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Preeclampsia is one of the leading causes of maternal mortality and may result in various complications during pregnancy and childbirth. In Tegal Regency, preeclampsia contributed to 27% of maternal deaths in 2024; therefore, studies on childbirth characteristics among mothers with this condition are needed. This study aimed to identify the characteristics of childbirth events in mothers with preeclampsia at Dr. Soeselo Slawi Regional Hospital, Tegal Regency. A descriptive design with a retrospective approach was used by reviewing the medical records of 202 mothers who delivered with preeclampsia during 2025. Data were analyzed univariately and presented as frequency distributions and percentages. The results showed that most mothers underwent operative delivery (62.38%), while spontaneous and induced labor accounted for 37.13% and 0.50%, respectively. Most deliveries occurred at preterm gestational age (62.38%), followed by term (36.14%) and postterm (1.49%) deliveries. Maternal and obstetric complications included bleeding (6.93%), fetal distress (4.95%), eclampsia (1.49%), and HELLP syndrome (0.99%). Most neonates had normal birth weight (82.18%) and did not require NICU care (95.05%), although low birth weight (17.82%) and NICU admission (4.95%) were still identified. The maternal clinical condition was dominated by blood pressure of 140–159/90–109 mmHg (75.74%). Proteinuria was found in 46.53% of respondents, with moderate proteinuria (+2) as the predominant category (38.30%). In conclusion, childbirth among mothers with preeclampsia was dominated by operative and preterm deliveries. These findings emphasize the importance of early detection and optimal management of preeclampsia to reduce maternal and neonatal complications and improve the quality of maternal-infant health services overall.

Data from the 2020 LFSP (Long Form Population Census) recorded a maternal mortality ratio of 189 per 100,000 live births, while the infant mortality rate was recorded at 16.85 per 1,000 live births. The causes of maternal mortality were hemorrhage, preeclampsia/eclampsia, infection, prolonged labor, and miscarriage. Meanwhile, the majority of infant deaths were due to low birth weight, asphyxia, and infection at birth. Stunting remains a particular concern in Tegal City. Various measures have been taken, and the stunting rate has decreased to around 13.8% according to data from early 2025. This PKM is expected to increase public knowledge on caring for pregnant women, women in labor, postpartum women, and newborns, as well as preventing stunting in children, thereby reducing maternal and infant mortality rates. The methods used in this activity include health education and outreach with a promotive and preventive approach, targeting pregnant women and mothers with infants and toddlers. Community service was held on Wednesday, December 17, 2025, from 8:30 a.m. to 12:00 p.m. at the Boegenvil Health Center in Cabawan Village, Tegal City, with 53 participants. The results of this activity showed an increase in the level of knowledge of the participants, from 11 people with a good level of knowledge to 41 people after receiving counseling, with 3 participants still having a low level of knowledge.

Data from the 2020 LFSP (Long Form Population Census) recorded a maternal mortality ratio of 189 per 100,000 live births, while the infant mortality rate was recorded at 16.85 per 1,000 live births. The causes of maternal mortality were hemorrhage, preeclampsia/eclampsia, infection, prolonged labor, and miscarriage. Meanwhile, the majority of infant deaths were due to low birth weight, asphyxia, and infection at birth. Stunting remains a particular concern in Tegal City. Various measures have been taken, and the stunting rate has decreased to around 13.8% according to data from early 2025. This PKM is expected to increase public knowledge on caring for pregnant women, women in labor, postpartum women, and newborns, as well as preventing stunting in children, thereby reducing maternal and infant mortality rates. The methods used in this activity include health education and outreach with a promotive and preventive approach, targeting pregnant women and mothers with infants and toddlers. Community service was held on Wednesday, December 17, 2025, from 8:30 a.m. to 12:00 p.m. at the Boegenvil Health Center in Cabawan Village, Tegal City, with 53 participants. The results of this activity showed an increase in the level of knowledge of the participants, from 11 people with a good level of knowledge to 41 people after receiving counseling, with 3 participants still having a low level of knowledge.

