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Good communication between midwives and pregnant women greatly influences maternal satisfaction in receiving health services from midwives, so that a sense of mutual trust is built between midwives and pregnant women. This mutual trust will have an impact on changes in attitudes for both service providers and service recipients. the proportion of pregnancy checks in North Sumatra Province was 92.4%, while those who did not have pregnancy checks was 7.6%. The ANC K1 coverage rate in North Sumatra Province was 90.0%, while ANC K4 was 85.9%. This shows that ANC coverage in North Sumatra Province is still low because the national ANC target is 95%. The general aim of this research is to analyze the relationship between midwife communication and the level of satisfaction of pregnant women with ANC services at the Gebang Community Health Center, Langkat Regency in 2024. The research method used is quantitative, information about what you want to know is examined using numerical data through a retrospective survey. Conducting a retrospective survey is one method of collecting historical data. This research uses a cross-sectional strategy. The sample for this in-depth research was all midwives in the Gebang Health Center working area, totaling 40 people. Data analysis uses univariate and bivariate analysis. From the statistical test results, it was obtained that p.value = 0.004 and ? = 0.05, where the value of P.value (0.004) < ? (0.05), so it can be concluded that there is a relationship between midwife communication and pregnant women's satisfaction with antenatal care services in Health Center. Gebang Langkat Regency in 2024. Midwives are expected to further improve their good communication skills with patients by participating in training on effective communication methods so that patients feel satisfied with the services provided.

Anemia in pregnant women can increase the risk of premature birth, maternal and child death, and infectious diseases.  Iron deficiency anemia in mothers can affect the growth and development of the fetus/baby during pregnancy and afterward. The aim of the research is to determine the factors that influence pregnant women's knowledge about foods containing iron at the Peureulak Health Center, East Aceh in 2024. The type and design of this research is Correlative Descriptive with a Cross Sectional Study approach, namely to see the relationship between the Dependent and Independent Variables. Independent variables are factors that influence pregnant women's knowledge and dependent variables (food containing iron). The sampling technique in this study was accidental, meaning that by chance anyone who came to the Peureulak Health Center for Ante Natal Care (ANC) visits during March and April 2024 would be sampled. Research results There is a relationship between knowledge of pregnant women about the meaning of containing iron at the Peureulak Health Center, East Aceh in 2024 with age, education, occupation, gravida and source of information

Background: Hypertensive Disease in Pregnancy (HDK) is a vascular disorder that occurs during pregnancy, arises during pregnancy or in the postpartum periode, and is one of the most common causes of maternal death. Objective: this study was to determine how factors of having a history of hypertension, obesity, and using hormonal birth control impact the incidence of hypertension Disease in pregnancy (HDK). Metodes: the research approach used was analytic observation with a croos sectional design. This study involved 332 pregnant women who come to the Health Center. A sampel random sampling technique, with a sample size of 183 was used. In this study, the independent variables were history of hypertension, obesity, and hormonal birth control use; the incidence of HDK was the dependent variable. Data was collected using a documention study approach with an observation sheets. To analyse the data, a logistic regression statistical test was used with an error rate of α 0.05. The results showed that pregnant women with HDK were exposed to hypertension 45.6%, and hormonal birth control by 36.3%. The result of bivariate analysis of hypertension history with HDK is o.o1 < α 0.05, and the variable of obesity with HDK is 0.024 < α 0.05 and the variable of hormonal birth control history with HDK is 0.21% < α 0.05. The conclusion of the results showed that of the three factors contributing to the incidence of HDK, only the history of hypertension and obesity had a significant influence, with a history of hypertension accounting for 9.9% of HDK cases. Therefore, it is recommended that Strengthing Integrated Antenatal care for increasing the role of mindwives and general practitioners in better screening of pregnant women at risk.

