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Non-health facility deliveries remain a significant maternal health problem in rural areas, increasing the risk of complications for both mothers and newborns. Cigobang Village, Karang Tengah, Babakan Madang District, is one of the areas where home deliveries assisted by non-health personnel are still practiced. This community service activity was conducted through the Village Community Health Development (PKMD) program involving 103 respondents, there were 8 pregnant women (100%) who still planned to give birth at home assisted by non-health personnel. The objective of this activity was to improve community awareness and knowledge regarding safe delivery practices in health facilities. The methods included a community health assessment using questionnaires, maternal health education sessions, and interactive discussions with pregnant women, families, and community health cadres. The results showed that despite the implementation of health education, some pregnant women still planned home deliveries assisted by non-health personnel due to cultural beliefs, accessibility issues, and financial considerations. The PKMD activities contributed to increased community knowledge; however, continuous education and multisectoral collaboration are required to promote safer delivery practices.

Background: The Maternal and Child Health (MCH) Book plays an essential role in enhancing pregnant women's knowledge of pregnancy health and labor preparation. However, its utilization remains suboptimal, which may affect a mother's readiness for childbirth. Objective: This study aims to analyze the relationship between pregnant women's knowledge of the MCH Book and their birth preparedness at the Mamajang Health Center in Makassar in 2025. Method: This research employs a quantitative design using purposive sampling with 86 pregnant women as respondents. Data were collected using a knowledge questionnaire about the MCH Book and a birth preparedness questionnaire. Data analysis was conducted using the Chi-Square statistical test. Results: The majority of pregnant women demonstrated good knowledge of the MCH Book (75.6%) and were categorized as prepared for childbirth (70.9%). Statistical testing indicated a significant relationship between pregnant women's knowledge of the MCH Book and their birth preparedness (p = 0.001). Conclusion: There is a significant relationship between pregnant women's knowledge of the MCH Book and their birth preparedness at the Mamajang Health Center in Makassar. Health workers are expected to enhance education and optimization of MCH Book utilization to support birth preparedness.

Empowering pregnant women in their third trimester through Respectful Maternity Care-based childbirth preparation counseling is a relevant promotive and preventive strategy for improving maternal health. This counseling not only provides knowledge about the signs of labor, stages of labor, pain management options, and birth planning, but also equips mothers with an understanding of their rights in midwifery care. Childbirth preparation education often focuses solely on clinical aspects and fails to fully address the psychosocial aspects and the rights of mothers as service recipients. This has the potential to lead to an unpleasant childbirth experience and even contribute to disrespect and abuse during labor. This counseling can equip mothers with an understanding of their rights in midwifery care. With an empathetic, participatory, and woman-centered approach, pregnant women are expected to be able to recognize their needs, convey their preferences, and communicate effectively with health workers. The purpose of this counseling is to improve pregnant women's knowledge before and after being empowered in their third trimester through Respectful Maternity Care-based childbirth preparation counseling.

Nyeri persalinan merupakan tantangan utama yang dihadapi ibu, khususnya pada kala I fase aktif. Penggunaan metode non-farmakologis seperti endorphin massage menjadi alternatif yang aman dan efektif untuk mengurangi nyeri tanpa efek samping. Penelitian ini bertujuan untuk mengkaji efektivitas endorphin massage dalam menurunkan intensitas nyeri pada ibu bersalin kala I fase aktif. Penelitian ini menggunakan desain kuasi-eksperimen dengan pendekatan pretest-posttest with control group. Sebanyak 12 responden dibagi menjadi dua kelompok: intervensi (diberikan endorphin massage) dan kontrol (perawatan standar). Intensitas nyeri diukur menggunakan Numeric Rating Scale (NRS) sebelum dan sesudah intervensi. Analisis data dilakukan dengan uji paired t-test dan independent t-test dengan tingkat signifikansi p < 0,05. Hasil penelitian menunjukkan bahwa rata-rata skor nyeri pada kelompok intervensi menurun signifikan dari 7,5 menjadi 4,0 (p = 0,000), sementara pada kelompok kontrol hanya turun dari 7,3 menjadi 7,0 dan tidak signifikan (p = 0,308). Uji independent t-test juga menunjukkan perbedaan bermakna antara kedua kelompok setelah intervensi (p = 0,000). Hasil ini menunjukkan bahwa endorphin massage terbukti efektif sebagai intervensi non-farmakologis untuk mengurangi nyeri persalinan. Teknik ini dapat diterapkan dalam praktik kebidanan sebagai metode yang aman, mudah, dan berpusat pada kenyamanan ibu.