Preeclampsia is one of the most serious complications in pregnancy, characterized by hypertension and proteinuria, and it poses a significant risk of maternal and fetal morbidity and mortality if not detected and managed promptly. Early detection is crucial, yet clinical diagnosis often faces challenges due to the variability of symptoms and uncertainty in medical decision-making. To address this issue, this study aims to develop an expert system for diagnosing preeclampsia by employing the Dempster-Shafer method, which is known for its ability to handle uncertainty and incomplete information in complex domains such as healthcare. A case study was conducted at Bidadari General Hospital, where data on clinical symptoms and patient medical records were collected and analyzed. The development process of the expert system followed systematic stages, including knowledge acquisition from obstetrics specialists, designing the knowledge base, constructing inference rules, and integrating the Dempster-Shafer algorithm for decision support. The system was subsequently tested using real-case scenarios of pregnant women suspected of having preeclampsia. Evaluation results demonstrated that the system achieved an accuracy rate of 92% in differentiating between preeclampsia and eclampsia, based on belief and plausibility measures combined with symptom analysis. These findings indicate that the proposed system can effectively support medical personnel by providing diagnostic recommendations with a high degree of reliability. In addition, the system offers efficiency in the clinical workflow by minimizing diagnostic errors and reducing delays in treatment initiation. Therefore, this expert system has the potential to become a valuable clinical decision support tool for early detection, risk assessment, and management of preeclampsia. Future development may focus on expanding the knowledge base, integrating real-time patient monitoring data, and enhancing usability to ensure broader applicability in diverse healthcare settings.

Based on the data obtained, 157 babies were born with LBW in 2016. In 2017 there were 142 babies born with LBW. In 2018 there were 134 babies born with LBW. Based on the results of an initial survey conducted by researchers at the TK IV 07.01 Lhokseumawe Hospital, the prevalence of LBW every month is still high from the last 3 years. The purpose of this study was to analyse the risk factors for the incidence of low birth weight babies at the Hospital TK IV 07.01 Lhokseumawe in 2024. The design of this study was quantitative research with a retrospective approach. The population of this study was 138 people, the sample was obtained by saturated sampling technique as many as 138 people. Univariate analysis, bivariate using chi-square and multivariate using multiple logistic regression at 95% confidence level. The results showed that the variables that had a risk with the incidence of LBW in Hospital TK IV 07.01 Lhokseumawe in 2024 were multiple pregnancies (p=0.026 <0.05) and a history of premature birth (p=0.017 <0.05). Variables that did not have a risk with the incidence of LBW were maternal age (p=0.847 >0.05), preeclampsia/eclampsia (p=1.000 >0.05), pregnancy distance (p=0.0322 <0.05) and premature rupture of membranes (p=0.439 >0.05). The study concluded that the incidence of LBW was influenced by 2 factors, namely multiple pregnancies and a history of preterm birth. The most dominant factor influencing it is the history of premature pregnancy.

The leading causes of maternal mortality are thought to include hemorrhage, sepsis, obstructed labor, and hypertensive disease of pregnancy. For many years, demographic and health surveys have been used to study maternal and perinatal health in developing countries. However, few nationwide population surveys have used formally validated questionnaires. Objectives: The purpose of this study was to determine the validity of maternal self-reports of obstetrical complications. Methods: A cross-sectional study was conducted among 300 women at Two Hospitals and one public health center. A questionnaire recorded mothers’ perceptions of obstetrical complications while hospital medical records. Sensitivity, specificity, predictive values, and percent agreement were obtained for obstetrical conditions. Result: In general, women’s reports of obstetrical complications did not match medical diagnoses. The highest agreement was obtained for reporting eclampsia, with less agreement for postpartum haemorrhage. Conclusion: The validity of the survey questionnaires varies between studies due to differences in the questionnaires. Health surveys based on maternal self-report must be interpreted with consideration of this limitation.

Preeclampsia is a condition of hypertension occurring after 20 weeks of gestation, accompanied by organ dysfunction and proteinuria. Preeclampsia is classified into Early Onset Preeclampsia (EOPE), which occurs before 34 weeks of gestation, and Late Onset Preeclampsia (LOPE), which occurs after 34 weeks of gestation. EOPE carries a higher risk of maternal and fetal complications compared to LOPE. This research aims to analyze the complications in mothers and fetuses with EOPE and LOPE that were terminated at RSUD Raden Mattaher Jambi between 2020 and 2022. This descriptive research was conducted in the Medical Records Department of RSUD Raden Mattaher, Jambi, involving 82 patients who experienced both maternal and fetal complications with EOPE and LOPE that were terminated. Sampling was carried out using the total sampling technique based on inclusion and exclusion criteria. The results of this research showed that the prevalence of EOPE was 69.5%, while LOPE accounted for 30.5%. Maternal complications were more commonly found in EOPE cases, including eclampsia (42.1%), HELLP syndrome (36%), premature rupture of membranes (14%), placental abruption (14%), and maternal mortality (5.3%). Fetal complications in EOPE included Respiratory Distress Syndrome (RDS) (10.5%), prematurity (26.3%), low birth weight (29.8%), Intrauterine Growth Restriction (IUGR) (10.5%), and Intrauterine Fetal Death (IUFD) (1.8%). The perinatal mortality rate in EOPE was 7%, with asphyxia recorded in 12.3% of cases. EOPE is more frequently encountered than LOPE and is associated with more severe maternal and fetal complications. Early detection and management of EOPE are crucial to reducing complications and improving pregnancy outcomes.

