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The physiological changes that occur during pregnancy, both physically and mentally, may be rather uncomfortable, particularly in the second and third trimesters. Pregnant women often report back discomfort, muscular aches, trouble sleeping, excessive exhaustion, and irregular sleep patterns. Mothers' physical and mental health as well as the health of their unborn children may be significantly impacted by inadequate sleep quality during pregnancy. To enhance comfort and the quality of sleep during pregnancy, one non-pharmacological technique is to use an aromatherapy maternity pillow. An ergonomic and ecologically sustainable invention to enhance mother comfort during pregnancy was the goal of this research, which intended to produce a Pregnancy Pillow Therapy product with pineapple leaf fiber and aromatherapy. A descriptive research design using a prototype creation technique was used in this study. The stages of the research included problem identification, literature review, product design, material selection, prototype manufacturing, and product evaluation. Data were collected through literature studies and observations related to sleep discomfort in pregnancy, maternity pillow utilization, aromatherapy therapy, and pineapple leaf fiber characteristics. The developed product was designed ergonomically to support the back, abdomen, waist, and legs of pregnant women. The addition of aromatherapy was intended to provide a relaxing effect and improve sleep quality. The use of pineapple leaf fiber also supports environmentally friendly product innovation through agricultural waste utilization. The results indicate that Pregnancy Pillow Therapy has the potential to become a supportive product for improving comfort and sleep quality among pregnant women. Further studies are recommended to evaluate product effectiveness directly among pregnant women.

Low Birth Weight (LBW) refers to infants born with a birth weight of less than 2,500 grams and remains an important issue in neonatal health due to its association with increased neonatal morbidity and mortality. To analyze the determinants of LBW based on primary studies published from 2021 to 2026. A literature review was conducted using the PRISMA approach. Article searches were performed through PubMed, Google Scholar, Scopus, ScienceDirect, and ProQuest using the keywords low birth weight, determinant factors, risk factors, BBLR, and faktor risiko with Boolean operators AND/OR. The inclusion criteria were primary studies, full-text availability, publication in Indonesian or English, and publication years from 2021 to 2026. A total of 20 articles were included, consisting of 15 international articles and 5 national sources. The review showed that LBW is influenced by interrelated maternal, nutritional, obstetric, and sociodemographic factors during pregnancy. The most dominant factors included multiple pregnancy with an adjusted OR of 21.74, maternal food insecurity with an AOR of 6.85, maternal hemoglobin level <11 g/dL with an AOR of 5.21, lack of iron-folic acid supplementation with an AOR of 4.17, maternal age ≤20 years with an AOR of 3.42, pregnancy interval <1 year with an adjusted OR of 2.92, missed antenatal care visits with an AOR of 2.74, smoking during pregnancy with an OR of 2.18, and maternal hypertension with an AOR of 1.94. LBW is influenced by multiple interrelated factors; therefore, efforts to reduce its incidence should focus on evidence-based interventions, particularly through optimizing antenatal care services, improving maternal nutritional status, and early detection of pregnancy.

This study aims to analyze the difference in anxiety levels before and after the administration of Qur’anic murottal therapy among third-trimester pregnant women. The third trimester is often associated with increased physical discomfort and psychological stress, which may lead to higher anxiety levels. This research employed a pre-experimental design using a one-group pretest-posttest approach involving 25 respondents selected through purposive sampling. Anxiety levels were measured using the Perinatal Anxiety Screening Scale (PASS), and the data were analyzed using the Wilcoxon Signed Ranks Test. The findings showed that before the intervention, 48% of respondents experienced moderate anxiety and 52% experienced severe anxiety. After the intervention, 40% experienced mild anxiety, 48% moderate, and only 12% severe anxiety. The statistical test result indicated a Z value of -4.376 with a p-value of 0.000 (p < 0.05), which means there was a significant difference in anxiety levels before and after the intervention. These results suggest that murottal therapy is effective in reducing anxiety among third-trimester pregnant women and can be considered as a safe non-pharmacological intervention.

