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The Maternal Mortality Rate (MMR) is primarily caused by pregnancy complications that are actually preventable through early detection; however, maternal understanding of the Maternal and Child Health (MCH) Handbook remains very low. This community service aims to empower pregnant women at Sarfina Primary Clinic, Medan, by enhancing their MCH Handbook literacy. The implementation utilized a Community-Based Participatory Action (CBPA) approach conducted over four weeks, involving 30 pregnant women. The activity stages included a pre-test, interactive education, self-assessment simulations, and a post-test. Evaluation results indicated a significant surge in health literacy; pregnant women's knowledge in the "Good" category drastically increased from 13.3% to 86.7%, while the "Poor" knowledge category was successfully eliminated from 50% to 0%. In conclusion, this educational and simulation intervention proved highly effective in transforming pregnant women's behavior, making them proactive individuals in the early detection of pregnancy danger signs which is expected to reduce the risk of pregnancy complications and reduce maternal mortality rates.

Pregnancy complications remain a major health problem contributing to high maternal morbidity and mortality rates in Indonesia. Factors influencing the occurrence of pregnancy complications include the level of maternal knowledge and advanced maternal age. Advanced age increases the risk of pregnancy disorders due to decreased reproductive function, while low knowledge limits a mother’s ability to recognize danger signs and take appropriate preventive measures. This study aimed to determine the relationship between knowledge level and advanced maternal age and the occurrence of pregnancy complications in the working area of Bonebobakal Public Health Center, Banggai Regency. This study employed a quantitative analytic design with a cross-sectional approach involving 41 pregnant women selected through total sampling. Data were collected using questionnaires and interviews and analyzed using the Chi-Square test. The results showed a significant relationship between maternal knowledge level and maternal age with the occurrence of pregnancy complications. Health education and regular pregnancy monitoring are necessary to reduce the risk of complications and improve maternal and fetal safety..

Permasalahan yang menimpa remaja dikatakan kompleks yang berkaitan dengan pergaulan, perilaku pacaran, prestasi yang bermasalah di sekolah, dan lain-lain. Berdasarkan hasil survei didapatkan data bahwa seperempat remaja menyatakan mulai berpacaran pada usia 15 tahun dan gaya pacaran yang dilakukan seperti berpegangan tangan, ciuman, dan ada beberapa remaja yang pernah meraba bagian tubuh yang sensitif pada pasangannya. Faktor dominan perilaku seksual di pedesaan adalah teman sebaya sedangkan di perkotaan dipengaruhi oleh pengetahuan. Kurangnya bimbingan dan konseling dari orang tua menyebabkan remaja melakukan perilaku seksual yang berakibat pada kehamilan, akibat yang lain seperti remaja tertular peyakit mematikan, dan tingginya kasus kriminalitas. Berdasarkan analisa tersebut maka dukungan keluarga berbasis family centered care yang melibatkan orang tua dalam mengatasi permasalahan remaja. Tujuan dari PKM ini adalah meningkatkan dukungan kelurga berbasis family centered care dalam mencegah perilaku seksual beresiko pada remaja. Metode yang digunakan adalah ceramah dan konseling tentang dukungan keluarga berupa emosional, informasional, penghargaan dan instrumental. Hasil kegiatan menunjukkan bahwa peserta baru mengetahui bentuk-bentuk dukungan yang harus diberikan kepada anak remaja, selain itu ada beberapa peserta yang membiarkan anaknya pacaran tanpa dibekali pengetahuan yang cukup, selama pelaksanaan peserta antusias sehingga banyak pertanyaan yang muncul tentang perilaku seksual beresiko pada remaja. Hasil kegiatan tersebut diharapkan dapat menjadi salah satu strategi dalam mencegah dan menguarangi perilaku seksual beresiko pada remaja.

Angka kematian ibu (AKI) di Indonesia masih tinggi, salah satunya dipicu oleh komplikasi kehamilan akibat kekurangan gizi. Rendahnya literasi nutrisi pada ibu hamil berkontribusi terhadap meningkatnya risiko preeklamsia, anemia, dan bayi berat lahir rendah. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan literasi nutrisi ibu hamil melalui pendampingan berbasis media kalender makanan sebagai alat bantu edukasi sederhana dan aplikatif. Pengabdian dilaksanakan di Kantor Desa Bungaejaya, Kabupaten Gowa, Sulawesi Selatan, dengan melibatkan 10 orang ibu hamil. Kegiatan ini juga dihadiri oleh kepala desa, bidan desa, kader kesehatan, dan mitra Dompet Dhuafa. Metode kegiatan mencakup penyuluhan nutrisi kehamilan, pelatihan penggunaan kalender makanan. Hasil pengabdian menunjukkan adanya peningkatan pemahaman ibu hamil mengenai kebutuhan gizi selama kehamilan. Hasil kegiatan menunjukkan bahwa edukasi visual berbasis komunitas efektif dalam meningkatkan kesadaran nutrisi pada ibu hamil serta meningkatkan kemampuan ibu dalam mengidentifikasi nutrisi tepat sehari-hari selama hamil.