Adolescence is a transition period from child to adult. Problems that often arise as a result of physical changes, emotional changes and social changes in adolescents are free sexual behavior, early pregnancy, and contracting sexually transmitted diseases including HIV/AIDS. Early pregnancy can have a detrimental impact, especially on young women, both physically, psychologically and socially. Physically, a teenage mother faces a higher risk of eclampsia, puerperal endometritis, and systemic infections than women aged 20 to 24 years, and babies of teenage mothers face a higher risk of low birth weight, premature birth, and severe neonatal conditions. Objective: to determine the knowledge and attitudes of young women regarding early pregnancy. This type of research is a case study using descriptive research with a sample size of 5 people. Results: characteristics of respondents aged 14-19 years. With an average education level of middle school and high school. Most of the knowledge of young women who do not understand about early pregnancy is 80% and those who already understand it is 20%. Conclusion: knowing the knowledge and attitudes of young women regarding early pregnancy where the majority of young women have insufficient knowledge and unsupportive attitudes.

Approximately 287,000 cases of maternal death occur during pregnancy, childbirth, and postpartum. One of the targets in the global Sustainable Development Goals (SDGs) is to reduce MMR to 70 per 100,000 live births by 2030. WHO data shows that 72.5% of maternal deaths are caused by direct factors, while the remaining 27.5% are caused by indirect factors. This study aims to determine the factors associated with maternal death in Sintang Regency in 2019-2023. The research design uses quantitative with a Cross Sectional approach. The study population is all data on maternal death cases from pregnancy, childbirth and postpartum periods from January 2019 - December 2023 obtained from the Sintang Regency Health Office. The sampling technique uses total sampling . The results of the study obtained variables of bleeding (p value 0.017), infection (p value 0.847), eclampsia (p value 0.026), age (p value 0.018) and parity (p value 0.900). There is a relationship between bleeding, eclampsia and age with maternal mortality in Sintang Regency in 2019-2023. There is no relationship between infection and parity with maternal mortality in Sintang Regency in 2019-2023. It is hoped that the relevant health services will improve health service efforts to reduce MMR.

Background: The highest cause of maternal death is hypertension in pregnancy which includes severe preeclampsia or what we know as PEB. Preeclampsia itself is a pregnancy condition that has problems characterized by hypertension, protein in the urine, and edema that occurs in pregnant women at 20 weeks. If the preeclampsia condition worsens and does not receive proper treatment, pregnant women can experience eclampsia with additional symptoms of seizures. Research Objective: To determine the most influential determinants of the incidence of severe preeclampsia in pregnant women at RSIA Anugrah Kubu Raya. Method: This study used a case-control study design with a retrospective approach. The study sample consisted of 76 respondents (38 controls and 38 cases). Data analysis used logistic regression tests. The study was conducted at RSIA Anugrah Kubu Raya. Results: The most influential determinants were a history of hypertension and a history of preeclampsia. Conclusion: The most influential variable in the incidence of preeclampsia was a history of preeclampsia.

Background: In Indonesia, the prevalence of anemia in pregnant women is 37.1%, the highest number in rural areas is 37.8%, the lowest in urban areas is 36.4%, in 2018 it increased to 48.9%. Pregnant women continue to experience the greatest rates of anemia in rural areas (49.5%) and urban areas (48.3%) (Ministry of Health of the Republic of Indonesia, 2019). In 2016, the Ministry of Health of the Republic of Indonesia reported that the three primary causes of direct maternal mortality in Indonesia during pregnancy and childbirth remain unchanged: 30.3% of the cases were connected to hemorrhage, 27.1% to hypertension during pregnancy, and 7.3% to infections.Objective: This study aims to identify risk factors for the incidence of pre-eclampsia and anemia in Indonesia.Methods: Uses the Study Literature Review method by taking data that has been published on trusted national research sites.Results: Based on research results through a review that had been carried out, researchers found 14 national studies that were included in the inclusion criteria.Conclusion: The most dominant risk factors for preeclampsia are history of preeclampsia, parity, pregnancy spacing and maternal age. Meanwhile, the most dominant risk factors for anemia in pregnant women in this study were: nutritional status, maternal age, parity and pregnancy spacing.    

