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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.

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.

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.

Low Birth Weight (LBW) is one of the leading causes of neonatal mortality and contributes to an increased risk of growth and developmental disorders in later life. Maternal nutritional status during pregnancy and the utilization of antenatal health services are important factors influencing fetal growth and development. Pregnant women with poor nutritional status are at higher risk of delivering low birth weight infants due to insufficient intake of essential nutrients required during pregnancy. In addition, inadequate utilization of antenatal care services may result in delayed detection and management of pregnancy-related complications. This study aimed to determine the relationship between maternal nutritional status and the utilization of health services with the incidence of LBW. The research employed an observational analytic design with a cross-sectional approach. The study population consisted of all women who delivered in the working area of Puskesmas X in 2026. A total of 80 respondents were selected using purposive sampling. Data were collected from maternal and child health (MCH) books and medical records and analyzed using the Chi-square test. The results showed a significant relationship between maternal nutritional status and the incidence of LBW (p=0.002), as well as between the utilization of health services and the incidence of LBW (p=0.004). It can be concluded that maternal nutritional status and compliance with antenatal visits are significantly associated with LBW, highlighting the need to improve nutritional monitoring and the quality of antenatal care services.

Red blood cells are essential for carrying oxygen and vital nutrients needed for the growth of the fetus, therefore anemia during pregnancy is a complex issue. It is vital for all expectant mothers to fulfill their iron needs because maternal anemia during pregnancy can result in adverse consequences for the child, such as premature birth and low birth weight. The chance of a woman developing anemia increases as she ages during pregnancy. Bleeding is a direct result of the anemia experienced during labor in 17.24% of cases. The purpose of this study was to determine the connection between the incidence of anemia and young pregnant women in Ir. Soekarno Hospital on Morotai Island. The study used an analytical survey with a cross-sectional approach, which is useful for finding relationships between two or more variables. The whole sampling technique, which included 40 participants in all, was used. A checklist was used as the study's instrument. Chi-Square analysis was used to analyze the collected data using SPSS software. The chi-square statistical analysis produced a P-value (asymp. The p-value (2-tailed) is 0.002, which is less than the 0.05 significance level. This indicates a relationship between the start of anemia and young pregnant women. Thus, it is possible to infer a link between the incidence of anemia and young pregnant women, leading to the rejection of H0 and the endorsement of H1.

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.

Edema is a common physiological complaint experienced by pregnant women, particularly during the third trimester, which may affect maternal comfort and daily activities. Prenatal exercise is considered a safe, non-pharmacological intervention that can improve maternal circulation and reduce fluid retention. This study aimed to analyze the relationship between the frequency of prenatal exercise and the incidence of edema in third trimester pregnant women in the working area of Benoa Public Health Center. A cross-sectional analytical design was employed, involving 30 pregnant women selected using purposive sampling. Data were collected through structured questionnaires and physical examination to assess the presence of edema, while the frequency of prenatal exercise was categorized into regular (≥3 sessions per week) and irregular (<3 sessions per week). Descriptive statistics summarized participant characteristics, and the Chi-square test was used to evaluate the association between prenatal exercise frequency and edema, with a significance level of p < 0.05. The results indicated that 26.7% of women who exercised regularly experienced edema, compared to 66.7% of those who exercised irregularly. Statistical analysis confirmed a significant relationship between exercise frequency and edema occurrence (χ² = 5.33, p = 0.021). These findings suggest that consistent participation in prenatal exercise is associated with a lower incidence of edema among third trimester pregnant women. Integrating structured exercise programs into routine antenatal care is recommended to enhance maternal well-being, prevent pregnancy-related discomforts, and support overall health during late pregnancy.