Maternal anxiety during the childbirth process is a common psychological condition that can potentially increase the risk of complications, prolong labor, and reduce the likelihood of a positive birthing experience. High anxiety levels in mothers may interfere with the effectiveness of labor, impact maternal and fetal well-being, and lead to increased medical interventions. One of the most important support systems during labor is the presence and active involvement of the husband. The husband’s role is not only limited to being present but also includes providing emotional, physical, and motivational support to the mother. Recognizing the importance of this role, this community service program was designed to enhance husbands’ understanding and skills in supporting their wives during childbirth, thereby helping to reduce maternal anxiety.The program consisted of several stages, including the delivery of structured health education sessions on maternal needs during labor, demonstrations of effective communication techniques, simulations of support during different stages of childbirth, and interactive discussions to address questions and share experiences. Through these activities, participants were encouraged to build empathy, strengthen their knowledge about labor, and develop the confidence to assist their wives effectively. The results of the program indicated a noticeable improvement in the husbands’ awareness of the importance of their role, as well as increased confidence in providing both emotional reassurance and physical assistance. Participants reported feeling better prepared to accompany their wives, manage unexpected situations, and foster a more supportive environment during childbirth. This initiative highlights the significant impact that targeted education and training for husbands can have on maternal psychological well-being, ultimately contributing to safer and more positive birth experiences.

The puerperium is a critical phase for postpartum mothers that requires special attention to prevent complications. However, awareness of the importance of self-care during this period remains limited, particularly in rural areas such as the working area of Puskesmas Kembang in Jepara. This community service initiative aimed to empower postpartum mothers by enhancing their knowledge and skills in self-care and physical recovery. The approach included interactive education using video media, health talks, group discussions, hands-on demonstrations, and the involvement of family members as key supporters. A total of 20 postpartum mothers and 10 family companions participated in the program. Evaluation through pre- and post-tests revealed significant improvements in knowledge across various aspects of postpartum care, including perineal hygiene, balanced nutrition, early detection of danger signs, and the role of family support. This program proved effective and has the potential to be replicated in other rural settings with similar conditions.

This study explores the psychosocial determinants influencing postpartum contraception selection through a comprehensive approach. A cross-sectional study was conducted on 120 respondents in Bogor Regency, using purposive sampling via Google Forms. Research instruments included the Knowledge Questionnaire on Postpartum Contraception (KQPC) and Multidimensional Health Locus of Control (MHLC) to analyze factors influencing contraception decisions. Research findings demonstrate that knowledge levels, locus of control, economic status, and education significantly impact contraception method selection. Respondents with high knowledge were more likely to choose modern contraception methods (78.3%), while those with low knowledge preferred traditional methods (45.8%). Logistic regression analysis revealed that contraception knowledge contributed most significantly with an odds ratio of 2.512. The study emphasizes the need for personalized approaches in contraception counseling, considering biological, psychological, social, and economic factors. Key recommendations include developing comprehensive educational programs, professional health training, and designing reproductive health policies responsive to individual needs.  

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.

