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Maternal and child health (MCH) is a priority in health development, especially in preventing pregnancy complications that may endanger the lives of both mothers and babies. One way to reduce these risks is through routine antenatal care and early detection of complications. However, in some areas, pregnant women still lack understanding of the importance of regular antenatal checks. This community service activity aims to increase pregnant women’s knowledge about the importance of antenatal care and early detection of pregnancy complications at Posyandu Ester 24, a working area of Puskesmas Dua Puluh Tiga Ilir, Palembang, conducted from December 1 to 6, 2024. The activity involved counseling, free antenatal care checks, and training for healthcare workers. The results showed an improvement in pregnant women’s understanding of pregnancy danger signs and the importance of routine healthcare. Antenatal care successfully detected several health risk factors, such as anemia and chronic energy deficiency (CED), allowing for early intervention. Although the main challenge was motivating pregnant women to attend routine checks, the activity successfully increased participation in antenatal care and health education. It is hoped that this activity can serve as a model for other maternal and child health programs in the future.

Labor preparation aims to prepare for the needs during pregnancy and labor. The close relationship between maternal knowledge and attiudes towards childbirth is very important to improve the preparation of primigravida mothers to undergo the birth process smoothly and safely. The purpose of the study was to determine the relationship between knowledge and attitudes of primigravida mothers with labor preparation in the manganitu Health Center working area. The study was conducted using purposive sampling method. Data collection was done by means of a questionnaire. Furthermore, the collected data were processed using the SPSS computer program to be analyzed with uni statistics and chi square test. The result of the study there is a relationship between knowledge and labor preparation p value=<.001 where the p value is smaller yhan the value of a=0.05 and there is a relationship between attitude and labor preparation p value=<.001 where the p value is smaller than the value af a=0.05. The conclusion of this study is that there is relationship between knowledge and attitude of primigravida mothers with labor preparation in the Manganitu Health Center working area

Dengue Hemorrhagic Fever (DHF) is one of the serious public health problems in Indonesia, including in Rada Mata Village. DHF prevention is highly dependent on community behavior, especially housewives, who play an important role in maintaining environmental cleanliness. Objective: This study aims to determine the relationship between the level of knowledge and attitude with maternal actions regarding DHF prevention in Rada Mata Village. Method: This study used an analytical study design with a cross-sectional approach. The sample consisted of 100 mothers selected through purposive sampling technique. Data were collected using a structured questionnaire that measured the level of knowledge, attitude, and DHF prevention actions. Data analysis was performed using the chi-square test. The results showed that there was a significant relationship between the level of knowledge and DHF prevention actions (p = 0.002), as well as between attitude and DHF prevention actions (p = 0.001). Conclusion: The level of knowledge and attitude of mothers is closely related to DHF prevention actions. Efforts are needed to improve education and health promotion for housewives to reduce the incidence of DHF in Rada Mata Village.    

Diarrhea is still the leading cause of infant morbidity and mortality in Indonesia, especially in areas with limited access to clean water and adequate sanitation. This community service activity is carried out with the aim of increasing maternal knowledge about the signs and symptoms of diarrhea in children, increasing maternal awareness in maintaining children's hygiene and health to prevent diarrhea, and providing practical training on early treatment of diarrhea. This activity involved 30 mothers who have early childhood in Bangun Rejo Village, Tanjung Morawa District. The methods used include interactive lectures, group discussions, demonstrations of making oralite solution (ORS), correct handwashing practices, and distribution of educational leaflets. Evaluation was carried out through pre-test and post-test to measure the increase in participants' knowledge before and after the activity. The results of the activity showed a significant increase in maternal understanding of the prevention and treatment of diarrhea. Participants were able to identify early symptoms of diarrhea, practice how to make ORS correctly, and show readiness to take the child to a health facility if signs of dehydration appear. This activity proves that community-based health education is effective in increasing maternal knowledge and preparedness in preventing and treating diarrhea in children. Strengthening similar educational programs is essential to be implemented sustainably, especially in areas with a high risk of diarrheal diseases. These efforts can make a real contribution to reducing the incidence of diarrhea and improving the health status of children in vulnerable communities.