Preeclampsia is a pregnancy complication that contributes significantly to maternal and perinatal morbidity and mortality, especially in developing countries. Despite various preventive measures, preeclampsia is still frequently found at the primary health care level. This study aims to analyze the factors influencing the incidence of preeclampsia in pregnant women at the Tiley Care Community Health Center. This study used an observational analytical design with a cross-sectional approach. The study population was all pregnant women who visited antenatal care at the Tiley Care Community Health Center, with a sample of 60 respondents selected using a total sampling technique. Data were collected through a review of medical records and KIA books, then analyzed univariately and bivariately using the Chi-Square test with a significance level of α = 0.05. The results showed that maternal age, history of hypertension, nutritional status based on body mass index, and adherence to antenatal care visits had a statistically significant relationship with the incidence of preeclampsia. Meanwhile, parity did not show a significant relationship with the incidence of preeclampsia. This study concluded that the incidence of preeclampsia is influenced by various maternal factors and maternal health behaviors during pregnancy. These findings underscore the importance of implementing risk-based antenatal care through early screening, ongoing monitoring, and increased adherence to antenatal care visits as a preventative measure for preeclampsia at the primary healthcare level.

Early pregnancy among adolescents remains a significant public health problem and contributes to long-term medical, psychological, and social risks. Low knowledge and preventive attitudes towards reproductive health are among the factors contributing to the high rate of early pregnancy. This study aims to analyze the effect of peer education on adolescent attitudes towards early pregnancy prevention in the Ibu Community Health Center (Puskesmas Ibu) working area of West Halmahera Regency. The study design used a quasi-experimental approach with a pretest–posttest with a control group involving 40 respondents, consisting of 20 respondents in the intervention group and 20 respondents in the control group. The research instrument was an attitude questionnaire with a Likert scale that had undergone validity and reliability testing. Analysis was performed using the Wilcoxon test and the Mann–Whitney U Test at a significance level of 0.05. The results showed a significant increase in attitudes in the intervention group after receiving peer education, while the control group showed no significant change. Comparison of score changes between the two groups also showed a significant difference. These findings indicate that peer education is effective in improving adolescent attitudes towards early pregnancy prevention. This program is recommended as a community-based intervention strategy in primary health care and schools to support adolescent pregnancy prevention efforts.

Background: Anxiety before childbirth is a psychological disorder often experienced by pregnant women, especially in the third trimester of pregnancy. Fear of pain, worry about the condition of the fetus, and uncertainty about the delivery process are the main triggering factors. If not handled properly, this anxiety can have serious consequences, such as increased stress hormones (cortisol), sleep disorders, high blood pressure, and even labor complications. Therefore, interventions are needed that not only focus on physical aspects, but also support mental and emotional balance. Objective: The purpose of this activity is to provide education and practical training to pregnant women on anxiety management before childbirth through the application of complementary therapies, and to evaluate the effectiveness of this approach in increasing the readiness and calmness of participants. Method: The activity was carried out at PMB Lismarini, Tulungagung, involving 20 pregnant women in their third trimester. Education was carried out interactively using visual media and group discussions. Next, participants participated in the practice of three types of complementary therapies: (1) deep breathing relaxation with diaphragmatic breathing techniques, (2) aromatherapy using lavender as a relaxation agent, and (3) classical music with a slow rhythm played during the session. Results: This activity showed positive results. Eighty-five percent of participants experienced an increase in knowledge scores after the educational session, and 60% showed a significant decrease in anxiety levels based on questionnaire results. Most participants also reported feeling calmer, more prepared, and more confident in facing childbirth. The satisfaction rate with the activity reached 90%, indicating that the methods implemented were well-received by participants. Conclusion: Complementary therapy combined with education is effective in helping pregnant women manage anxiety before childbirth. This activity emphasizes the importance of a holistic approach to antenatal care.

Nausea and vomiting are common discomforts experienced by 50% of pregnant women in the first trimester. One of the implementations to reduce nausea and vomiting with non-pharmacological therapy is the provision of lavender aromatherapy. The purpose of this study was to determine whether there was an effect of giving Lavender aromatherapy on nausea and vomiting in pregnant women in the first trimester at PMB Ronni Siregar Deli Serdang. The research method used was Quasi-experimental using nonequivalent control group design. The sampling technique used in this study was Total sampling based on Inclusion and Exclusion criteria, the number of samples was 30 respondents (15 intervention groups and 15 control groups). The results showed that the average value of respondents in the intervention group in the nausea and vomiting value before giving lavender aromatherapy was Mean 13.5 standard deviation 3.521. in the intervention group after being given treatment, a mean value of 10.6 was obtained with a standard division of 4.459. Based on the t-test, a p-value of 0.000 was obtained, which means it is smaller than the significant value <0.05. The conclusion of this study is that there is an Effect of Lavender Aromatherapy on Nausea and Vomiting in Pregnant Women in the First Trimester at PMB Ronni Siregar Deli Serdang. This study expects Midwives to provide health promotion and education, namely by improving their midwifery care, especially for Pregnant Women with nausea and vomiting during pregnancy, in addition to explaining the non-pharmacological benefits in reducing nausea and vomiting during 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.