Maternal Mortality Rate (MMR) is the number of maternal deaths during pregnancy or within 42 days after the end of pregnancy from any cause related to pregnancy during a certain time per 100,000 live births (World Bank, 2021). The maternal mortality rate (MMR) worldwide according to the World Health Organization (WHO) in 2020 is 295,000 deaths with the causes of maternal death being high blood pressure during pregnancy (pre-eclampsia and eclampsia), bleeding, postpartum infections, and unsafe abortion (WHO , 2021). According to ASEAN data, the highest MMR was in Myanmar at 282.00/100,000 KH in 2020 and the lowest MMR was in Singapore in 2020. There were no maternal deaths in Singapore (ASEAN Secretariat, 2021). According to the Indonesian Ministry of Health (2020), the number of MMR in Indonesia in 2020 was 4,627 cases and in 2021 it increased to 6,865 cases (Media Indonesia, 2021). The maternal mortality rate in Indonesia is still quite high. From data from the Kaliwadas Health Center, maternal deaths were caused by bleeding, pneumonia, pulmonary TB, hemorrhagic shock. And there are various factors that can cause the most maternal deaths in Indonesia, namely bleeding, hypertension in pregnancy, bleeding disorders, CPD, history of SC (Ministry of Health of the Republic of Indonesia, 2020).Objective: Able to provide comprehensive services according to service standards in pregnancy care, childbirth, postpartum, postpartum, family planning.Research methods : This research uses a qualitative descriptive method with a field observational case study approach. Results: Based on the comprehensive midwifery care provided to Mrs. N, 27 years old with a history of caesarean section (SC) and cephalopelvic disproportion (CPD), Mrs. S with the first visit to the fourth visit with a diagnosis of CPD so action had to be taken with (SC). In the care of newborns up to 28 days no problems were found and during the postpartum period no problems were found. Mrs. S chose implantable birth control contraception. Conclusion: Appropriate care provided by midwives during pregnancy, childbirth, newborns, postpartum and family planning is very important for the health of mothers and babies.    

Adolescence is a transition period from child to adult. Problems that often arise as a result of physical changes, emotional changes and social changes in adolescents are free sexual behavior, early pregnancy, and contraction of sexually transmitted diseases including HIV/AIDS. Early pregnancy can have a detrimental impact, especially for adolescent girls, both physically, phychologically and socially. Phycically, teenage mothers face a higher risk of eclampsia, puerperal endometritis , and systemic infection that women aged 20 to 24 years, and babies of teenage mothers face a higher risk of low birth weight, premature birth, and severe neonatal conditions. Objective: to determine the knowledge and attitudes of adolenscent girls about early pregnancy. Method: this type of research is a case study that uses descriptive research with a total sample of 49 people. Results: the characteristics of respondents   aged 14-16 years 38%, with 59% education level is high school. Most of the knowledge of adolescent girls in youth Poanyandu Hagerek Sesama 55% in the  moderate  category, 33% in the good category, and 12 % in the poor category. The attitude of adolescent girls in Youth Posnyandu Remaja Hagerek Sesama was 87,76% in favor of early pregnancy and attitudes of adolescent girls about early pregnancy where most adolescent girls have sufficient knowledge and supportive attitudes.  

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.

Maternal mortality is one of the unresolved health problems in the world. Obstetric complications directly in maternal mortality (pregnancy complications, childbirth, and the puerperium). This study aims to analyze the relationship between the determinants of maternal mortality due to obstetric complications. This type of research is an observational analytic study with a case-control design. In this study, there were 48 case samples and 144 control samples with a ratio of 1:3. The data obtained in the form of patient medical record data. Data analysised by univariate, bivariate and multivariate. The results showed that the most common cause of maternal death was preeclampsia/eclampsia. Risk factors that have a significant relationship with maternal mortality due to obstetric complications are anemia status (OR: 2.111; CI: 1.053-4.233; p: 0.035), history of maternal disease (OR: 2.514; CI: 1.260-5.015; p: 0.009) and HR (OR: 2.121; CI: 1.062-4.237; p: 0,033). In the multivariate results, the dominant risk factor was a history of maternal disease followed by anemia status and HR. The tendency of mothers who have a history of disease will increase the risk of maternal death compared to mothers who do not have a history of the disease.

