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Anxiety during pregnancy is one of the most common psychological problems experienced by pregnant women, particularly during the third trimester when they face childbirth preparation as well as various physical and emotional changes. If not properly managed, anxiety may adversely affect both maternal and fetal health. This study aimed to describe the level of anxiety among third-trimester pregnant women at Mlati II Public Health Center in 2026. This research employed a descriptive quantitative design with a cross-sectional approach. The study involved 40 third-trimester pregnant women selected using a total sampling technique. Data were collected using the Hamilton Anxiety Rating Scale (HARS) questionnaire and analyzed through univariate analysis in the form of frequency and percentage distributions. The results showed that most respondents were of healthy reproductive age (20–35 years) (92.5%), primigravida (67.5%), had a secondary level of education (70%), and were unemployed (70%). The respondents' anxiety levels were categorized as no anxiety (47.5%), mild anxiety (47.5%), and moderate anxiety (5%), while no cases of severe anxiety or panic were identified. The most dominant anxiety indicators were anxious feelings, tension, respiratory symptoms, and sleep disturbances. These findings indicate that some third-trimester pregnant women still experience anxiety, highlighting the need for early detection, health education, and psychological support through antenatal care services to promote maternal mental well-being during pregnancy.

Nyeri punggung bawah merupakan keluhan umum pada ibu hamil, terutama trimester III, akibat perubahan fisiologis, peningkatan beban janin, dan relaksasi ligamen panggul. Intervensi non-farmakologis, seperti herbal kompres ball, dianggap efektif dan aman untuk menurunkan nyeri. Tujuan: Mengetahui pengaruh herbal compres ball terhadap penurunan nyeri punggung bawah pada ibu hamil trimester III. Penelitian ini menggunakan pendekatan kuantitatif dengan jenis Quasi Experimental Design, rancangan one group pretest-posttest. Sampel sebanyak 35 ibu hamil trimester III di Semarang Barat dipilih dengan purposive sampling. Data nyeri dikumpulkan menggunakan kuesioner skala nyeri sebelum dan sesudah intervensi. Analisis data menggunakan uji Wilcoxon Signed Rank Test untuk mengetahui perbedaan signifikan nyeri pretest dan posttest. Sebelum intervensi, mayoritas responden mengalami nyeri sedang sebanyak 29 orang (82,9%), sedangkan setelah intervensi, mayoritas mengalami nyeri ringan sebanyak 29 orang (82,9%) dan sebagian kecil tidak merasakan nyeri 2 orang (5,7%). Uji Wilcoxon menunjukkan Z = -5,014; p = 0,000, menandakan adanya penurunan nyeri yang signifikan setelah intervensi herbal compres ball. Herbal kompres ball efektif menurunkan nyeri punggung bawah pada ibu hamil trimester III. Intervensi ini dapat menjadi metode non-farmakologis yang aman, praktis, dan efektif.

Angka Kematian Ibu (AKI) masih menjadi masalah kesehatan global dan nasional, dengan AKI di Indonesia mencapai 183 per 100.000 kelahiran hidup pada tahun 2023, walaupun terjadi kecendrungan penurunan angka kematian ibu masih di perlukan upaya dalam percepatan penurunan AKI untuk mencapai target SDGS. Penelitian ini bertujuan untuk mengtahui hubungan kepatuhan melakukan Antenatal Care terhadap tingkat kecemasan ibu hamil primigravida trimester III di wilayah kerja Puskesmas pringgarata. Penelitian ini merupakan penelitian analitik korelasional dengan pendekatan cross sectional yang di lakukan di Puskesmas Pringgarata pada november-Januari 2026, dengan populasi semua ibu hamil primigravida trimester III yang berjumlah 40 ibu hamil yang di pilih menggunakan tehnik total sampling. Pengambilan data di lakukan secara langsung menggunakan kuesioner PRAQ-R2 untuk mengukur tingkat kecemasan dan pengambilan secara langsung di buku KIA hasil pemeriksaan kemudian di analisis secara univariat dan bivariat. Analisis Bivariat menunjukkan terdapat hubungan hubungan yang signifikan antara kepatuhan melakukan Antenatal Care dengan tingkat kecemasan ibu hamil di wilayah Kerja Puskesmas pringgarata (p value =0,001).