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 purpose of the study was to analyze the effectiveness of P4K with the innovation of the Dora Backpack to anticipate pregnancy risk in pregnant women in the working area of the Mantup Health Center in Lamongan Regency.This type of research is quasi-experimental with Post-test Only Control Group Design. The population of this study were pregnant women in the third trimester in the work area of the Mantup Health Center and Tikung Health Center totaling 262 pregnant women. The sampling technique is purposive sampling. The number of samples was 176 pregnant women, consisting of 88 control pregnant women and 88 intervention pregnant women. Univariate data analysis with frequency distribution table, bivariate analysis with Mann Withney and Logistic Regression. Based on the results of the Mann Withney test in the control and intervention groups, ap value of 0.000 means that P4K with the Si Dora Backpack Innovation is effective in increasing the ability of pregnant women to anticipate the risk of pregnancy and based on the results of the Logistics Regression test, external variables do not affect the ability to anticipate pregnancy risk factors, namely age with p value 0.341, education with p value 0.587, and occupation with p value 0.631. P4K With Si Dora's Backpack Innovation is effective in increasing the ability of pregnant women to anticipate the risk of pregnancy.

Overview: Normal Hemoglobin levels during pregnancy are very important in preventing anemia and complications that can occur during pregnancy. Moringa capsules contain iron, vitamin C, and antioxidants that can support the absorption of iron in the body, Fe tablets that support oxygen transport and the formation of red blood cells. Objective: Analyzing the effect of giving moringa leaf capsules and iron tablets on hemoglobin levels in pregnant women. Research Method: This study used a Quasi-experimental design method. This study was conducted in the Ambal II Kebumen Health Center Working Area with a sample of 30 respondents. In this study, 2 groups were used, namely those who received intervention (moringa leaf capsules and Fe tablets) and the control group (Fe only). Data analysis using the Wilcoxon test. Research Results: Showed that there was a difference in Hemoglobin levels in the Moringa leaf and Fe groups with a p value = 0.008 and as many as 14 pregnant women experienced an increase in Hb. While in the control group the analysis results showed a difference with a p value = 0.007. However, as many as 13 mothers experienced a decrease in Hb levels. Conclusion: giving moringa capsules and Fe tablets has better effectiveness in increasing Hb levels compared to just Fe tablets alone.

Maternal health is a measure of the level of social welfare. Maternal death is the death of a woman during pregnancy, childbirth or within 42 days after the end of pregnancy. Perineal rupture is the second most common cause of postpartum bleeding. Tearing may coincide with uterine atony. Based on data from the World Health Organization (WHO), 2.7 million cases of perineal rupture occurred in mothers giving birth. This figure is estimated to reach 6.3 million in 2050. One way to prevent perineal rupture is to maintain the elasticity of the perineum. Increasing the elasticity of the perineum is done by means of pregnancy exercises. The aim of this study was to determine the relationship between pregnancy exercise and perineal rupture in postpartum mothers at Anemia Of Pregnant Women At BPM Helena Astuti Sinaga.The research design is an analytical study with a cross-sectional approach. The population in this study was all mothers giving birth at Anemia Of Pregnant Women At BPM Helena Astuti Sinaga in November-March 2023, namely 764 people with a research sample of 88 people. The sampling technique used random sampling and research analysis used the chi square test.The research results showed that the majority of pregnant women who took part in pregnancy exercise at BPM were 47 (53.4%) and those who did not do pregnancy exercise were 41 (46.6%). Inpartum mothers who experienced perineal rupture were 42 (47.3%) and those who did not experience perineal rupture were 46 (52.3%). Based on the results of statistical tests between pregnancy exercise and perineal rupture, the p value = 0.003 (p < 0.05). The conclusion of this study is that there is a significant relationship between pregnancy exercise and perineal rupture during birth at BPM Helena Astuti Sinaga. So it was suggested to Anemia Of Pregnant Women At BPM Helena Astuti Sinaga to improve services, especially for pregnant women, to do pregnancy exercises.