Background: Women's choice of long-term contraceptive methods (LTCM) is influenced by factors such as counseling, knowledge, and healthcare access. Midwife visits play a key role in providing information and guidance on family planning, including LTCMs like implants, IUDs, and sterilization. Previous studies have shown that healthcare provider interaction enhances awareness and decision-making regarding contraception. However, many women still face barriers, including misinformation, fear of side effects, and cultural beliefs. Understanding how midwife visits shape contraceptive choices is essential for improving maternal and child health outcomes, reducing unintended pregnancies, and supporting family planning programs. Objective: This study aimed to analyze the impact of midwife visits on women’s choice of LTCMs in the reproductive age group. Methods: A quantitative, observational study with a cross-sectional design was conducted with 30 women who had received at least one midwife visit. Data were collected through structured interviews and family planning record reviews. The Wilcoxon signed-rank test examined the relationship between midwife visits and LTCM choices, with a significance level set at p < 0.05. Results: All participants received midwife visits. 20 (90%) chose LTCMs, while 10 (10%) opted for short-term methods. Statistical analysis revealed a significant relationship between midwife visits and LTCM choice (p = 0.000). Conclusion: Midwife visits significantly influence women’s choice of LTCMs, improving knowledge and decision-making. Strengthening midwife outreach can increase LTCM uptake and enhance family planning strategies.

Background: Maternal nutritional status plays a crucial role in determining both maternal and neonatal health outcomes. According to data from the Indonesian Ministry of Health (2021), the prevalence of anemia among pregnant women reached 48.9%, while in Gorontalo Province, around 30% experienced malnutrition. Poor nutritional status during pregnancy is associated with increased risks of complications, including preterm birth, low birth weight, and higher maternal and neonatal mortality rates. Therefore, nutrition education is considered an essential strategy to enhance knowledge and promote adequate dietary intake among pregnant women.Objective: This study aimed to evaluate the effectiveness of nutrition education in improving the knowledge and nutritional status of pregnant women at the South Bulango Community Health Center. Methods: A quantitative study with a pre-experimental design was conducted involving 30 pregnant women selected through purposive sampling. Inclusion criteria included women aged 18–35 years, free from severe comorbidities, and willing to participate. Data were collected using questionnaires to assess nutritional knowledge, interviews to explore dietary patterns, and anthropometric measurements such as weight, height, and mid-upper arm circumference (MUAC). Data analysis employed descriptive statistics and the Wilcoxon test to assess differences before and after the intervention. Results: Most participants were aged 20–35 years (66.6%), had secondary education (63.3%), and were housewives (60%). Post-intervention results showed a substantial increase in good nutritional knowledge from 13.3% to 60%. Nutritional status also improved progressively across trimesters, with normal MUAC increasing from 33.3% to 60%, while undernutrition declined from 50% to 13.3%. The Wilcoxon test indicated a significant difference (p = 0.000; p < 0.05). Conclusion: Nutrition education effectively enhances both knowledge and nutritional status among pregnant women and should be integrated into routine antenatal care services.

The coverage of exclusive breastfeeding at the Sikan Community Health Center from 2018-2019 decreased from 50.8% to 28%. Lack of knowledge and the intensive promotion of formula milk are among the causes of the low exclusive breastfeeding rate. The purpose of this study was to determine the relationship between socioeconomic factors and the level of maternal knowledge about exclusive breastfeeding in the Tokorondo Community Health Center Work Area. This study used an analytical method with a cross-sectional approach. The population was 46 mothers with toddlers aged 6-12 months in the Sikan Community Health Center work area. The sample in this study was 36 people, the sampling technique was consecutive sampling. The results showed that exclusive breastfeeding was more common in mothers with low education (60%), unemployed mothers (23.5%), high income (50%), and well-informed (100%). Conclusion: There is a relationship between the level of knowledge and exclusive breastfeeding (p<0.001), while education (p=0.217), occupation (p=1.000), and income (p=0.436) have no relationship with exclusive breastfeeding. It is hoped that health workers can be a source of information about the importance of exclusive breastfeeding for babies up to 6 months of age and after six months of age. After six months, it is continued with the provision of complementary foods while continuing to provide breast milk until the age of 2 years and there is support from the family, especially the husband, as an effort to increase the coverage of exclusive breastfeeding.