Typhoid fever during pregnancy can lead to complications such as uteroplacental infection, miscarriage, and vertical transmission, which causes neonatal typhoid. Typhoid fever is found worldwide and is highly prevalent in developing countries, particularly in tropical regions. It is estimated that there are 11–21 million cases per year and approximately 128,000–161,000 deaths per year; the majority of cases occur in Southeast Asia, South Asia, and Sub-Saharan Africa. Salmonella typhi is a gram-negative bacterium capable of intracellular survival. Symptoms in typhoid patients vary among different groups. While pregnant women with typhoid are more likely to exhibit coughing, non-pregnant patients more frequently report nausea/vomiting compared to pregnant patients. The effects of typhoid fever on pregnancy result from prolonged high fever and poor general health, which can lead to miscarriage, preterm labor, and intrauterine fetal death, especially if the infection occurs during the first or second trimester. Morbidity and mortality rates may be higher in pregnant women. Pregnancy itself does not affect the course of the disease. Prevention of typhoid fever involves adopting a clean and healthy lifestyle, as well as receiving the typhoid vaccine. Two effective vaccines are available for typhoid fever. The live-attenuated oral vaccine (Ty21a) requires four doses, administered 48 hours apart, without concurrent use of antibiotics or antimicrobial medications. Due to reduced gastrointestinal motility in early pregnancy and frequent nausea and vomiting associated with symptomatic gastroesophageal reflux requiring acid-reducing therapy, we do not recommend the Ty21a oral vaccine for pregnant patients.

Anemia pada ibu hamil masih menjadi salah satu masalah kesehatan yang berkontribusi terhadap tingginya angka kematian ibu dan bayi di Indonesia. Anemia dalam kehamilan dapat meningkatkan risiko perdarahan postpartum, persalinan prematur, berat badan lahir rendah, serta komplikasi lainnya pada ibu dan janin. Penelitian ini bertujuan untuk melaksanakan asuhan kebidanan komunitas pada ibu hamil trimester II dengan anemia ringan di Dusun Bentek, Desa Menggala, Kecamatan Pemenang, Kabupaten Lombok Utara. Metode penelitian yang digunakan adalah studi kasus dengan pendekatan manajemen asuhan kebidanan meliputi pengkajian, analisis data, penentuan diagnosis, perencanaan, implementasi, dan evaluasi. Subjek penelitian adalah Ny. “R” usia 32 tahun G1P0A0H0 usia kehamilan 27 minggu dengan kadar hemoglobin 9,0 g/dL. Hasil pengkajian menunjukkan bahwa ibu mengalami anemia ringan disertai kurangnya pengetahuan mengenai pentingnya konsumsi tablet tambah darah dan pemenuhan nutrisi selama kehamilan. Asuhan yang diberikan meliputi edukasi kesehatan, konseling gizi, pemberian tablet tambah darah, pemantauan kehamilan, serta kolaborasi dengan petugas gizi. Hasil evaluasi menunjukkan adanya peningkatan pengetahuan ibu dan kepatuhan dalam mengonsumsi tablet tambah darah yang ditandai dengan peningkatan kadar hemoglobin menjadi 10,9 g/dL pada kunjungan ulang. Dengan demikian, asuhan kebidanan komunitas yang diberikan efektif dalam membantu mengatasi anemia ringan pada ibu hamil trimester II serta meningkatkan kesehatan ibu dan janin.

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.

Hyperemesis gravidarum is excessive nausea and vomiting in pregnant women to the point of interfering with daily activities. Hyperemesis gravidarum affects the mother's physiological condition. Continuous nausea and vomiting can cause carbohydrate and fat reserves to be used up for hormonal needs, resulting in activity intolerance, and imperfect fat oxidation, resulting in ketosis. This case study aims to explain Nursing Care for Patient Mrs. B with Hyperemesis Gravidarum Case in Providing Ginger Water Decoction to Reduce Nausea and Vomiting in Pregnant Women in Arafah Room 3 RSUDZA Banda Aceh. This design is a case study with a nursing process approach, the results of the case study found three nursing diagnoses, namely nausea related to pregnancy, the risk of nutritional deficits related to psychological factors (reluctance to eat) and anxiety related to lack of exposure to information. The nursing actions given are providing non-pharmacological therapy: ginger decoction, encouraging patients to eat little but often and providing information about physiological symptoms in pregnant women in the first trimester, including nausea and vomiting. The results of the evaluation after 5 visits for the nursing diagnosis of Nausea related to pregnancy were obtained at the fifth visit. The subjective data evaluation of the client said that nausea was still felt occasionally, the client said that vomiting was no longer present, the client said that appetite had started to improve