Childbirth causes pain due to shortening of the uterine muscles. Normal childbirth occurs because of pain, which is an important part of labor. During labor, pain can influence uterine contractions through the secretion of catecholamines and cortisol. It improves the function of the sympathetic nervous system, changing blood pressure, heart rate, breathing, and length of labor. The aim of this research is to find out how warm compresses impact how severe the pain of labor during the first active phase is. This research design is pre-experimental with a one group pre test and post test design. The population in this study were all mothers giving birth at BPM Nursehan Dahliana Birayang (Hulu Sungai Tengah Regency, South Kalimantan Province), using an accidental sampling technique and a sample size of 30 respondents was obtained. A warm compress is placed on the lower abdomen using a hot bladder. Data analysis used the Paired T - test. Based on the research results obtained, the average pain score before treatment was 8.13 and the average pain score after treatment was 4.66. The results of statistical analysis of tests of differences in pain intensity before and after treatment showed significant differences (p=0.000; 95% CI -3.900-(-3.031). The conclusion of this study is: warm compresses can reduce the intensity of labor pain in the active phase of the first stage. Warm compresses can be used as a way to reduce the intensity of labor pain.

Maternal Mortality Rate (MMR) is a component of the development index and quality of life index which is calculated by taking into account and considering women's health status (MMR). The aim of this research is to determine the factors associated with hyperemesis gravidarum at the Birem Bayuem Community Health Center in 2024. The design of this research is an analytical survey using a cross-sectional approach. The sample in this study was all 1st trimester pregnant women who visited ANC at the Birem Bayuem Community Health Center in 2024, namely 26 pregnant women. The results of the analysis using the Telst Chi-sqularel test showed a value of p=0.008 (95% CI 1.522-26.081). Mothers who are working have a rate of 6,300 times more likely to experience hyperreleasing disease compared to mothers who are not working. It is hoped that by increasing the number of antenatal care, follow-up or maternal visits in research will reduce the number of cases of hyperelelmosis. Apart from that, it is highly recommended that you learn about health regularly by actively asking health professionals every time you visit a health care facility.

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.

Labor pain occurs due to the contraction of uterine muscles, which can cause discomfort and pain for the mother, potentially affecting the labor process. Acupressure is a complementary therapy that involves applying pressure or massage and stimulation at specific points on the body. The purpose of this study is to determine the effectiveness of acupressure point pressure in reducing labor pain for Mrs. N at PMB Silvi Ayu, S.Keb in Pekanbaru. This research used a descriptive method with a case study design. The results of this study indicate that acupressure point pressure is proven to be effective in reducing pain during labor, especially in the active phase. This method is safe and can be used as an alternative or complementary approach to other pain management methods.

One measure of neonatal health is birth weight. Both the mother's weight increase and her overall health during the pregnancy have an impact on the baby's birth weight. This study sought to ascertain how pregnant women's weight gain related to the interpretation of fetal weight prior to delivery at Telogorejo Semarang Hospital. Research Design: Correlation design using quantitative research methodology. All of the pregnant patients that underwent ANC at Telogorejo Hospital in April 2024 made up the study's population. Purposive sampling was the method employed in the sampling process. acquired a 52-person sample. instruments for gathering data from medical records. Chi square testing is the method employed. Findings: Pregnant women's weight gain and fetal weight gain prior to birth have a substantial correlation (p = 0.000). As many as 24 respondents (46.2%) reported a normal weight gain of 9–12 kg, and as many as 22 respondents (42.3%) reported a fetal weight of more than 2.9 kg. Conclusion: At SMC Telogorejo Hospital, there is a noteworthy correlation between pregnant women's weight rise and the weight gain of the fetus prior to birth. Recommendation: The hospital should prepare a strategy for early identification of changes in weight gain during pregnancy that could affect the developing fetus and for counseling.

Community-based childbirth assistance (MPPBM) is an important approach in efforts to reduce maternal and infant mortality rates. Health cadres have a strategic role in assisting pregnant women and facilitating referrals to health facilities. This study aims to explore the knowledge and meaning of health cadres related to community-based childbirth assistance. This study used a qualitative approach with a descriptive phenomenological design involving 8 cadres in the Baloi Permai Health Center work area. Data were collected through in-depth interviews and analyzed using the Colaizzi phenomenological analysis method. The results showed five main themes that describe the knowledge and meaning of assistance according to cadres: Assistance as a form of social concern, Knowledge of pregnancy danger signs and referrals, Assistance as a form of spiritual and emotional service, Challenges in carrying out the role as a companion, and Expectations for health system support. These findings can be used to improve the quality of cadre training and strengthen community-based assistance policies.