Overview: Back pain during pregnancy is a common problem experienced by approximately 50–70% of pregnant women. Back pain during pregnancy is caused by an imbalance between the muscle activity in the lumbar region. Several maternal factors are known to play a role in the onset of back pain during pregnancy, including maternal age, body mass index (BMI), number of pregnancies (gravida), and physical activity. Research Method: This is a quantitative analytical study with a cross-sectional approach. The sample size was 33 pregnant women in their third trimester. The sampling technique used purposive sampling, and data analysis used the Chi-square test. Research Results: There was a relationship between BMI and back pain (p-value: 0.015), and there was no relationship between maternal age (p-value: 0.715), gravida (p-value: 0.442), and physical activity (p-value: 0.156) and back pain in pregnant women in their third trimester. Conclusion: There was a significant relationship between BMI and back pain in pregnant women in their third trimester, and there was no significant relationship between maternal age, gravida, and physical activity and back pain in pregnant women in their third trimester.

Anemia during pregnancy is a significant maternal health issue with serious impacts on maternal and perinatal outcomes, including complications such as severe preeclampsia, postpartum hemorrhage, and low birth weight (LBW), all of which contribute to increased morbidity and mortality rates. This literature review aims to analyze the clinical impacts of pregnancy anemia, related complications, and effective management strategies based on the latest scientific evidence (2020-2024). The study examines the relationship between anemia and preeclampsia, LBW, and postpartum hemorrhage, as well as the importance of nutritional fulfillment in prevention and management. Five research articles from indexed journals were collected from the Scopus database, with inclusion criteria of studies with clear designs, focusing on pregnancy anemia, and published in Indonesian or English. The analysis results show that pregnancy anemia is a predisposing factor for preeclampsia through mechanisms such as placental hypoxia and oxidative stress. Anemia is also closely related to an increased incidence of LBW and postpartum hemorrhage, particularly due to lower hemoglobin reserves and uterine contractility issues. Adequate nutritional fulfillment is influenced by socioeconomic barriers, supplementation side effects, and lack of family support. Anemia management requires a comprehensive approach, including routine screening, prophylactic supplementation, nutritional education, and effective referral systems for complex cases. Prevention through early detection and timely intervention is crucial in reducing maternal and perinatal morbidity.

Adolescence is an important period for reproductive health because it is a period of behavioral formation, where at this time, teenagers begin to try new or challenging things, including in health behavior, one of which is free sex behavior. This free lifestyle behavior is greatly influenced by a correct understanding of adolescent reproductive health. The impact that can occur due to free sex behavior is early pregnancy or Unwanted Pregnancy. Adolescent pregnancy is one of the health problems that requires serious attention so that efforts are needed to increase awareness of reproductive health for all teenagers. The purpose of this community service is to increase the knowledge of teenagers at MAN Seram Bagian Barat about reproductive health and increase adolescent awareness in preventing early pregnancy. The method used is to provide education to teenagers at Madrasah Aliyah Negeri Seram Bagian Barat. Teenagers are very enthusiastic about this activity by asking various questions and the active discussion makes teenagers more enthusiastic. The final result is that 26 teenagers have good knowledge after being given education, from previously only 11 teenagers. The conclusion is that teenagers understand how to prevent early pregnancy in teenagers at MAN Seram Bagian Barat. It is hoped that good knowledge will prevent teenagers from engaging in free sex behavior that can result in pregnancy at a young age.

This study examines adolescents' perceptions of the representation of premarital pregnancy in the film Dua Garis Biru (Two Blue Lines), and its impact on their views on relationships, responsibility, and moral values. Film is positioned as a mass communication medium capable of shaping public opinion and effectively conveying social messages, particularly to adolescents. The approach used was a qualitative reception study method, involving eight adolescent informants as the main participants. Data collection techniques were conducted through in-depth interviews, then analyzed using thematic coding using NVivo software, to identify patterns of perception and meaning that emerged from participant responses. The results showed that most adolescents viewed Dua Garis Biru as an educational film that portrayed the realities of adolescent life honestly and touchingly. The film was deemed successful in conveying messages about the importance of responsibility, self-control, and awareness of the consequences of premarital relationships. Furthermore, an understanding of the need for open sexual education and healthy communication between children and parents emerged. The adolescents also highlighted the representation of gender inequality and the greater social pressures felt by women in situations of premarital pregnancy. The film was considered not only entertainment, but also a learning medium capable of shaping adolescents' emotional, moral, and social awareness. The film's reflective and contextual storytelling encourages young audiences to better understand the social realities around them. Thus, Dua Garis Biru (Two Blue Lines) makes a significant contribution in conveying social and moral educational values to adolescents.  