Pregnancy complications remain a leading cause of maternal morbidity and mortality in Indonesia. Pregnant women's limited knowledge of pregnancy danger signs and suboptimal participation in antenatal care (ANC) services can increase the risk of delayed detection and management of pregnancy complications. The Kinovaro Community Health Center (Puskesmas) in Sigi Regency is one of the areas requiring maternal health information and activities that can increase pregnant women's participation in health education activities. This community service activity aims to improve pregnant women's knowledge and preparedness in preventing pregnancy complications through mentoring based on Pregnant Women's Classes. The activity involved eight pregnant women in their second and third trimesters. The methods used included health education, interactive discussions, simple pregnancy check-ups, pregnancy exercise demonstrations, and evaluation using pre- and post-tests. The results showed that all participants actively participated in the activity and had a good level of knowledge after participating. The average knowledge score increased from 77.5 to 80.0, an increase of 3.2%. In addition, participants were able to identify pregnancy danger signs, understand the importance of standard ANC visits, and practice pregnancy exercise movements independently. This activity demonstrates that mentoring through the Pregnant Women's Class can strengthen maternal health literacy, increase pregnant women's preparedness in recognizing pregnancy complications, and support the strengthening of maternal health services at the community level.

Emesis gravidarum pada kehamilan trimester I merupakan salah satu ketidaknyamanan yang sering dialami ibu hamil dan dapat memengaruhi status kesehatan ibu apabila tidak ditangani dengan baik. Penelitian ini bertujuan untuk melaksanakan asuhan kebidanan komunitas pada ibu hamil trimester I dengan keluhan mual muntah di Dusun Karang Petak, Kecamatan Pemenang, Kabupaten Lombok Utara. Metode penelitian yang digunakan adalah studi kasus dengan pendekatan manajemen asuhan kebidanan meliputi pengkajian, analisis data, penegakan diagnosis, perencanaan, implementasi, dan evaluasi. Subjek penelitian adalah Ny. “K” usia 31 tahun G2P1A0H1 usia kehamilan 9–10 minggu dengan keluhan mual muntah pada pagi dan malam hari disertai penurunan nafsu makan. Asuhan yang diberikan meliputi edukasi kesehatan mengenai ketidaknyamanan kehamilan trimester I, konseling nutrisi, anjuran makan sedikit tetapi sering, konsumsi tablet tambah darah, serta pemenuhan kebutuhan istirahat. Hasil evaluasi menunjukkan adanya peningkatan pengetahuan ibu dan keluarga mengenai penanganan mual muntah selama kehamilan, penurunan frekuensi mual muntah, serta peningkatan kondisi umum ibu yang ditandai dengan kenaikan berat badan dari 55 kg menjadi 57 kg. Dengan demikian, asuhan kebidanan komunitas efektif dalam membantu mengatasi ketidaknyamanan kehamilan trimester I serta meningkatkan kesehatan ibu hamil.

Iron deficiency anemia remains a major public health problem among pregnant women in Indonesia, with a national prevalence of 37.1% and higher rates in regions such as Brebes Regency. Adequate nutritional knowledge and sufficient iron intake are expected to prevent decreases in hemoglobin (Hb) levels during the third trimester. This study aimed to analyze the relationship between nutritional knowledge, iron intake adequacy, and Hb levels among third-trimester pregnant women at Puskesmas Brebes. An analytic observational study with a cross-sectional design was conducted on 62 respondents using total sampling. Data were collected through a nutritional knowledge questionnaire, a Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ) to assess iron intake based on the Recommended Dietary Allowance of 27 mg/day, and Hb measurement using a digital device. The prevalence of anemia was 32.3%, with a mean Hb level of 11.25 ± 1.74 g/dL. Most respondents had high nutritional knowledge (72.6%), but 79.0% had inadequate iron intake. Chi-Square analysis showed no significant relationship between nutritional knowledge and Hb levels (p=0.109) or between iron intake adequacy and Hb levels (p=0.426). Other factors, including iron absorption inhibitors, compliance with iron supplementation, nutritional status, and limited sample size, may have influenced the results.

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.

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.

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.