According to the United Nations Childrens Funds and the World Health Organization, children should only be breastfed for six months and solid foods given after the child is six months old and continue to be breastfed until the child is two years old. According to WHO, the data on exclusive breastfeeding globally has not increased significantly, namely around 44% of babies aged 0 to 6 months worldwide who received exclusive breastfeeding during the period 2015 to 2018 from 50% of the breastfeeding target (WHO, 2019). Based on the results of interviews with 15 mothers of toddlers, 7 of them said that their children were not given exclusive breast milk due to the lack of milk production so that their babies quickly starved and fussy. 5 mothers of toddlers said that the 3-month-old child could have been given complementary foods for breast milk and 3 other mothers of toddlers said that the heavy workload that made the breastfeeding mother had given MP-ASI from an early age. The general purpose of this study is to see the relationship between maternal knowledge and exclusive breastfeeding in infants aged 6 – 12 months in the working area of the Namrole Health Center, South Buru Regency. This study is an analytical observational research using a cross sectional approach. The results of the chi-square test showed that there was a good relationship between the mother's knowledge about exclusive breastfeeding and exclusive breastfeeding in toddlers with a p value = 0.000. because the p value < 0.005 thus H0 is rejected and Ha is accepted, so there is a good relationship between maternal knowledge and the provision of Exclusive Breastfeeding to toddlers in the working area of the Namrole care center. Knowledge Most of the mothers of babies are in the poor category, which is 56.9%, most of the mothers of babies do not give exclusive breastfeeding, which is 69%, There is a clear relationship between maternal knowledge and exclusive breastfeeding in the work area of the Namrole Health Center.

The increased of Maternal Mortality Rate (MMR) can be lowered through by various efforts, one of them with quality Antenatal Care (ANC). Quality of ANC services can be given by several health workers who work together in giving services to patients through the Interprofessional Collaboration (IPC). IPC or interprofessional collaboration can improve health service quality. The purpose of this study is to find out an overview of the level of perception of health workers about IPC on ANC services in Lubuk Buaya Health Center. This study is descriptive research using crosssectional design. The study sample is 30 health workers who are determined by the total sampling method. Data collection use the Collaborative Practice Assessment Tools (CPAT) questionnaire. The results of the study can be found that all health workers (100%) have a high perception of IPC in ANC services with components of connection among members, coordination and division of roles, and missions, goals, and objectives have the highest percentage (100%) and decision-making and conflict management components have the lowest percentage (10%). All health professions consist of GPs, midwives, nurses, dentists, pharmacists, nutritionists, and ATLM have a high perception (100%) of IPC on ANC services. The dentist professions have a high perception of all eight components, meanwhile other professions have a high perception of the seven components of perception and have a moderate perception in one component of perception, that is the components of decision making and conflict management. In general, health workers have a high perception of IPC in ANC services, but there are still a moderate perception in one components of perception so efforts are needed to improve IPC competence in that component.

Breast milk dam is a swelling of the breast due to an increase in venous and lymph flow, causing breast milk dam. Data (SDKI) showed that 42% of mothers experienced breast milk dams. Breast milk dams are caused by discontinuous breastfeeding, the baby has not breastfed properly, improper breastfeeding position, wearing BH that is too tight, nipple abnormalities, absence of breast care before and after childbirth and lack of maternal knowledge about breast care. The aim is to determine the relationship between breastfeeding position and breast care with the incidence of breast milk dam in the working area of Sei.Langkai Health Center, Batam City 2023. The method in this study used quantitative research with analytical descriptive research and used a Cross Sectional research design, the sample in this study was 65 postpartum women, statistical tests using Chi-Square, purposive sampling technique. The distribution of breastfeeding positions was not correct as many as 36 postpartum women (55.4%), postpartum women did not perform breast care as many as 55 postpartum women (84.6%), the majority of postpartum women who experienced breast milk dams were 36 postpartum women (55.4%). The results of statistical analysis with Chi-Square found that there was no relationship between breastfeeding position and the incidence of breast milk dam with a value (P-Value) = 0.099 where (P < ?) = 0.05, and there was a relationship between breast care and the incidence of breast milk dam with a value (P-Value) = 0.030 where (P < ?) = 0.05. The conclusion is that there is no relationship between breastfeeding position and the incidence of breast milk dam and there is a relationship between breastfeeding position and breast milk dam. it is hoped that midwives and other health workers can teach mothers directly during breastfeeding how to do the correct breastfeeding position and breast care technique.