The 2015 Central Java Indonesian Family Planning Association (Pilar PKBI) Youth Information and Services Survey revealed that with questions about the process of having a baby, family planning, ways to prevent HIV/AIDS, anaemia, ways to care for the reproductive organs, and knowledge of organ function reproduction, information was obtained that 43.22% had low knowledge, 37.28% knowledge was    sufficient, and 19.50% knowledge was sufficient.A preliminary study at SMA Negeri 16 Semarang was conducted in January 2023, and the results showed that out of a total of ten students—five boys and five girls—seven were aware. Secondary data also supports the results of the preliminary study. According to interviews with the counselling teacher, a pair of students had kissed, hugged, and touched sensitive areas in the school area. The study aimed to determine the relationship between adolescents’ knowledge level about unwanted pregnancies and adolescent sexual behaviour at SMA Negeri 16 Semarang. The study aimed to determine the relationship between adolescents’ knowledge level about unwanted pregnancies and adolescent sexual behaviour at SMA Negeri 16 Semarang. type of research is observational with an analytic survey method; this study was designed using a cross-sectional approach. The population in this study was all 424 students. With sampel 81 students of SMAN 16 Semarang—retrieval using a purposive sampling technique. The statistical test used was the Chi-Square test. The research results obtained a p-value of 0.023 so that the p-value (0.023) α (0.05) So it can be concluded that there is a very strong relationship with the value of r 1 between Knowledge Level and Adolescent Sexual Behaviour at SMAN 16 Semarang. It is hoped that this research can motivate adolescents to increase their knowledge about unwanted pregnancies based on the research results reviewed.

One way to prevent high-risk pregnancies is by addressing the lack of knowledge. The Pre-Experimental Design research aims to determine how high-risk pregnancy health education impacts pregnant women's knowledge about their condition, using a one-group pretest-posttest design. By providing books and videos once, this research conducted an intervention. Data was collected through pre-test and post-test questionnaires. The total sampling method was used to collect 45 respondents. The results of the data analysis indicate that the normality test before and after the intervention showed that the data is not normally distributed with a significance of 0.00 ≤ 0.05. To test the research hypothesis, the Wilcoxon test was used, and the results showed that the Asymp. Sig. (2-tailed) value is 0.000 ≤ 0.05, which indicates that Ho is rejected and Ha is accepted. It can be concluded that health education on high-risk pregnancy shows that health institutions should implement and provide health education about high-risk pregnancy to patients who are already aware as well as those who are not. This will help pregnant women become more informed and reduce the number of high-risk pregnancies.

Anemia in pregnancy is a condition of pregnant women with hemoglobin (Hb) levels <11 mg/dL in the first and third trimesters while in the second trimester Hb levels <10.5 mg/dL and can be a major cause of maternal and fetal morbidity and mortality. One of the causes of anemia in pregnancy is chronic energy deficiency (CED). This study aims to analyze the relationship between chronic energy deficiency and anemia in the first trimester of pregnancy. This research method is observational analytic with a cross-sectional design. The number of samples was 91 respondents with a total sampling technique. The independent variable is chronic energy deficiency. The dependent variable is anemia in pregnant women. The instrument used was a maternal cohort register. Data analysis used the Spearman Rank statistical test. The results of the study were obtained from 91 respondents who experienced chronic energy deficiency as many as 12 people. Of these, 7 mothers (58.3%) experienced anemia and 5 mothers (41.7%) did not experience anemia. Based on the results of the Spearman Rank statistical test, a significance value of 0.000 was obtained, a correlation coefficient of 0.590 with a positive direction, which means that there is a significant relationship between chronic energy deficiency and the occurrence of anemia in the first trimester of pregnancy with a fairly close relationship and a positive relationship direction. It is hoped that women of childbearing age will pay more attention to nutritional intake in order to prevent the occurrence of chronic energy deficiency as a cause of anemia during pregnancy.