Anxiety is a common psychological issue among pregnant women in the third trimester, often triggered by fear of childbirth, concerns about fetal health, and hormonal changes. If not properly addressed, it may negatively affect both maternal and fetal outcomes. Non-pharmacological approaches, such as music therapy, are increasingly used to promote relaxation and emotional well-being. This study aimed to determine the effect of music therapy using spiritual songs on the anxiety levels of third-trimester pregnant women at GMIM Siloam Sonder Minahasa Hospital. A pre-experimental design with a one-group pretest–posttest approach was applied. The sample consisted of 30 pregnant women selected through total sampling. Anxiety levels were measured before and after the intervention using a validated instrument, and the data were analyzed using the Wilcoxon signed-rank test. The findings revealed a significant reduction in anxiety levels following the intervention. The statistical test showed a p-value of 0.000 (p < 0.05), indicating a significant effect of spiritual music therapy on reducing anxiety. These results suggest that spiritual songs can provide emotional comfort, enhance relaxation, and foster a sense of peace among pregnant women. In conclusion, music therapy using spiritual songs is an effective, safe, and complementary non-pharmacological intervention to reduce anxiety in third-trimester pregnant women and can be considered as part of maternal healthcare support.

Anxiety during the third trimester of pregnancy is a prevalent perinatal mental health issue that can adversely affect maternal well-being and preparedness for labor. Psychosocial factors, particularly partner support, are recognized as important in alleviating anxiety; however, empirical evidence at the primary healthcare level in Indonesia is still limited. This study aimed to analyze the relationship between partner support and anxiety levels among third-trimester pregnant women receiving care at the Momalia Community Health Centre. A quantitative analytical approach with a cross-sectional design was employed. The study involved 60 third-trimester pregnant women selected through total sampling. Partner support was assessed using a structured social support questionnaire, while maternal anxiety was measured using a standardized, valid, and reliable instrument. Data analysis included descriptive and inferential statistics, with the relationship between variables tested using the Chi-square test at a significance level of 0.05. The results revealed a statistically significant association between partner support and maternal anxiety (p < 0.05). Women who reported higher levels of partner support tended to experience lower anxiety, whereas those with inadequate support showed higher levels of moderate to severe anxiety. In conclusion, partner support serves as a protective factor against anxiety during late pregnancy. Integrating husbands’ involvement into antenatal care programs is essential to enhance maternal mental health outcomes.

Anemia during pregnancy is a major public health issue, especially in developing countries like Indonesia, contributing to maternal morbidity and adverse pregnancy outcomes. The second trimester, marked by increased iron needs due to plasma volume expansion and fetal growth, is critical for preventing anemia. Moringa leaves (Moringa oleifera), rich in micronutrients, may serve as an effective nutritional intervention to enhance hemoglobin levels in pregnant women. This study aimed to assess the impact of moringa leaf supplementation on hemoglobin levels in second-trimester pregnant women. Using a one-group pretest-posttest quasi-experimental design, the study was conducted at the Tadoy Community Health Center in Bolaang Mongondow Regency from October to November 2025, involving 25 pregnant women selected via purposive sampling. Hemoglobin levels were measured before and after the supplementation. Data analysis, including the Shapiro-Wilk test and Wilcoxon Signed Rank Test, indicated significant changes in hemoglobin levels (p = 0.000). The results showed a notable increase in hemoglobin levels post-supplementation, supporting the potential of moringa leaves as a safe, affordable, and effective intervention. This finding suggests that moringa leaves could be integrated into antenatal care and nutrition education to help prevent anemia in pregnant women.  

Senam hamil merupakan aktivitas fisik yang memberikan manfaat signifikan bagi kesehatan ibu dan janin, seperti meningkatkan kebugaran, mengurangi nyeri punggung, serta membantu persiapan persalinan. Namun, partisipasi ibu hamil dalam senam hamil masih rendah, yang salah satunya disebabkan oleh keterbatasan pengetahuan tentang manfaat dan pelaksanaannya. Pendidikan kesehatan berbasis media digital, seperti e-book, menjadi alternatif edukasi yang efektif, mudah diakses, dan fleksibel untuk meningkatkan pengetahuan ibu hamil. Penelitian ini bertujuan menganalisis pengaruh health education menggunakan media digital e-book terhadap pengetahuan ibu hamil mengenai senam hamil. Penelitian ini menggunakan desain pre-eksperimental one-group pretest–posttest dengan sampel 40 ibu hamil trimester II dan III yang mengikuti Program Manajemen Bersalin (PMB) Ferawati Palembang. Data dikumpulkan melalui kuesioner pengetahuan sebelum dan setelah intervensi edukasi, kemudian dianalisis menggunakan uji Wilcoxon. Hasil penelitian menunjukkan adanya peningkatan pengetahuan yang signifikan setelah pemberian edukasi dengan e-book, ditunjukkan oleh nilai p = 0,000 (p < 0,05). Temuan ini mengindikasikan bahwa pendidikan kesehatan berbasis e-book berpengaruh signifikan dalam meningkatkan pengetahuan ibu hamil tentang senam hamil. Oleh karena itu, penggunaan media digital dapat menjadi strategi efektif dalam upaya peningkatan kesehatan ibu hamil melalui edukasi yang mudah diakses dan berkelanjutan.