High risk pregnancy is a condition that can affect the condition of the mother and fetus in the pregnancy she is facing (Manuaba, 2012). Pregnant women who experience medical disorders or health problems will be included in the high risk category, so that the need for implementing care during pregnancy becomes greater (Robson and Waugh, 2012). others include miscarriage, obstructed labor, antepartum bleeding, fetal death in the womb (Intra Uterine Fetal Death), poisoning in pregnancy, babies born under term, and low birth weight babies. The impact of high-risk pregnancies can be prevented through regular prenatal care (antenatal care) which aims to keep the mother healthy during pregnancy, childbirth and postpartum as well as ensuring that the baby is born healthy, containing possible pregnancy risks, and optimal management planning. against high-risk pregnancies and reducing maternal and infant morbidity and mortality. Antenatal services can detect and handle high risk cases adequately, provide clean and safe delivery assistance, affordable obstetric/perinatal services and referrals

Inflammation caused by diapers is one of the most common skin diseases in infants and children worldwide. Diaper rash disrupts the baby's (perineal) skin health and can also interfere with the baby's growth and development. This can occur because the baby becomes fussy, especially during urination or bowel movements, and has difficulty sleeping. To obtain a literature review on maternal knowledge regarding perineal care and the occurrence of diaper dermatitis in infants. Articles published on diaper dermatitis were searched in databases and search engines, including Irandoc, SID, Ovid, PubMed, Google Scholar, ScienceDirect, SINTA, Garuda, and IranMedex, from 2019 to 2023, in both Indonesian full-text articles. Ten journals meet the research criteria based on 30 published and identified journals from 2019-2023. The researchers found that the mother's knowledge level is one-factor affecting perineal care and the occurrence of diaper dermatitis in infants. Based on the reviewed journals, it can be concluded that the level of knowledge is crucial in implementing proper perineal care as it is one of the factors that can influence the occurrence of diaper dermatitis in infants, classified by age, education, occupation, or experience. Therefore, health education is vital in improving maternal knowledge in this regard.  

Pregnancy with breech presentation is where the fetus lies longitudinally in the uterus while the head is at the fundus uteri and in the buttocks position below the uterine cavity (Putri and Ningrum, 2019). Cases of breech presentation both mother and fetus experience a large increase in risk and for labor with breech location have high mortality and morbidity (Putra 2015). The maternal mortality rate (MMR) according to WHO 2021 is 32.9/100,000 KH. ASEAN 2021 MMR is 235/100,000. Indonesian Ministry of Health 2021 AKI 7,389 people, Central Java Health Office 2023 AKI as much as 485. Data from the Brebes Health Office 2022 as many as 50 cases while from the kaliwadas puskesmas area in 2022 there was 1 case of death. Researchers implement comprehensive midwifery care using Varney and SOAP documentation. This study uses descriptive qualitative methods through direct approaches, interviews, observation and documentation. The main informant is Mrs.H while for additional informants there are village midwives, puskesmas midwives, husbands and Mrs.H's family. Based on the results of research obtained from the care of pregnancy, childbirth, postpartum, LBW and family planning, problems were found in the form of pregnancy with breech presentation and cesarean delivery for indications of failed induction.