The MCH handbook This book covers a wide range of health-related subjects for parents, beginning with pregnancy and continuing through delivery and maturity. It also provides several techniques to take care of your own health as well as the health of your children. Therefore, if the KIA book is not helpful, it would be terrible to be able to notice it on the mother and kid. A number of factors, including the comprehension of Abu Hamil, have the potential to influence the interpretation of the book KIA. Acquiring knowledge may be accomplished via education, experience, or the information that one already has. The purpose of this research is to investigate the connection between the use of the KIA book and the level of knowledge that the parents of Hamil children have on child care at Bpm Riris indayani S.Tr. Keb. This particular study is a research endeavour that focusses on analytical observational research. An alternative approach, known as a cross-sectional design, is used. Due to the fact that they all had KIA books in hand throughout the time period of April to June 2023, this study included the participation of twenty-four married women. Through the use of a method known as comprehensive sampling, we conducted a survey of the whole population for this research. Instruments that are used include a KIA bookcase as well as a kuisoner. A mother who went to bpm with KIA books was the subject of the data gathering that was carried out under this project. The techniques of data analysis that have been chosen are the univariate analysis and the bivariate analysis. Based on the findings of the study, it was discovered that out of a total of 24 respondents, 87.5% were aware of health insurance, and 21 respondents were also aware of disability insurance. Given the p-value of.002 obtained from the chi-square statistical test, where the α-value is 0.05, it is possible for us to draw the conclusion that there is a Hubungan Pemanfaatan Buku KIA Dengan Pengetahuan Ibu Hamil Tentang Perawatan Kehamilan Di BPM Riris Indayani S.Tr. Keb. The recommendation for the elderly person is to learn about the book of KIA that is distributed in a healthy manner.

This study was conducted to observe and implement midwifery care provided to Mrs. M who was 25 weeks pregnant in Dusun Mong, Pujut District, Central Lombok Regency, from June 21 to July 4, 2019. The mother had a history of 4 pregnancies, 2 deliveries and 1 pregnancy. Her pregnancy condition was normal, but she experienced Chronic Energy Deficiency (CED). After receiving PMT supplements in the form of biscuits for 2 weeks, there was an increase in the Upper Arm Circumference (LiLA).

The assessment has been carried out by collecting all available data through interview techniques and physical examinations or examinations. Subjective data, especially on the main complaint, namely the mother said she was weak, dizzy, tired quickly, short of breath and pain in the waist and legs. And objective data, namely the mother's general condition is good, anemic conjunctiva and Hb levels of 9.2 g%. Has identified the need for immediate action and collaboration on Mrs. With mild anemia in the Mong Village, Kuta Village with the result that in this case no collaborative action was taken because there were no indications and data to support the action. Has determined a midwifery shelter action plan for Mrs. W with mild anemia in the Mong Village, Kuta Village with the results of care planning based on actual diagnoses/problems and potential problems that can occur. Has carried out the planned care actions for Mrs. W with mild anemia in the Mong Village, Kuta Village with the result that all planned actions can be carried out properly without any obstacles.

Ectopic pregnancy can be interpreted as a pregnancy that occurs outside the uterine cavity. If this ectopic pregnancy ruptures, it is called a disturbed ectopic pregnancy. There are several factors that cause ectopic pregnancy such as a history of previous ectopic pregnancy, a history of tubal damage, a history of previous Salphingitis infection. In this case, a 27-year-old woman with a gestational age of 8-9 weeks came with complaints of bleeding from the birth canal and accompanied by severe pain in the lower abdomen that spread to the anus which had been felt for approximately the last 2 weeks. The patient underwent exploratory laparotomy. The patient's condition improved after the procedure and hospitalization, the patient was allowed to go home on the condition of a weekly check-up to evaluate the post-operative condition.

Pernikahan di bawah umur masih menjadi fenomena yang memerlukan perhatian khusus di Indonesia. Meskipun Undang-Undang Nomor 16 Tahun 2019 menetapkan usia minimal pernikahan 19 tahun, masih terdapat permohonan dispensasi nikah yang diajukan ke pengadilan. Penelitian ini bertujuan menganalisis faktor-faktor penyebab pengajuan dispensasi nikah, pertimbangan hakim dalam memutuskan permohonan tersebut, serta akibat hukum yang ditimbulkan. Menggunakan metode penelitian yuridis normatif dengan pendekatan deskriptif analitis, penelitian ini mengandalkan data sekunder yang diperoleh melalui studi kepustakaan. Analisis data dilakukan secara kualitatif. Hasil penelitian menunjukkan bahwa faktor-faktor penyebab pengajuan dispensasi nikah meliputi kehamilan di luar nikah, kondisi ekonomi dan sosial, budaya, kurangnya pendidikan, serta keinginan calon mempelai. Pertimbangan hakim mencakup kematangan fisik dan mental calon mempelai, serta aspek keadilan, kepastian, dan kemanfaatan hukum. Akibat hukum dari dikabulkannya permohonan dispensasi nikah meliputi pengakuan legalitas pernikahan, pencatatan perkawinan, serta munculnya hak dan kewajiban hukum bagi pasangan. Sebaliknya, penolakan permohonan mengakibatkan tidak diizinkannya pernikahan sesuai ketentuan undang-undang. Penelitian ini menyoroti pentingnya pertimbangan yang cermat dalam pemberian dispensasi nikah untuk melindungi kepentingan anak dan menjaga keseimbangan antara hukum dan realitas sosial.