The most frequent complaint among pregnant women, particularly during the second and third trimesters, is sleep difficulties. Emotional disorders, physical exhaustion, and a higher chance of pregnancy difficulties can all result from poor sleep. Back massage combined with lavender aromatherapy is one non-pharmacological treatment that has been shown to be safe for enhancing the quality of sleep. The purpose of this study was to evaluate the impact of lavender back massage on pregnant women's sleep quality. Thirty third-trimester pregnant women in the West Halmahera Community Health Center (Puskesmas) operating area participated in the study, which employed a pre-experimental design and a one-group pretest-posttest methodology. The Pittsburgh Sleep Quality Index (PSQI) was used to assess the quality of sleep. According to the findings, the majority of respondents (76.7%) experienced poor sleep quality before to the back massage, with an average PSQI score of 11.2. The PSQI score dropped to 6.1 following three days of lavender back massages, indicating a substantial improvement in sleep quality. The Wilcoxon statistical test revealed a substantial increase in sleep quality following the intervention, with p = 0.000. According to the study's findings, back massage with lavender can be suggested as a safe supplemental therapy in prenatal care services as it effectively improves pregnant women's sleep quality.

Limited readiness for breastfeeding among third-trimester pregnant women may affect the success of breastfeeding practices. Insufficient knowledge regarding proper breastfeeding techniques can lead to various lactation-related problems, including incorrect breastfeeding positions, poor infant attachment, and ineffective breastfeeding. Therefore, effective educational interventions are needed to improve breastfeeding readiness during pregnancy. This community service program aimed to strengthen breastfeeding readiness among third-trimester pregnant women through e-booklet-based education on breastfeeding techniques in the working area of Kelapa Community Health Center. The program was conducted in June 2025 and involved 20 third-trimester pregnant women. Educational activities were delivered through interactive lectures, discussions, question-and-answer sessions, and the distribution of e-booklets. Evaluation was carried out using pre-tests and post-tests to assess changes in participants’ knowledge and attitudes after the intervention. The results showed an improvement in participants’ knowledge, with the proportion of women in the good knowledge category increasing from 20.0% to 75.0%, while the poor knowledge category decreased from 30.0% to 0%. Positive attitudes toward breastfeeding also increased from 40.0% to 85.0% following the educational intervention. The use of e-booklets as educational media facilitated participants’ understanding of breastfeeding materials and enabled independent review of the information after the program. This community service activity demonstrates that e-booklet-based breastfeeding education is effective in improving knowledge, fostering positive attitudes, and strengthening breastfeeding readiness among third-trimester pregnant women

Toxoplasmosis is caused by Toxoplasma gondii, a protozoa that is often found in cats as the definitive host. The infection can spread to humans through contact with cat feces or consumption of contaminated food and drinks. Pregnant women, especially in the second trimester, are at high risk of developing infections that can be transmitted to the fetus. Primary infections during pregnancy can lead to a variety of complications, including birth defects, and premature birth. The purpose of this study is to examine the relationship between cat ownership and the incidence of toxoplasmosis in pregnant women in the second trimester. This study is the result of a literature review with a literature search method conducted on the internet and scientific journals based on questions about the relationship between cat keepers and the incidence of toxoplasmosis in pregnant women in the 2nd trimester. According to the (WHO), the incidence ratio in 26 countries is based on concrete evidence. The three countries with the highest IgG seroprevalence according to data are Ethiopia (64.2%, 95%CI: 34.3–89.1), Gabon (56.7%, 54.4–59.0), and Brazil (53.8%, 39.3–68.0) but there are also three countries with the lowest IgG are Mexico (7.2%, 5.3–9.4), South Korea (2.1%, 0.6–4.3), and Canada (0.2%, 0.2–0.3). Meanwhile, the prevalence of toxoplasmosis in pregnant women in Indonesia ranged from 43% to 88% in 2014. Data shows that keeping cats as well as poor hygiene practices can increase the risk of toxoplasmosis infection in pregnant women.