Complementary Foods for Breast Milk (MP-ASI) are additional intake given to babies aged 6–24 months to meet nutritional needs other than breast milk. Giving MP-ASI that is not in accordance with the baby's age or condition can have a negative impact on the nutritional status and digestive system of the child. This study aims to determine the relationship between maternal behavior—which includes knowledge, attitudes, and actions—and the administration of MP-ASI in infants aged 6–24 months at the Bies Health Center, Central Aceh Regency, in 2022. The design of this study was quantitative with a cross-sectional approach, involving 35 respondents who were selected purposively. The results of the univariate analysis showed that most mothers had good knowledge (45.7%), positive attitudes (74.3%), and good actions (45.7%) in giving MP-ASI. Meanwhile, the provision of MP-ASI is also mostly in the good category (48.6%). The results of bivariate analysis with the chi-square test showed a significant relationship between knowledge (p=0.007), attitude (p=0.003), and maternal actions (p=0.001) with MP-ASI. In conclusion, maternal behavior has a significant relationship with MP-ASI feeding practices. Therefore, improving nutrition education and counseling is very important to encourage optimal maternal behavior in fulfilling child nutrition.

Background: Tembuku Village has been recorded as having the highest number of non-contraceptive users in Bangli Regency, with a total of 815 individuals. Among them, 174 women (21.3%) are women of reproductive age (WRA) over 35 years old who do not use contraception. This age group falls under the “Four Too” category, which poses a high risk for maternal and infant mortality. Purpose: This study aims to describe the factors influencing the decision of WRA over 35 years old not to use contraception in the working area of Puskesmas Tembuku II. Method: A descriptive method was employed, with a population of 174 women. A total of 119 respondents were selected using stratified sampling. Data were collected through questionnaires and analyzed using univariate analysis. Result: The results showed that most respondents had a basic level of education, were multigravida, had household incomes below the regional minimum wage, and possessed moderate knowledge about family planning. However, more than half held unfavorable attitudes toward contraceptive use. The main factors influencing the decision not to use contraception were education level, parity, household income, and attitude. Conclusion: Unfavorable (negative) attitudes towards contraception are the main factor inhibiting the use of family planning,Therefore, health workers are expected to provide more communicative and easily understood education to increase awareness and participation in contraception use among women over 35 years old

This study aims to determine the relationship between MP-ASI knowledge and undernourished status, the relationship between exclusive breastfeeding history and undernourished status, and the relationship between food intake and undernourished status. This study uses analytical observational research. The method used is survey and observational using a cross sectional approach, namely the researcher takes data on free variables and bound variables in the same time period. The research was conducted from March to May 2024. The place of research was carried out at the Posyandu of Klampok Village, Wanasari District, Brebes Regency. The population in this study is all mothers who have toddlers in Klampok Village, Wanasari District, Brebes Regency aged 1-5 years which totals 122 toddlers. The sample in this study was malnutrition in 13 Posyandu Klampok Village, Wanasari District, Brebes Regency with a purposive sampling technique, namely a sampling technique with certain considerations. The research sample was collected from 13 Posyandu in the object of the study, resulting in the prevalence of undernutrition status of 122 children under five in Klampok Village, Wanasari District, Brebes Regency in 2024 with an average Z score of -3 to <-2 elementary school. The results showed that there was no relationship between maternal knowledge and nutritional status in toddlers aged 1-5 years with a ρ-value of 0.75, there was no relationship between the history of exclusive breastfeeding of toddlers and nutritional status in toddlers aged 1-5 years with a ρ-value of 0.80 and there was a relationship between toddlers' food intake and malnutrition status in toddlers aged 1-5 years with a ρ-value of 0.028.