Maternal mortality rates reflect the risks faced by the mother during pregnancy and childbirth. The high rate of maternal death is likely to occur in high risk pregnant women that can not detected earlier. The role of Puskesmas as primary health care facilities and midwives as the spearhead of service, becomes important in this early detection. Therefore, researchers are interested in the effect of competence on the performance of midwives in maternal health services in Puskesmas Mampu PONED Bandung. To determine Competence of Midwives, The Performance of Midwives and to determine the effect of Competence on the Performance of the midwives in Puskesmas Mampu PONED Bandung. The type of this research is verificative analysis with cases study methods. The sampling method using a total sampling method (census). The entire population will be selected as sample that is midwives who work at Puskesmas Mampu PONED Bandung 77 midwive. After data is collected, the data distribution will be tested using the product moment correlation technique. Then the data will proceed with analysis that consists of two parts: a descriptive analysis and regression analysis. The result of correlation analysis, obtained a very strong relationship between the Performance and Competence of the Midwives (r = 0.972). Then from the regression analysis known that there is an influence on the Performance and Competency of the Midwives (t arithmetic = 35.802). Competence and Performance of midwives in Puskesmas Mampu PONED Bandung is good. There is also a very strong influence between the competence of midwives with performance significantly

Preeclampsia is a disease that appears with signs of hypertension, edema, and urine protein that arise due to pregnancy and childbirth. Childbirth with preeclampsia is one of the most critical problems in midwifery care. In Indonesia 30% of maternal deaths are caused by hypertension in pregnancy and in North Sumatra 9 the number of maternal deaths is always dangerously caused by preeclampsia. The aim of this service is to increase and increase knowledge and be able to empower pregnant women in the prevention and early detection of preeclampsia in pregnant women in Bangun Rejo village in 2024.. Results of service to the community shows that the implementation of counseling for pregnant women in improving the quality of life of pregnant women before and after carrying out counseling for pregnant women has obtained significant results in Bangun Rejo village. This can be seen, many pregnant women who have not carried out early detection of preeclampsia have a poor quality of life, as many as 23 people. (76.7%), but after providing counseling to pregnant women, the quality of pregnant women was good, as many as 27 people (90%) in the same group. It is hoped that pregnant women can improve their health by checking themselves from early pregnancy and looking at each examination for signs of preeclampsia and treating it immediately and early detection of preeclampsia can be carried out routinely in Bangun Rejo village once a month by having their pregnancy checked at the Health Facility in 2024.

The postpartum period is a very important period because complications often occur, including postpartum infections. One of the factors causing postpartum infections can come from injuries to the birth canal which are good media for the development of germs. This article aims to determine the care of normal postpartum mothers regarding perineal wound care. The methods used in making this literature review are PubMed, Google Scholar, Pequest, Sincedirect and Wiley. The results were published from 2019-2024, Results of normal postpartum maternal care regarding perineal wound care in normal postpartum mothers can be given with boiled binahong leaves, how to care for the vagina with cultural care maintenance or preservation, washing with soap and running water and applying betadine, given jusnalo and boiled red betel leaf water is recommended for postpartum mothers who experience perineal wounds.

This study examines the relationship between Kegel exercises and the healing of perineal wounds in postpartum mothers who underwent normal delivery. Perineal wounds, a common outcome of vaginal childbirth, can lead to discomfort and complications if not properly managed. Kegel exercises, known for strengthening the pelvic floor muscles, may also play a crucial role in accelerating the healing process of perineal wounds. This research involved a sample of postpartum mothers who were instructed to perform Kegel exercises regularly. Data were collected through clinical observations and self-reported healing experiences over a specified period. The findings indicate a significant positive correlation between the regular practice of Kegel exercises and the expedited healing of perineal wounds. Mothers who adhered to the exercise regimen reported reduced pain, faster wound closure, and improved overall postpartum recovery. These results suggest that Kegel exercises should be recommended as a routine postpartum practice to promote faster healing and enhance the well-being of new mothers. Further research is recommended to explore the underlying mechanisms and to establish standardized guidelines for the implementation of Kegel exercises in postpartum care.