Maternal Mortality Rate (MMR) is a critical indicator for evaluating maternal health programs, and insufficient knowledge of pregnancy danger signs remains a significant factor in preventable maternal complications and mortality. This issue is particularly prevalent among third-trimester pregnant women. Health education has proven to be an effective strategy for enhancing maternal knowledge, promoting early detection of obstetric emergencies, and supporting timely decision-making. This study aimed to evaluate the impact of health education on improving knowledge of pregnancy danger signs among third-trimester pregnant women in Nunkurus Village. A pre-experimental study with a one-group pre-test–post-test design was conducted, involving 42 third-trimester pregnant women, with 40 selected through purposive sampling. Structured questionnaires were used to collect primary data, and the Wilcoxon signed-rank test was employed to analyze the knowledge differences before and after the intervention. Results showed a statistically significant increase in knowledge after the health education intervention (p-value = 0.000; p < 0.05). In conclusion, health education significantly enhances knowledge of pregnancy danger signs among third-trimester pregnant women. Strengthening community-level educational interventions can help in early detection of pregnancy complications and contribute to reducing maternal morbidity and mortality.

This study examines the experience of access to health services and resilience strategies in adolescents with unplanned pregnancies in Makassar, Indonesia. Access to quality reproductive health services is important for adolescents' well-being, but they often face systemic barriers that affect access to health services and outcomes. The study used an Interpretative Phenomenological Analysis (IPA) approach on seventeen adolescent girls aged 15–19 years who had an unplanned pregnancy between June–November 2023. Data were collected through in-depth semi-structured interviews, recorded, verbatim transcribed, and analyzed by a six-stage science process. Two main themes were found: Navigating Closed Doors: Systematic Barriers to Care and Finding Light in Darkness: Resilience and Agency. Participants faced a variety of layered barriers, including a lack of information about health services and rights, geographical and economic constraints, age-based discrimination, parental notification obligations, fear of legal consequences especially related to abortion, family control over decisions, and limitations in adolescent-friendly services. Nonetheless, adolescents show resilience through seeking strategic help, resistance to pressure, spiritual and religious coping, peer support, gradual acceptance of maternal identity, educational sustainability, and positive meaningfulness of difficult experiences. These findings point to the need for a transformation of the health system that not only improves attitudes of health workers, but also addresses structural barriers such as confidentiality, age discrimination, and service availability, while strengthening agency and adolescent coping strategies.

Postpartum depression is a mood disorder that occurs in mothers after childbirth, with symptoms that can appear from pregnancy until 4 weeks postpartum. This condition negatively impacts the psychological health of the mother and the development of the baby. This study aims to analyze factors associated with the risk of postpartum depression. The method used was quantitative with an analytical survey design through a cross-sectional approach. Data collection was carried out using the Edinburgh Postnatal Depression Scale (EPDS) questionnaire consisting of 10 questions. The results of the validity test showed a calculated r value of > 0.3610 and the reliability test obtained a Cronbach's alpha value of 0.67. The study sample consisted of 42 respondents selected using a total sampling technique, with inclusion criteria of mothers aged ≥18 years, in the period <6 weeks postpartum, and willing to be respondents. Data analysis used the chi-square test. The results showed that all variables had a significant relationship with the risk of postpartum depression (p < 0.05). These variables include age (p=0.040), education (p=0.018), occupation (p=0.011), history of depression (p=0.024), complications (p=0.017), economic status (p=0.048), parity (p=0.016), type of delivery (p=0.006), husband's support (p=0.000), and family support (p=0.028). Therefore, it can be concluded that demographic, obstetric, and social support factors play an important role in the risk of postpartum depression. These results are expected to form the basis for prevention efforts and early intervention to improve postpartum maternal mental health.

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.