Kehamilan merupakan kondisi fisiologis yang sangat penting dalam kehidupan seorang wanita, namun kehamilan juga dapat menimbulkan berbagai risiko dan komplikasi, baik bagi ibu hamil maupun janin. Setiap tahun, sejumlah wanita meninggal dunia akibat masalah yang berkaitan dengan kehamilan, persalinan, atau komplikasi selama masa kehamilan. Komplikasi-komplikasi ini, baik yang bersifat fisiologis maupun patologis, dapat berpotensi meningkatkan AKI dan AKB. Oleh karena itu, deteksi dini terhadap faktor-faktor risiko kehamilan dan pemantauan kondisi ibu hamil sangat penting untuk menurunkan angka kematian tersebut. Salah satu upaya yang dapat dilakukan untuk mendeteksi potensi risiko pada ibu hamil adalah dengan menggunakan Kartu Skor Poedji Rochjati (KSPR).. Tujuan kegiatan ini adalah untuk meningkatkan pemahaman ibu hamil tentang pentingnya deteksi dini faktor risiko selama kehamilan. Metode yang digunakan adalah pengisian KSPR pada 31 ibu hamil. Dari 31 ibu hamil yang mengikuti kegiatan ini, sebagian besar (58%) dalam kategori Kehamilan Risiko Tinggi (KRT), jumlah 18 orang.

Early detection of high risk by health workers through quality antenatal care is one of the efforts to accelerate the reduction of MMR in Indonesia. The aim of this research was to determine "The Effectiveness of Health Education E-Booklets on Pregnant Women's Knowledge About Danger Signs of Pregnancy at the Sonomartani Labura Community Health Center in 2023. The research was conducted using a quasi-experimental research method." The design used is a one group pre test and post test design research design. The research was carried out by knowing the mother's knowledge (pretest) before being given a health education E-booklet for danger signs of pregnancy, then continuing with a final test (posttest) after being given a health education E-booklet. The research results show a P value of 0.000, meaning p 0.05, stating that the health education e-booklet is effective on pregnant women's knowledge about the danger signs of pregnancy at the Sonomartani Labura Community Health Center in 2023.

Peningkatan angka penyelenggaraan perkawinan anak, khususnya pada pedesaan merupakan salah satu dasar utama melakukan pengabdian masyarakat, dalam hal ini dengan bentuk sosialisasi dan edukasi terkait dampak perkawinan anak. Penelitian ini merupakan penelitian kualitatif yang turun langsung ke lapangan untuk secara aktif melakukan sosialisasi dan edukasi dengan warga dan perangkat desa Kelurahan Wonopolo, Kecamatan Mijen, Kota Semarang sebagai upaya preventif peningkatan perkawinan anak. Hasil penelitian menunjukkan bahwa, Perguruan tinggi melakukan pengabdian kepada masyarakat, termasuk menyediakan sosialisasi dan penyuluhan untuk mencegah pernikahan anak. Perkawinan anak dianggap melanggar hak anak dan merupakan bentuk kekerasan terhadap anak. Praktik ini sering kali disebabkan oleh kemiskinan, ketidaksetaraan gender, dan ketidakadilan sosial. Dampaknya sangat signifikan, dengan sebagian besar partisipan penelitian harus putus sekolah dan menghadapi kekerasan fisik dan psikologis. Di Indonesia, faktor-faktor yang menyebabkan pernikahan anak antara lain kondisi ekonomi, rendahnya tingkat pendidikan, keinginan pribadi, pergaulan bebas, dan tradisi adat. Pada daerah pedesaan, pernikahan anak masih sering dianggap wajar, terutama jika didukung oleh adat istiadat atau budaya. Kurangnya akses terhadap pendidikan dan informasi tentang kesehatan reproduksi juga menjadi faktor utama, serta masalah ekonomi dan perasaan malu akan pandangan dan stigma dari lingkungan sekitar.

. 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.