Anaemia is a common medical condition characterised by a lack of red blood cells or a decrease in haemoglobin levels below normal, which is important for the distribution of oxygen in the body. This disorder has a significant impact on global health, especially in the elderly, pregnant women, and individuals with chronic diseases. Anaemia in women of reproductive age poses a severe health challenge, causing more than 115,000 maternal deaths each year. This activity uses the PDCA (Plan-Do-Check-Act) method to screen for anaemia by measuring haemoglobin and hematocrit levels in the productive age population at PT. Narindo, North Jakarta. The examination results showed that 38 people (28.57%) men and 5 people (3.97%) women had anemia. Routine screening, especially in high-risk populations, is critical for early identification and timely intervention, thereby reducing complications and health care costs. Efficient management through nutritional and pharmacological interventions can improve the quality of life and productivity of individuals suffering from anemia, thereby reducing the wider socio-economic impact.

On average, 85-90% of pregnant women in Indonesia experience severe labor pain and 7-15% of those who do not experience labor pain. Labor pain results in increased activity of the sympathetic nervous system which causes an increase in blood pressure, pulse rate, respiration, nausea, vomiting, and diaphoresis. Data shows that 15% of mothers in Indonesia experience birth complications and 21% are caused by experiencing very severe pain. The aim of the research was to analyze the effect of cold compresses on first stage labor pain. The research design used a quasi-experimental one group pre-posttest. The population, namely all mothers giving birth at PMB Andina in May 2024, totaled 30 respondents. The sampling technique uses total sampling. Statistical tests use the Wilcoxon test. The research results obtained were that the average labor pain before the cold compress was 5.13 and the average labor pain after the cold compress was 4.00, meaning there was a decrease in the level of pain by 1.13. The significant value was found to be p: 0.001 < 0.05, meaning that there was an effect of cold compresses on labor pain in mothers giving birth at PMB Andina Palembang. It is hoped that health workers can improve maternal care during childbirth, one of which is by providing complementary services in the form of cold compresses.

Introduction: According to the Indonesian Health Profile (2021), preeclampsia or eclampsia, bleeding, and COVID-19 caused the highest number of maternal deaths in 2021. In 2022, the maternal mortality rate in Indonesia reached 183 deaths per 100,000 live births, with preeclampsia as the main cause. One of the most common maternal health problems in Indonesia is preeclampsia, which has a high incidence rate and causes dangerous complications for the mother and baby. Research and prevention efforts continue to be needed to reduce maternal mortality in Indonesia. Apart from disorders during pregnancy, we as academics who continue to be pro-active in community service activities in our field, must also pay attention to post-partum health. The incidence of postpartum blues in Indonesia will reach 50-70% in 2023. According to WHO, around 10% of pregnant women and 13% of new mothers experience mental health disorders, especially depression. Risk factors that increase the possibility of postpartum blues are the mother's young age, lack of support from her husband, and a difficult economic situation. Method: The method used in this activity is lecture and discussion, using power points and leaflets. Target: Women of Childbearing Age (WUS), pregnant women and post partum mothers. Results: After the educational activity, participants asked several questions, such as how to know whether a pregnant woman is experiencing problems, how many times should she have an examination, and what should the family do if the mother seems stressed after giving birth. With the aim of improving the welfare of pregnant women and babies, Family Centered Maternity Care (FCMC) is a midwifery approach that involves the family. This approach provides good social support to pregnant women, which can help them deal with stress and anxiety that may occur during pregnancy, childbirth and the postpartum period. In addition, pregnant women and their families are given the opportunity to actively participate in decision-making regarding health care, so that they can take responsibility for their own health. Conclusion: When Women of Childbearing Age (WUS) have good knowledge, attitudes and behavior, they will produce a generation of healthy and intelligent children. Health workers and the public must pay attention to the four Ts: too young, too old, too much, and too close. Antenatal visits and postpartum visits, which are types of physical examinations during pregnancy, are well carried out in first-level health facilities.