Stunting is a chronic nutritional problem resulting from a lack of nutritional intake over a long period, resulting in impaired growth in children. The cause of stunting is not only due to nutritional factors, namely not just a lack of food and health problems, but also due to parenting patterns. Good maternal knowledge of nutrition can prevent stunting in children. Community service activities were carried out in Bidok village, Ulim District, there were around 25 participants. This counseling lasted approximately 40 minutes, namely a presentation of the material and continued with a question and answer session with the counseling participants regarding Stunting. It is recommended to the public, especially mothers, to maintain nutritional intake during pregnancy, at birth and when children are before 2 years old to prevent stunting.

The results of the Population Census data carried out in 2020 showed that the maternal mortality rate reached 189 per 100 thousand live births. And based on these figures, Indonesia is ranked second highest in ASEAN, which is further than other countries such as Thailand, Malaysia, Vietnam and Brunei, which have achievements below 100 per 100 thousand live births. The maternal mortality rate is one of the important programs for the Ministry of Health (Kemenkes) to pay attention to. Therefore, through this, the Ministry of Health carries out a care program from before pregnancy, pregnancy, childbirth, babies. And a number of cases of pregnant women giving birth include anemia 48.9%, hypertension 12.7%, KEK 17.3% and complications as much as 28%. The impact of childbirth on maternal mortality is also something that cannot be separated from the occurrence of maternal death. As a health worker with high integrity, it is very necessary to implement Mother and Baby Care. Indicators of quality service are in the process of pregnancy care, postpartum delivery carried out by health workers to the mother. One of them is carried out in the delivery process by explaining to the mother the technique of pushing when the opening is complete or 10cm. Do not do forced pushing (Valsalva) or tell the mother to push forcibly before it is certain that the opening is complete. This is one of the strict prohibitions conveyed by Bergastrom in his book. The process of delivering a baby can generally cause tears in the vagina and perineum. So when leading pushing in a mother in labor, it is necessary to do so as not to cause irregular tears in the birth canal. However, the process of delivering a baby through the birth canal or through normal delivery requires deliberate tearing to widen the birth canal. However, for further action, it is necessary to do hecting or stitches on the episiotomy wound which aims to restore the original shape of the perineal incision scar and stop bleeding as well as healing.

Complications during childbirth are the leading cause of maternal mortality in Indonesia. The incidence of labor complications can be prevented by frequent antenatal care (ANC) visits. Low frequency of antenatal care (ANC) may increase the risk of labor complications. The purpose of this study is to examine the correlation between the frequency of antenatal care and the incidence of labor complications in Independent Midwifery Practice Jati Area, Probolinggo City. This study used a cross-sectional research design with using secondary data from the Maternal and Child Health book and observation sheets. The number of samples in this study were 26 laboring mothers in the area in June 2024. The results of this study showed that the majority with low ANC frequency majority was 57.7%, incidence of labor complications was 61.5%. Fisher's test showed a significant correlation between the frequency of antenatal care and the incidence of labor complications with the result (p = 0.000). Suggestions for health workers, especially midwives, are expected to always provide motivation and knowledge about the importance of the frequency of antenatal care visits and need to improve the quality of antenatal care to prevent complications of labor.

In Indonesia, government attention to the use of post-saline contraceptives is increasing. According to the recommendations of The National Meeting on Family Planning Programs in 2012, the postpartum and post-miscarriage Family Planning (KB PP & PK) program is designated as a priority program that should be available in every province. This program aims not only to increase the number of contraceptive use, but also to improve maternal and child health (JNPK, 2012). Post-copy family planning is one of the government programs with a target of 80%, although the acceptor of post-copy family planning only reaches 30%, the Minister of Health of the Republic of Indonesia considers this achievement as a significant progress in increasing community participation in family planning programs. Meanwhile, the number of family planning acceptors in North Sumatra in 2012 reached 4,041 acceptors. This study aims to analyze the relationship between maternal knowledge about post-copy family planning and participation in becoming a family planning acceptor at Balimbingan Hospital, Tanah Jawa District, Simalungun Regency, Pematang Siantar City in 2024. This study applies an analytical survey method with a cross-sectional approach with sampling carried out using the Incidental Sampling technique of 44 people. The data analysis technique applied was Spearman's Rho Correlation with a significance level of 5% or a confidence level of 95%. The results of the study based on the output test statistics obtained the result of p=0.007 (<0.05). The conclusion of the study is that Ha is accepted, which means that maternal knowledge has a significant relationship with participation in becoming a post-copy family planning acceptor. It is hoped that the Family Planning program management officer at Balimbingan Hospital will continue to provide accurate information, education and counseling.

