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Background: Pregnancy is a crucial period that requires special attention to the mother's physiological and psychological aspects. Many pregnant women experience poorly understood physical and emotional changes, lack of early detection of high-risk pregnancies, and lack of knowledge about a healthy lifestyle during pregnancy, including physical activity and balanced nutrition. The main problems faced are pregnant women's lack of understanding of normal physiological and psychological changes during pregnancy, lack of knowledge about danger signs and how to detect high-risk pregnancies, low participation of pregnant women in physical activities such as prenatal exercise, lack of knowledge regarding balanced nutrition for pregnant women, and limited comprehensive health education facilities in the community. Objective: This community service activity aims to improve the health of pregnant women by strengthening promotive and preventive pregnancy classes. Methods: This community service activity included screening for high-risk pregnancies, providing materials on physiological and psychological changes in pregnancy, maternal nutrition, and early detection of complications in high-risk pregnancies. A demonstration of prenatal exercise practices was also conducted at the Pondokgebangsari Village Hall, Kuwarasan District, Kebumen Regency. The training, conducted in February 2026, involved 15 pregnant women in their first, second, and third trimesters. Results: This activity demonstrated an increase in mothers' knowledge about physiological, psychological changes, and pregnancy nutrition after education, with 8 receiving good and 7 receiving adequate education. Education on Early Detection and Danger Signs of High-Risk Pregnancy also increased, with 9 receiving good and 6 receiving adequate education. Thus, families are aware of the importance of attending pregnancy classes and see them as essential for a healthy pregnancy. Conclusion: Community service programs to strengthen pregnancy classes through education, high-risk screening, and nutrition counseling support efforts to improve maternal and infant health, and are an investment in the future.

The low coverage of exclusive breastfeeding is still a public health challenge because it has a direct impact on infant health. Factors that cause low coverage of breastfeeding include problems in the breastfeeding process, economic conditions, environmental support, and socio-cultural aspects. Milk production is influenced by the hormone prolactin, while milk production is influenced by the hormone oxytocin. One of the interventions that has been proven to help with breast milk production is oxytocin massage. Based on this, this community service activity was carried out as an effort to increase breast milk production in breastfeeding mothers. The method of the activity is in the form of health counseling to pregnant women in the third trimester with educational media in the form of presentation materials. The activity was complemented by discussions, questions and answers, and demonstrations of the right oxytocin massage techniques to strengthen participants' understanding. The implementation of the activity went well and received enthusiasm from the participants. The results of the activity showed an increase in pregnant women's knowledge about the importance of exclusive breastfeeding and skills in performing oxytocin massage. Thus, this activity is expected to support the increase in exclusive breastfeeding coverage through the empowerment of pregnant and lactating women, as well as a promotive-preventive strategy in maintaining the health of babies in a sustainable manner.

Maternal mental health is an important aspect during pregnancy and postpartum, which has a significant impact on both mother and baby. There are various psychological problem that may occur during pregnancy and the postpartum stage due to the physical and psychological changes that occur. In addition, a woman also adapt as her new role as s new parent. The purpose of this community service is an effort to increase the knowledge of pregnant and postpartum woman to minimize the occurrence of mental health disorders. This community activity method with socialization on mental health education for pregnant women and postpartum was held on May 15, 2023, at the Melati Posyandu Gunungjati Village, this program is aimed at pregnant women in first and third trimesters, the number of participants who attended was 16 people. Assessment of mother’s knowledge about mental health with pre-test and post-test. The result of socialization were analyzed by approaching descriptively, proving that with the educational provisions that have been provided, new knowledge can be added.

Maternal mental health is an important aspect during pregnancy and postpartum, which has a significant impact on both mother and baby. There are various psychological problem that may occur during pregnancy and the postpartum stage due to the physical and psychological changes that occur. In addition, a woman also adapt as her new role as s new parent. The purpose of this community service is an effort to increase the knowledge of pregnant and postpartum woman to minimize the occurrence of mental health disorders. This community activity method with socialization on mental health education for pregnant women and postpartum was held on May 15, 2023, at the Melati Posyandu Gunungjati Village, this program is aimed at pregnant women in first and third trimesters, the number of participants who attended was 16 people. Assessment of mother’s knowledge about mental health with pre-test and post-test. The result of socialization were analyzed by approaching descriptively, proving that with the educational provisions that have been provided, new knowledge can be added.