Pregnancy is a physiological process that occurs in women, approximately 50% of women at the beginning of their pregnancy experience nausea and vomiting to varying degrees. Nausea and vomiting usually occur in the morning during early pregnancy or the first trimester, which is called morning sickness. There are many methods of treating nausea. and vomiting in pregnant women in the first trimester, both pharmacological and non-pharmacological. One non-pharmacological way is to use lemon, lavender and peppermint aromatherapy. This research method uses a literature review which includes a systematic search study of computerized databases (Google School and PubMed) taken within the last 5 years from 2019-2024. The articles obtained in the search were 12 journals, but after reviewing the articles and adjusting them to the titles, there were 5 journals. Conclusion: Lemon and peppermint aromatherapy have the same effectiveness in reducing nausea and vomiting in pregnant women, while lemon aromatherapy is more effective than lavender aromatherapy.

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..

Background: Comprehensive midwifery care is essential for early detection of complications and reducing maternal and infant mortality rates. In Sleman Regency, despite high access to health services, continuous monitoring remains crucial for ensuring maternal and fetal safety. Objective: To provide comprehensive midwifery care for Mrs. M at Klinik Pratama Shaqi, Sleman, from the third trimester of pregnancy through the postpartum and neonatal periods. Methods: This is a descriptive qualitative study using a case study approach based on Varney's seven-step midwifery management and SOAP documentation. Findings: During pregnancy (37 weeks 6 days), the mother experienced physiological complaints of back pain and shortness of breath, managed through posture education and pregnancy exercises. Labor proceeded normally and spontaneously on October 6, 2024, utilizing "gentle birth" practices such as endorphin massage to reduce pain. A second-degree perineal tear occurred and was treated according to procedure. The baby was born healthy, weighing 3100 grams, with successful Early Initiation of Breastfeeding (EIB). During the postpartum and neonatal periods, uterine involution was normal, breast milk production was adequate, and the infant's growth met standards with no danger signs. Implications: Continuous assistance improves the mother's physical and psychological readiness and ensures a healthy neonatal transition.

Health issues are complex and require new ideas for their resolution. Public health focuses on disease prevention, health promotion, and physical, mental, and social therapy. Maternal and Child Health (MCH) and women’s health throughout their life cycle are crucial public health issues as they have a significant impact on the quality of human resources in a generation. In Pukdale Village, East Kupang District, Kupang Regency, problems such as the lack of knowledge among pregnant women about Chronic Energy Deficiency (CED), pregnancy anemia, Exclusive Breastfeeding (EBF), balanced nutrition, and weaning have been identified. To address these issues, a Community Midwifery Care program based on community service was carried out, which included counseling, training, demonstrations, and simulations. The results of this activity showed a positive response and active participation from the community in Pukdale Village in the programs implemented by the students. There was a significant improvement in the knowledge of pregnant women about CED, pregnancy anemia, EBF, as well as the knowledge of mothers of infants about balanced nutrition and weaning. This is expected to improve the overall health status of the community in the village.

Low back pain is one of the most common complaints experienced by pregnant women, particularly in the third trimester, as a result of various physiological, hormonal, and biomechanical changes that occur during pregnancy. Changes in posture, weight gain, and shifts in the center of gravity contribute to the development of this condition. This study aims to examine various non-pharmacological interventions that can be used to reduce low back pain in pregnant women and to analyze the role of midwives in implementing these interventions in midwifery practice. The method employed is a narrative literature review synthesizing ten verified and relevant studies, particularly those discussing prenatal yoga and pregnancy exercise as forms of non-pharmacological intervention. The results indicate that the implementation of prenatal yoga and pregnancy exercise is effective in reducing the intensity of low back pain, improving muscle flexibility and strength, and providing physical and psychological relaxation for pregnant women. In addition, these interventions contribute to increased comfort and improved quality of life during pregnancy. The findings of this study support the importance of evidence-based midwifery practice and highlight the active role of midwives in providing education, assistance, and empowerment for pregnant women through the application of safe and effective non-pharmacological interventions.