Anemia is one of the public health problems experienced by many pregnant women in Indonesia, including in Aceh Province. One of the efforts to prevent anemia is by consuming iron tablets (TTD) regularly. This study aims to determine the relationship between the level of education and knowledge of mothers about anemia with the regularity of blood tablet consumption. This study used a quantitative approach with a cross-sectional design. The study sample consisted of 100 pregnant women in the Penanggalan Health Center working area, selected through purposive sampling technique. Data were collected using a structured questionnaire and analyzed using the Chi-Square test. The results showed a significant relationship between the level of education (p = 0.032) and knowledge about anemia (p = 0.005) with the regularity of blood tablet consumption. Mothers with higher education and good knowledge tend to be more regular in consuming blood tablets. Improvement of health education is needed through routine counseling to increase mothers' awareness of the importance of preventing anemia during pregnancy.

Background: According to data from the World Health Organization (WHO, 2023), antepartum hemorrhage, especially placenta previa, accounts for 15% to 20% of maternal deaths. Placenta In addition, previa accounts for 3% of all maternal deaths in Indonesia due to bleeding. Abnormal implantation of placental tissue above the endocervical os is a characteristic of placenta previa. Parity, age, endometrial hypoplasia, tumors, slow luteal response, endometrial abnormalities, history of cesarean section, curettage, multiple pregnancies, and history of placenta previa in previous pregnancies are some of the factors that can increase the risk of placenta previa. Research Objective: This is to determine the characteristics of pregnant women with the incidence of placenta previa in pregnant women at the HKBP Balige Hospital in 2024. Research Method: This is analytical with a cross-sectional design. The sampling technique uses total sampling with a sample size of 45 people. The entire data processing and analysis process uses the SPSS application. Research Results: The characteristics of pregnant women were obtained as follows: the majority of the age at risk (<20 and >35 years) as much as 55.6%; the majority of parity >3 as much as 53.3%, the majority of Ever CS as much as 60%. Results: statistical tests showed a significant correlation with the characteristics of pregnant women with age (p = 0.007), parity (p = 0.031) and history of CS (p = 0.001). Suggestion: It is expected to facilitate health workers in increasing knowledge and skills through training in maternal and neonatal emergency services as an effort to prevent complications in the mother and fetus.

Infant and toddler mortality is a global issue and one of the targets of the Sustainable Development Goals (SDGs). Mothers and children are family members who should be prioritized in healthcare services. The national coverage of healthcare services for infants, toddlers, and preschool children remains low at 69.9%. Posyandu (Integrated Health Post) is a community-based maternal and child healthcare service (UKBM) organized by and for the community to reduce maternal and child mortality rates. The coverage of mothers with toddlers visiting Posyandu Melati in Kuta Alam District, Banda Aceh City, is only 31.38%, far below the national strategic plan target of 70%. Objective: To determine the relationship between knowledge, attitude, and family support with maternal visits to Posyandu Melati in Kuta Alam District, Banda Aceh City. Research Method: This study used an analytical research design with a cross-sectional approach. The sampling technique employed probability sampling using systematic sampling, with a total of 58 mothers with toddlers. The research instruments included a questionnaire and the Maternal and Child Health (KIA) book. The study was conducted from July 11 to July 13, 2023, at Posyandu Melati, Kuta Alam District, Banda Aceh City. Data processing involved editing, coding, data entry, tabulating, and univariate and bivariate analysis. Research Results: Univariate analysis showed that the majority of respondents had good knowledge (23 respondents, 39.7%), received supportive family support (35 respondents, 60.3%), and had irregular Posyandu visits (30 respondents, 51.7%). Bivariate analysis revealed significant relationship between knowledge (p-value = 0.030), attitude (p-value = 0.015), and family support (p-value = 0.013) with maternal visits to Posyandu. Conclusion and Recommendations: There is a significant relationship between knowledge, attitude, and family/husband support with maternal visits to Posyandu Melati in Kuta Alam District, Banda Aceh City. Healthcare workers should continue providing education and counseling on the benefits of Posyandu in maintaining maternal and child health.