. According to WHO (2019) TB mortality rate (AKI) in the world namely 303,000 people. Maternal   Mortality Rate (MMR) in ASEAN (2020), namely amounting to 235/100,000 live births. Based on data from the Ministry of Health Figures Maternal mortality (MMR) in Indonesia in 2020 was 4,627 deaths. Data Health Department (2021) MMR 62 cases. Data from Kaliwadas Community Health Center (2022) MMR 0 case. The aim of this research was to reduce maternal and infant morbidity and mortality rates in Brebes district, especially the Kaliwadas Community Health Center area. This research method is qualitative research, namely a research method carried out by exploring, describing and explaining and predicting a phenomenon that occurs on the basis of it in the field. The results of this research are after carrying out comprehensive midwifery care in Mrs. S is 42 years old with risk factors: age, anemia and CED at the Community Health Center Kaliwadas from the third trimester of pregnancy, childbirth, newborns, postpartum and family planning using Varney and midwifery approaches SOAP found gaps between theory and practice.        

This study aims to explore the relationship between the quality of antenatal care (ANC) services and the satisfaction levels of pregnant women at the Kuta Raja Community Health Center, Banda Aceh. This relationship is pivotal in understanding how service quality impacts maternal satisfaction and, ultimately, maternal health outcomes. Maternal Mortality Rate (MMR) is defined as the number of mothers who die during postpartum, pregnancy, and childbirth. High MMR is often attributed to a lack of awareness and infrequent ANC visits. In 2023, only 86.25% of pregnant women attended ANC services, falling short of the 93% target. Initial observations indicated that 60% of the attendees were dissatisfied with the ANC services at the Kuta Raja Community Health Center. This analytical survey, employing a cross-sectional design, was conducted at the Kuta Raja Community Health Center. The study population included 93 pregnant women, all of whom were surveyed using a total sampling technique. Data were analyzed using univariate and bivariate analyses, with the chi-square test employed for bivariate analysis. The study found that certain quality dimensions of ANC services—responsiveness (p < 0.001), assurance (p < 0.005), empathy (p < 0.005), and tangibility (p < 0.001)—were significantly related to the satisfaction levels of pregnant women. However, reliability (p > 0.05) showed no significant relationship with satisfaction. There is a significant relationship between the responsiveness, assurance, empathy, and tangibility of ANC services and the satisfaction levels of pregnant women at the Kuta Raja Community Health Center. Conversely, reliability did not show a significant correlation with satisfaction. To improve maternal satisfaction and health outcomes, it is recommended that pregnant women regularly attend ANC services and that efforts be made to enhance the quality dimensions that impact satisfaction.

This study delves into the correlation between service management quality and ANC visit attendance at PMB Suryani, Medan City in 2023. Using a quantitative approach with a structured questionnaire, the research reveals a significant association between service management quality and ANC visit attendance, with factors like staff competency, facility infrastructure, waiting time, and overall satisfaction playing crucial roles. Enhancing service management quality emerges as pivotal for encouraging regular ANC visit attendance, suggesting the need for improvements in staff training, facility infrastructure, waiting times, and patient satisfaction. By investing in these areas, PMB Suryani, Medan City can positively impact maternal and child health outcomes. Additionally, further research is recommended to explore additional factors influencing ANC visit attendance and assess long-term impacts on maternal and child health.

Neonatal tetanus and umbilical cord infections are persistent causes of morbidity and mortality in various countries. Every year 500,000 babies die from neonatal tetanus, and 460,000 babies die from bacterial infections. This research is quantitative using a cross sectional approach. The research population was postpartum mothers in the Tebing Health Center working area in February 2023. Sampling using purposive sampling obtained 38 respondents as samples. The results showed that 16 respondents (42.1%) who had good knowledge carried out open umbilical cord care in the good category, then 18 respondents who had a positive/supportive attitude (47.3%) also carried out open umbilical cord care well. category. In conclusion, there is a significant relationship between knowledge and open umbilical cord care with a p-value of 0.001 α 0.05 and there is a significant relationship between maternal attitudes and open umbilical cord care with a p-value of 0.000 - 0.05. It is hoped that health workers will provide education by practicing open umbilical cord care techniques to increase the knowledge and attitudes of postpartum mothers in caring for the umbilical cord.