Pain is a prevalent issue frequently seen by pregnant women in their third trimester, attributable to physiological, biomechanical, and psychological alterations during gestation. Non-pharmacological pain management is essential as a secure alternative to enhance the comfort of pregnant women. Perinatal Yoga and Relaxation Techniques are two commonly endorsed non-pharmacological therapies; yet, comparative analyses of their efficacy remain scarce, particularly within primary health care settings. This study is to evaluate the efficacy of Perinatal Yoga against Relaxation Techniques in alleviating pain among pregnant women in their third trimester at the Bongo II Community Health Centre. The research employed a quasi-experimental design with a two-group pretest-posttest methodology. The sample comprised 38 pregnant women in their third trimester, categorized into two groups: 19 participants in the Perinatal Yoga group and 19 participants in the Relaxation Techniques group. The Numeric Rating Scale (NRS) was utilized to assess pain severity prior to and following the intervention. A paired t-test was utilized for intra-group differences, whereas an independent t-test was employed to assess inter-group efficacy.The findings indicated that both Perinatal Yoga and Relaxation Techniques markedly diminished pain intensity in pregnant women throughout their third trimester (p<0.001). The decrease in pain in the Perinatal Yoga group was statistically significant compared to the Relaxation Technique group (p<0.05). This study concludes that Perinatal Yoga is superior than Relaxation Techniques in alleviating pain in pregnant women during their third trimester. Perinatal Yoga is indicated as an effective and practical non-pharmacological technique in antenatal treatment inside primary health facilities.

The rapid development of information technology encourages the use of digital media as an educational tool in the health sector, particularly for pregnant women. One of the problems faced by Klinik Bidan Rima Pondok Meja is the limited use of conventional educational media, such as books and posters, which are considered less attractive and difficult to understand. This study aims to design and develop an Android-based Augmented Reality (AR) application as an educational medium for nutrition and fetal development for pregnant women. The application presents three-dimensional (3D) visualizations of fetal development from week to week, along with information on nutritional needs during pregnancy. The system development method used in this research is the Prototype model, while the Augmented Reality technology applies marker-based tracking. The development tools used include Unity, and Blender 3D. The result of this study is an Android-based AR application prototype that provides interactive and easily understandable information about fetal development and maternal nutrition. This application is expected to increase learning interest and understanding of pregnant women in maintaining a healthy pregnancy at Klinik Bidan Rima Pondok Meja.

This study aims to analyze hematocrit values ​​using a micro method with capillary blood samples in pregnant women with anemia at the Sidodadi Kisaran Barat Community Health Center. This study is a descriptive study with a cross-sectional approach involving 15 pregnant women as respondents. Data collection was carried out through hematocrit laboratory examinations and data collection of respondent characteristics. The results showed that 60% of respondents had hematocrit levels below normal values, while 40% of respondents had hematocrit levels within normal limits. Low hematocrit levels in pregnant women are influenced by several factors, including age, education level, employment status, and level of knowledge about anemia during pregnancy. This condition has the potential to increase the risk of pregnancy complications if not optimally managed. Therefore, it is recommended that health workers continue to increase educational efforts regarding anemia prevention, the importance of regular pregnancy check-ups, and encourage pregnant women to maintain a balanced nutritional consumption pattern and adequate iron intake to support maternal and fetal health.