The current condition of maternal and child health in Indonesia is still very important to improve and receive special attention. According to 2018 RISKESDES data, it is estimated that around 1 mother dies every hour due to pregnancy, childbirth and postpartum and every day 401 babies die. Overall, the causes of maternal and child death are complex, involving medical aspects that must be handled by health workers. The causes of maternal death are sequentially caused by bleeding, eclampsia, infection, prolonged labor and miscarriage. Most infant deaths are caused by low birth weight (LBW) babies, difficulty breathing at birth and infections. More than half (56%) of infant deaths occur during the newborn period (0-28 days). The family class program is a program designed to implement family involvement in the process of monitoring and improving the health and welfare of mothers and children. People who are in a supportive social environment generally have better conditions compared to people without these benefits. Family support is thought to reduce the effects on an individual's mental health. (Phillips & Pittman, 2014). The Family Class Program will be in line with regional government programs in this case the Banjarmasin Mayor Program, namely the Family Assistance Program by Health workers and also family planning cadres together with PKK cadres, where this program will synergize in the family assistance process starting from prospective brides and grooms to toddlers and monitoring and evaluation will be carried out every year. The Family Class Program which is designed to directly involve cadres, families and Health workers as well as local regional officials so that these two programs can run in tandem and in a directed manner, in its implementation activities will use several innovations such as flip sheets and pocket books which will make it easier for officers to provide assistance.

Background: Pre-eclampsia is multi-organ damage and occurs after the 20th week of pregnancy. The incidence of pre-eclampsia in Indonesia is very high compared to the global incidence, which is 10% in Indonesia compared to 2% globally. If not well managed, pre- eclampsia can lead to complications. Therefore, prevention is needed, which can be increased knowledge and early detection of pre-eclampsia. Purpose: To increase knowledge and understanding about preeclampsia in pregnant women. Method: The health promotion was conducted on 29 September 2023 by presentations using power point and interactive Q&A with the target all pregnant women in Kenderan village (40 people). Then, Blood pressure checks and prenatal exercises were conducted. Knowledge improvement was evaluated by comparing the pretest and posttest questionnaire responses. Results: Thirteen pregnant women (32.5%), attended this activity. The activity took place at the Kenderan village office (10.00-11.30 WITA). A comparison of pretest and posttest shows an average increase from 5.6 to 7.6 points. However, there are still correct answer that need improvement, specifically regarding the signs and symptoms of preeclampsia (76.9%) and pregnancy nutrition preeclampsia prevention (84.6%). Conclusion: The implementation of health promotion for preeclampsia among pregnant women has been successful. However, the number of participants who attended was lower than the target. Nonetheless, health promotion participants have shown an increase in their knowledge. The timing of the next activity should be better aligned with the availability of pregnant women's schedules. Additionally, the material should focus more on the signs, symptoms, and pregnancy nutrition related to prevention of preeclamsia.

Neonatal maternal emergencies are a contributing cause of maternal mortality, including hypertension disorders, namely preeclampsia/eclampsia (33.07%), obstetric hemorrhage (27.03%), other obstetric complications 12.04%, infections in pregnancy (6.06%) (Indonesian Ministry of Health, 2019). Maternal mortality and morbidity can actually be reduced or prevented with various improvements in the field of obstetric health services. In Indonesia, obstetric emergency problems occur due to four delays, namely being late in recognizing danger signs and risks, being late in making a decision to seek help, being late in getting transportation to reach a more capable health service facility, and being late in getting help at a referral facility. Bangun Rejo Village is one of the villages in the Tanjung Morawa Community Health Center which has the highest risk of pregnant women compared to other villages. Involvement in decision making regarding referrals is still predominantly obtained from the family, so that family knowledge regarding emergency problems and pregnancy complications experienced by the mother greatly influences the accuracy of decision making to refer/contact a midwife/health worker so that treatment can be obtained more quickly. This activity aims to increase the knowledge of health workers, namely village midwives and cadres, in providing excellent maternal and neonatal emergency services in Bangun Rejo Village. This activity was attended by 9 midwives and 11 cadres from 11 hamlets in Bnagun Rejo Village. The results of this activity were that there was an increase in partners' knowledge before and after the intervention in the "good" category, which increased by 53% and in the "poor" category, which decreased by 53%. The initial pretest score was 45% which increased in the post test to 98%.  It is necessary to increase the knowledge and abilities of village midwives and cadres in Bnagun Rejo Village regarding maternal and neonatal emergency services.