Iron deficiency is a common cause of anemia during pregnancy. The low consumption of Fe tablets is related to compliance with consumption. The purpose of this study was to determine the compliance of pregnant women taking iron tablets in the second trimester in Bukittinggi City. This was a qualitative study using a case study method. A purposive sampling technique was used, with the main informant being pregnant women in the second trimester in Baratan Village. Data were collected using interview techniques, observation, and documentation analysis and then validated using data triangulation, observer triangulation, theory triangulation, and method triangulation. The results of this study were analyzed based on data grouping. Testing data assumptions, alternative data explanations, and the results of the study were written. The compliance of pregnant women in taking Fe tablets shows the compliance of pregnant women in the second trimester in taking Fe tablets and how pregnant women know the benefits and impacts of not taking Fe tablets. Researchers know how long pregnant women take Fe tablets, and family support is a reinforcement for pregnant women if they forget when taking Fe tablets. Pregnant women who routinely have ANC will also receive Fe tablets from the midwife who checks for compliance with taking Fe is better when Fe tablets are also available. The opinion of researchers of primigravida pregnant women in the second trimester shows that the first, second, and third subjects are pregnant women in the second trimester who have experience taking Fe tablets. They reported the same complaints, namely nausea and vomiting after taking Fe tablets; even so, they remained obedient and routinely took Fe tablets every day, with and without being reminded by their families, they still routinely took Fe tablets. Some mothers understand the impact of not taking Fe tablets, namely, anemia and bleeding. During the interviews, all mothers said that they routinely checked their pregnancy every month with a midwife accompanied by their husbands.

Hypertension in pregnant women is a serious health issue that contributes to the high maternal and fetal mortality rates. This condition can be influenced by various factors, including family history and physical activity. This study aims to analyze the relationship between family history and physical activity with the incidence of hypertension in pregnant women in the working area of Puskesmas Asera, North Konawe Regency. This research employs an observational analytic design with a case-control approach. The respondents consist of 38 pregnant women selected using the total sampling technique. Data were collected through questionnaires and medical records and then analyzed using the Chi-Square test. The results indicate a significant relationship between family history of hypertension (p=0.000) and physical activity (p=0.021) with the incidence of hypertension in pregnant women. This study concludes that hereditary factors and low physical activity increase the risk of hypertension during pregnancy. Therefore, preventive efforts are needed through health education, increased physical activity, and routine monitoring during pregnancy at healthcare facilities. With these measures, it is expected that the incidence of hypertension in pregnant women can be reduced, ensuring better maternal and fetal health.

Nausea and moting affect most women in early pregnancy. Up to 80% of women experience nausea and vomiting to some degree during the first trimester, and for some, these symptoms typically resolve by 12 to 14 weeks. Nausea and vomiting can occur due to elevated levels of estrogen and HCG (human chorionic gonadotropin),but psychological factors also play a role in this condition. Complaints of nausea and vomiting are physiological in nature; however, if not promptly addressed, they can turn pathological and lead to pregnancy complications. Non-pharmacological methods, such as lemon-infused water, can effectively tackle nausea and vomiting. This quantitative research determined the effect of lemon-infused water on relieving nausea and vomiting in pregnant women during the first trimester with a pre-experimental design and a one-group pretest-posttest design. The population of this study consists of pregnant women in their first trimester suffering from nausea and vomiting at the Kedungmundu Public Health Center. The chosen sampling technique was purposive sampling yielded a sample size of 30 pregnant women in their first trimester. The Wilcoxon statistical test and the result show a p-value of 0.000 (p<0.05), accepting the alternative hypothesis (Ha) and rejecting the null hypothesis (Ho). This indicates that giving pregnancy women lemon-infused water relieves nausea and vomiting during the first trimester.