Antenatal Care (ANC) is a health service provided to pregnant women during pregnancy by healthcare professionals in accordance with established standards, one of which is the implementation of the 10T ANC service components. The quality of ANC services plays an important role in determining pregnant women’s satisfaction, which in turn affects their compliance with antenatal visits and the effectiveness of pregnancy monitoring. Maternal satisfaction is an essential indicator for assessing the quality of healthcare services at primary healthcare facilities. This study aimed to examine the relationship between 10T Antenatal Care services and pregnant women’s satisfaction at Biru-Biru Public Health Center in 2025. This research employed a quantitative method with an analytical design using a cross-sectional approach. The sample was selected through purposive sampling, involving 48 third-trimester pregnant women. Data were collected using questionnaires that assessed the implementation of 10T ANC services and the level of maternal satisfaction. The collected data were analyzed statistically to determine the relationship between the variables. The findings of this study are expected to provide insights into the importance of optimal implementation of 10T ANC standards. Therefore, healthcare providers, particularly midwives, are encouraged to continuously improve the quality of ANC services to enhance pregnant women’s satisfaction and support efforts to improve maternal and child health outcomes.

Gestational Diabetes Mellitus (GDM) is a pregnancy-related metabolic disorder that poses health risks to both mother and fetus if not detected early, requiring accurate prediction methods for early screening and clinical decision-making. This study applies the Random Forest algorithm to detect GDM risk using clinical data from the Pima Indian Dataset. Data preprocessing included handling missing values, standardization, feature engineering, and a 70:30 train–test split. Two models were developed: a baseline and an optimized model using GridSearchCV hyperparameter tuning, validated with 5-fold cross-validation. Performance was assessed using a classification report, confusion matrix, and ROC–AUC. Results show that the optimized model outperforms the baseline, achieving 88% accuracy, an AUC of  93%, and average recall of 81%–85%. Compared to previous studies, this approach demonstrates improved predictive performance. The findings indicate that combining Random Forest with comprehensive preprocessing, feature engineering, and model optimization is effective and feasible for developing a medical decision support system for early GDM risk screening.

Low Birth Weight (LBW) remains a critical global health issue that significantly contributes to neonatal morbidity and mortality, particularly in developing countries such as Indonesia. The main challenge in addressing LBW lies in its complex and multifactorial risk profile, which involves biological, social, environmental, and healthcare-related determinants. This study aims to analyze and synthesize the risk factors associated with LBW based on recent scientific literature. A literature review method was applied by searching articles from Portal Garuda, DOAJ, PubMed, and Google Scholar published between 2020 and 2025 using relevant keywords. The findings indicate that maternal age, interpregnancy interval, nutritional status, anemia, preeclampsia, infections, socioeconomic conditions, environmental exposure, and the quality of antenatal care are significant determinants of LBW. The synthesis of evidence confirms that LBW is influenced by the interaction of multiple individual and healthcare system factors rather than a single cause. In conclusion, this study highlights the urgent need to strengthen antenatal care services, improve maternal nutritional status, control maternal diseases during pregnancy, and implement community-based promotive and preventive strategies as key efforts to reduce the incidence of LBW.

Abortion remains a complex reproductive health issue due to the interplay of multiple interrelated determinants. This study aimed to map the factors influencing the incidence of abortion based on recent scientific evidence. A literature review design was applied by analyzing ten selected articles published within the last five years and retrieved from major scientific databases. The selection process was conducted systematically through title, abstract, and full-text screening based on predefined inclusion criteria. The extracted data included study characteristics, type of abortion, examined determinants, and key conclusions. The synthesized findings indicate that abortion incidence is shaped by a combination of biological, social, and healthcare system related factors. Clinical determinants such as maternal age, endocrine disorders, uterine anatomical abnormalities, obstetric history, anemia, and hypertension play a substantial role in spontaneous and recurrent miscarriage. In contrast, structural factors including income level, contraceptive access, and legal regulations predominantly influence induced abortion. The discussion highlights that abortion should not be viewed as an isolated clinical event, but rather as the cumulative outcome of risks operating across multiple levels of influence. In conclusion, abortion represents a multifactorial phenomenon that requires comprehensive prevention strategies extending beyond medical interventions alone. These strategies should also address healthcare accessibility and broader social conditions. This review contributes to a deeper understanding of the complexity of abortion determinants and provides an evidence-based reference for developing more effective preventive approaches in the future.