Introduction: Diarrhea is one of the most common diseases affecting children worldwide. Diarrhea is a condition when the sufferer defecates more often than usual, namely defecating more than 3 times a day and the diarrhea sufferer's stool is thinner than usual. Puskesmas Tarus is one of the Puskesmas in Kupang Regency with the highest data on diarrhea cases in 2021 compared to other Puskesmas, namely 132 cases of diarrhea in toddlers. In 2022 diarrhea cases increased, namely 139 until 2023 it continued to increase to 145 diarrhea patients in children under five. Methods : This type of research and research design is quantitative research with Cross Sectional design. the population in this study were all mothers of toddlers in the Tarus Puskesmas Working Area. The population of mothers who have toddlers is 2,110 people. The sampling method is determined by simple random sampling, with mothers or respondents who have toddlers totaling 66 people. Data analysis was performed with the Chi-Square statistical test. Results: The results showed that there was a significant relationship between maternal knowledge (ρ=0.034), hand washing behavior (ρ=0.022), ownership of healthy latrines (ρ=0.007), availability of clean water (ρ=0.029) with the incidence of diarrhea in toddlers in the Tarus Health Center Working Area. Conclusion: It is recommended for mothers to maintain personal hygiene before doing or giving activities to toddlers.

Problems faced by partners related to the role of cadres in attaching P4K stickers at the Babirik Health Center include the lack of community understanding of the importance of the health information provided. Although cadres have tried to attach stickers in strategic locations, community response is often minimal, so that the information is not effective in raising awareness. In addition, cadres also face challenges of limited time and resources, which prevent them from conducting further socialization. The solutions carried out are educating cadres to conduct pregnant women screening; documenting high-risk pregnant women; educating high-risk pregnant women on knowledge; attaching P4K stickers in the homes of high-risk pregnant women. The conclusion from the results of community service activities related to the role of cadres in attaching P4K stickers at the Babirik Health Center shows that this initiative has succeeded in increasing community awareness of maternal and child health. Through the attachment of stickers in strategic locations and the active involvement of cadres, important information about health services becomes more easily accessible and understood by the community. More intensive interaction between cadres and the community shows an increase in requests for information and participation in health programs.

Emesis gravidarum is a condition that is commonly experienced by pregnant women in the first trimester. This condition is characterized by complaints of nausea and vomiting which can cause discomfort, and even have the potential to cause serious complications if not handled properly. Based on data from the Sabatai Baru Health Center, Morotai Island, there were 5 cases of emesis gravidarum out of a total of 49 registered first-trimester pregnant women. Various factors, such as maternal age, parity, employment status, level of knowledge, family support, and environmental conditions, are known to play a role in the occurrence of emesis gravidarum. This study aims to examine the relationship between these factors and the incidence of emesis gravidarum in pregnant women in the first trimester at Harapan Bunda Hospital, Central Lampung. This study uses a quantitative approach with a cross-sectional design, involving 40 respondents who were selected using the total sampling technique. Data collection was carried out through questionnaires of respondent characteristics and PUQE-24 instruments, then analyzed using Chi-Square test and multivariate logistic regression. The results showed that as many as 23 respondents (57.5%) experienced mild to moderate emesis gravidarum, 17 respondents (42.5%) were in the high-risk age group, 22 respondents (55%) were primigravida, and 18 respondents (45%) had low levels of family support. Bivariate analysis showed a significant relationship between maternal age (p = 0.035), parity (p = 0.042), and family support (p = 0.001) and the incidence of emesis gravidarum. Furthermore, the results of the multivariate analysis revealed that family support was the most dominant factor influencing the occurrence of emesis gravidarum (p = 0.001; OR = 3.5). It is hoped that pregnant women will receive adequate education regarding the prevention and handling of emesis gravidarum.