Community service has been carried out by the service team involving students from the Padangsidimpuan Midwifery Study Program, Poltekkes Kemenkes Medan. The community service activities carried out were to provide counseling and demonstrations about Endorphine massage which is a light touch or massage therapy that is quite important to be given to pregnant women, in the time leading up to and during childbirth. This massage can stimulate the body to release endorphin compounds which are pain relievers and can create a feeling of comfort. Endorphins in the body can be triggered through various activities, such as deep breathing and relaxation, and meditation. Endorphine massage should be done to pregnant women who are 36 weeks pregnant. Because endorphin massage can stimulate the release of the hormone oxytocin which can trigger the labor process (Kuswandi, 2014). This Community Service aims to demonstrate endorphin massage to reduce pain in mothers giving birth in the first stage in the Pintu Padang Health Center work area, South Tapanuli Regency. Target pregnant women in the third trimester, young couples, Participants 40, endorphin massage is expected to be implemented in the management of the first stage to reduce pain and speed up the labor process. The results of this community service are an increase in knowledge of 50% and skills of 87% about endorphin massage correctly applied when pregnant women later undergo the labor process. This community service is carried out in collaboration with partners used as the location of this activity, namely Kalurahan Pintu Padang, Batang Angkola District, South Tapanuli Regency and Health Cadres, Village Midwives at the local Health Center. This activity received a positive response from local participants, and as a follow-up, it can be carried out by Health Cadres and midwives at the Health Center to monitor the skills that have been obtained when pregnant women are in the labor process that will be undergone

Anemia is a widespread public health problem associated with increased mortality and morbidity, especially in pregnant women. In both developed and developing countries, some women experience anemia during pregnancy. Usually non-pregnant women have normal hemoglobin of 12-15%. According to WHO, the incidence of anemia in pregnancy ranges from 20% to 89% by setting HB <11 gr% (h/dl). The rate of anemia in pregnancy occurs 3.8% in the first trimester, 13.6% in the second trimester and 24.8% in the third trimester (Manuaba, 2012). The counseling method on preventing anemia by providing iron (Fe) to pregnant women is used in the community service program. The community service event was presented by twenty pregnant women from Bangun Rejo Village aged 20 to 35 years. After the counseling activity, pregnant women from Bangun Rejo Village understood more about anemia in pregnant women. This can be seen from the increase in their post-test scores compared to their pre-test. The pre-test results showed that most participants answered incorrectly, with an average score of 35; the post-test results showed an increase in knowledge, with an average score of 80. After attending the counseling and completing the post-test, the last participants underwent an Hb examination, which was guided by a gymnastics instructor and documented via video.

Pregnant women really dream of a healthy pregnancy. To be able to have a healthy pregnancy, pregnant women can do pregnancy exercises. An old method that is still used in pregnancy services today is pregnancy exercise, where pregnancy exercise is also a method of relaxation and exercise for pregnant women which is a permanent program in antenatal care, aimed at making pregnant women mentally and physically ready to face the birthing process. In fact, even though there are pregnancy exercises for pregnant women, there are still many who don't know about pregnancy exercises. Based on a preliminary survey of 10 pregnant women with gestational age entering the 2nd and 3rd trimesters who came to the Posyandu regularly in RW 02 Sambiroto Village, there were 4 pregnant women who said that while participating in activities at the Posyandu they only received material regarding pregnancy information. This community service activity is an effort to increase the knowledge, skills and understanding of posyandu cadres and pregnant women about the methods and benefits of pregnancy exercise during the second and third trimesters of pregnancy in RW 02, Sambiroto Village, Tembalang District, Semarang City. The specific target of this PKM is to teach cadres and pregnant women how to do safe pregnancy exercises for the 2nd and 3rd trimester of pregnancy. This PKM program activity is carried out using counseling and training methods at the RW 02 hall, Sambiroto Village with implementation methods a) Pre-field survey, b ) Preparation of training tools and materials, c) Preparation of training methods, d) Training of Posyandu cadres and pregnant women, e) Mentoring, f) Evaluation, g) Making reports and publications. Based on the results of socialization and training, significant results were obtained, namely that posyandu cadres were able to guide pregnancy exercise correctly and pregnant women understood the benefits of pregnancy exercise.