Hypertension is a disease that can harm pregnant women. Hypertension associated with pregnancy is referred to as gestational hypertension. Pregnancy-related hypertension is defined as hypertension that develops after 20 weeks of pregnancy in a mother who is known to have normal blood pressure, or has normal blood pressure, and does not exhibit severe proteinuria or other symptoms of preeclampsia. If the mother's blood pressure rises above 140/90 mmHg at least twice a week after resting, then it is certain that she is suffering from hypertension. 18 When blood pressure increases to 140/90 mmHg during pregnancy, or when systolic and diastolic pressure increase by 30 and 15 mmHg, respectively, above the normal limit, this is called hypertension. Preeclampsia/eclampsia, gestational hypertension, chronic hypertension with preeclampsia, and chronic hypertension are the four forms of hypertension known to occur during pregnancy. Husband's support has a significant impact on fulfilling her physical and emotional needs. This is especially true for first-time mothers because their experience and understanding of pregnancy is different from adult pregnant women. When compared with adult pregnancies, teenage mothers tend to be more aggressive, depressed and anxious. In addition to psychological and emotional states that are influenced by physical changes, mothers who experience a lack of family attention also experience fear, anxiety and anxiety related to childbirth.

Children require special attention as the nation's next generation. The World Health Organization stated that the maternal mortality rate worldwide in 2019 was around 295,000 women who died during and after pregnancy and childbirth. The majority (94%) of maternal deaths occur in low and middle income countries (WHO, 2020). At the 2020 National Working Meeting, the maternal mortality rate in Indonesia in 2019 was still 305 per 100,000 live births (Ministry of Health of the Republic of Indonesia, 2020), which is still high when compared to Indonesia's target in the Sustainable Development Goals (SDGs) in 2030, namely 70 per 100,000 live births. (Pusdatin, 2019). The Sustainable Development Goals (SDGs) era began in 2019 with a program to reduce pregnancy-related morbidity and mortality rates, the achievements of which are still very high in the world. The World Health Organization (WHO) projects that every pregnant woman and newborn needs quality care from pregnancy to the postpartum period. Prenatal care in Indonesia plays an important role in providing quality care, because antenatal care includes elements of health promotion, screening, diagnosis and disease prevention. Indonesia is currently one of the 13 countries with the highest proportion of maternal mortality rates in the world. The high maternal mortality rate is caused by complications during pregnancy. According to the World Health Organization (2019), around 287,000 mothers died due to complications during pregnancy and childbirth, such as bleeding 28%, preeclampsia/eclampsia 2%, infection 11%, and indirect causes (2019), obstetric trauma) 5%. Efforts made to minimize and prevent complications during childbirth are to carry out routine pregnancy checks. Antenatal Care (ANC) is a planned program in the form of observation, providing education and treatment for pregnant women to achieve a safe and satisfactory pregnancy and birth. Antenatal pregnancy checks are the frequency of pregnancy checks at existing health facilities, namely doctors, midwives, health centers, hospitals and other private health facilities. Antenatal examinations should be carried out at least four times during pregnancy, namely once in the first trimester, once in the second trimester and twice in the third trimester (Ministry of Health, 2017). Antenatal examination is a follow-up for pregnant women to prepare physically and mentally and save the mother and baby during pregnancy, childbirth and postpartum (Ministry of Health of the Republic of Indonesia, 2018). The importance of pregnancy checks through prenatal examinations, because in general pregnancies proceed normally, but with increasing gestational age it tends to cause dangerous complications (Rukiyah, 2013). Pregnancy checks are important to ensure that the natural process of pregnancy can run normally and continue so that pregnant women have a healthy and safe pregnancy. It is estimated that around 15% to 20% of all pregnant women will experience high risk conditions and obstetric complications that threaten the lives of both mother and fetus if not treated properly. Indonesian Ministry of Health, 2021). OBJECTIVE To analyze the factors related to Antenatal Care Visits at the Corah Pratama Clinic, Munte District, Karo Regency in 2023. METHOD chi square test p value < 0.05 means H0 is rejected and Ha is accepted, the statistical test results show a significant relationship. RESULTS There is a relationship between age, knowledge and antenatal care visits at the Corah Pratama Clinic, Munte District, Karo Regency in 2023 and there is no relationship between parity and support from health workers and antenatal care visits at the Corah Pratama Clinic, Munte District, Karo Regency in 2023.