One of the MGDS global targets is to reduce MMR and IMR. The maternal mortality rate in Indonesia is still high at 390 per 100,000 live births. Referring to the link between birth management and various countermeasures for the biggest cause of AKI is postpartum hemorrhage. Efforts have been made in problems related to bleeding, even several studies have carried out IMD in treating bleeding problems considering that the presence of IMD can affect the hormone oxytocin which is associated with bleeding. The purpose of this study was to see how IMD influences the amount of bleeding in the fourth stage.This research is a Quasi Experiment using primary data. The population and sample were all primiparous women with a total of 46 respondents using the purposive sampling method. The data analysis was univariate and bivariate using the Independent t-test. The results showed that there was a significant effect between IMD on the amount of bleeding in the fourth stage. The average number of bleeding in the fourth stage of respondents who underwent Early Breastfeeding Initiation was 150.63 with a standard deviation of 22.149. Meanwhile, for respondents who did not undergo Early Breastfeeding Initiation, the average number of bleeding in the fourth stage was 166.09 with a standard deviation of 21.580. In the statistical test, the value of P = 0.000 was obtained. With this study, it was found that there was an effect of IMD on the amount of bleeding in the fourth stage of labor. It is hoped that midwives and doctors will implement IMD in order to reduce morbidity and mortality of mothers and babies.

According to WHO, the incidence of prolonged labor in the world is currently estimated to occur at 17% of total births. The Indonesian Demographic and Health Survey or abbreviated (SDKI) by the National Population and Family Planning Agency reported that the majority of birth complications are long labor (30%) to facilitate the normal birth process, so pregnancy exercises are carried out to reduce the occurrence of long labor. The aim of this study was to determine the relationship between pregnancy exercise and parity with the length of labor in the first stage of labor in the active phase of women giving birth at Karya Medika 1 Hospital, West Cikarang, 2023. This type of research is quantitative analytical using a cross-sectional study design approach. Mothers giving birth at Karya Medika 1 Hospital, West Cikarang in the period January – August 2023. The population of women giving birth is 80 people. The instruments used in this research are primary data and secondary data. Data were analyzed using the chi-square test. The results show that the variables that are related to the length of labor in the first active phase of labor for women giving birth at Karya Medika 1 Hospital, West Cikarang 2023 are pregnancy exercise (p=0.002) with an OR of 10,000, and parity (p=0.039) with an OR of 0.255. The conclusion is that the variables studied (pregnancy exercise, and parity) are all related to the length of labor in the first active phase of labor in women giving birth at Karya Medika 1 Hospital, West Cikarang 2023.Researchers advise pregnant women to take care of their pregnancy and are advised to take part in a pregnancy exercise program so that the birth process runs normally. And, Karya Medika 1 Hospital Cikarang Barat is advised to continue the pregnancy exercise program in the future.  

During labor, the mother needs nutrition to produce energy during the labor process, the mother has sufficient energy. Dates are a food source that has energy-producing nutrients because they contain high levels of sugar. The aim of this research is to determine the effect of giving dates on the duration of the second stage of labor in women giving birth at the Friends of Rossy Medika Clinic in 2023. The type of quantitative research is quasy experimental with the research design being non equivalent control group design. The research population was 60 mothers in the second stage of labor. The sample that will be taken is 28 group respondents. The independent variable in this study was consumption of dates, while the dependent variable was the duration of the second stage of labor. The research was carried out at the Rossy Medika Friends Clinic located at Kp. Bojongsari, Sumbersari Village, Pebayuran District, Bekasi Regency, West Java in August 2023 - December 2023. Univariate analysis was used to determine the distribution of respondents' characteristics and the average duration of labor for the control and experimental groups, while bivariate analysis used the independent sample t-test with a sig (2-tailed) value of 0.001<0.005. Giving dates to the duration of the second stage of labor to women giving birth at the Rossy Medika Friends Clinic in 2023 the duration is faster than those who do not consume dates. The conclusion is that there is an effect of giving dates on the duration of the second stage of labor in mothers giving birth at the Rossy Friends Clinic in 2023.

