice related to the size of LiLA and the height of the mother.

Background: The global maternal mortality rate (MMR) in 2022 is 91.46 per 100,000 live births with the cause of death being bleeding while the indirect causes of maternal mortality are during pregnancy wheere many pregnant women experience nutritional problems such as Chornic Energi Deficiency ( CHD) and Nutritional Anemia at 8.43% (WHO, 2022). The maternal mortality rate in ASEAN is 235 per 100,000 live births with the majority of causes of death being bleeding (ASEAN Secretariat, 2022). Until now, the maternal mortality rate in Indonesia alone in 2020 was 91.45/100,000 live births. In 2021, maternal mortality will increase to 305/100,000 live births. Meanwhile, in 2022, the maternal mortality rate will decrease by 230/100,000 live births. Within a period of 3 years, the causes of maternal death included Covid 19, bleeding, hypertension in pregnancy, and heart disease (Ministry of Health of the Republic of Indonesia, 2022). The maternal mortality rate in Central Java in 2020 was 84.6/100,000 live births, in 2021 it will be 199/100,000 live births. In 2022 there will be a decrease to 98.6/100,000 live births, hypertension in pregnancy and bleeding are still the cases of death in that year (Central Health Office, 2022). Brebes Regency shows that the maternal mortality rate in 2020 was 62 cases. In 2021 there were 105 cases and in 2022 there was a decrease to 50 cases with the causes of death being bleeding, hypertension, infection and heart disorders (Brebes District Health Office, 2021) Objective: Reduce maternal and infant morbidity and mortality rates in Brebes Regency, especially the Bumiayu Community Health Center area Conclusion: After providing comprehensive midwifery care to Mrs. S aged 32 years with Chronic Energy Deficiency (KEK) at BPM Mrs. The R working area of the Bumiayu Community Health Center from the third trimester of pregnancy, childbirth, newborns, postpartum and family planning is in good condition.