Introduction: third-trimester pregnant women at the Karangdoro Health Center in Semarang experience anxiety in facing labour. Stress due to anxiety about facing labour impacts the length of the labour process and the welfare of the fetus. Providing CIE can increase mothers' knowledge and reduce the appearance of psychosocial factors such as ignorance and lack of attention from health workers, which have a negative impact, so that pregnant women are better prepared and anxiety in facing childbirth can be minimized. Objective: to determine the effectiveness of CIE preparation for delivery to reduce anxiety in third-trimester pregnant women facing labour. Method: This study used a quantitative method with a quasi-experimental type of research and a one-group pretest-post-test design. Population: all third-trimester pregnant women at the Karangdoro Health Center Semarangfrom June to July 2023 with 62 respondents. Sample: The sampling technique used accidental sampling and obtained a total sample of 54 respondents. Results: The results of the study were that Communication Information Educational (CIE) for childbirth preparation was effective in reducing anxiety in third-trimester pregnant women facing labour with a value of 0.00 (<0.005), where every single delivery of CIE for childbirth preparation can make third-trimester pregnant women potentially 6,280 times more likely to experience a decrease in the level of anxiety in facing childbirth (Z = 6,280). Of the 54 respondents, 52 (96.3%) experienced a decrease in their level of anxiety, there were no (0%) respondents who experienced an increase in their level of anxiety, and there were 2 (3.7%) respondents with a constant level of anxiety.

The success of the normal delivery process was influenced by many factors, including the frequency of coitus during pregnancy. Coitus or husbandand wife intercourse can improve blood circulation in the reproductive area, including the cervix, which helps soften and open the cervix, especially if it was often done during the third trimester of pregnancy. Coitus can also increase the production of the hormone oxytocin which can trigger uterine contractions and help speed up the normal delivery process. The objectives of the research: To analyzed the relationship between the frequency of coitus and the incidence of normal delivery. Method: This type of analytic research with correlational design and cross sectional approach. The sample used 84 people with purposive sampling. The instrument uses an observation sheet. Data analysis using chisquare. Result: The frequency of coitus the majority of respondents sometimes do (1-2x a week) (47,6%) and the majority of respondents are dominated by normal delivery (84,5%). The results of the chi square analysis obtained a chi square value of 62,786 > chi square table (5,99) with a significant value (p value) of 0,000 <0,05 so it can be interpreted that there is a relationship between thefrequency of coitus and the incidence of normal delivery. Conclusion: There wasa relationship between the frequency of coitus and normal delivery in the hospital.Asy Sifa Sambi, Boyolali Regency.

Labor is the process by which the fetus and amniotic fluid are pushed out through the birth canal. During the birth process the mother will experience pain. Pain that is uncontrolled or excerssive and does not get proper treatment can cause problems with difficulty in childbirth. A non-pharmocological method that is quite safe was to determine the effect of giving warm compresses to labor pain in the active phase of the first stage of labor at Fatimah Banyuwangi Hospital in 2022. The research method used a pre-exsperimental one group pretest posttest on 30 respondents who met the inclusion criteria, namely pregnant women in the first active phase, singleton pregnancies, head presentations, term pregnancies, normal delivery plants, fetal interpretation between 2500-4000 grams, accompanied by their husbands or family. Data collection was carried out using the VAS observation sheet and warm compress SOP. Then the data is processed through the process of editing, coding,scring, tabulating and statistical analysis of the Wilcoxon test. The result showed that the level of labor pain before the intervention was mostly in the severe pain category by 53% and after the warm compress intervention there was a decrease in the pain level, namely in the moderate pain category by 70%. Wilcoxon test reslts Asymp. Sig. (2-tailed) 0,00 < 0,05 means that there is a significant effect of giving warm compresses to labor pain in the active phase I parturition at RSI Fatimah Banyuwangi in 2022. Proper application of warm compresses according to the procedure gives a feeling of warmth and causes vasoconstriction so that labor pain in the first stage can be reduced. This method is safe and can be an alternative choice for midwives in the management of pain care during labor.