The reproductive organs are a highly sensitive area that requires careful hygiene and care, especially among adolescent girls who are susceptible to reproductive health issues such as vaginal discharge. One key preventative measure is consistent personal hygiene practices, particularly in maintaining vaginal hygiene. This practice is crucial to ensuring the area remains healthy, balanced, and free from infectious agents that can cause abnormal vaginal discharge or other health issues if left untreated or neglected. The primary objective of this community service initiative was to raise awareness and understanding of the importance of maintaining reproductive organ hygiene and health among adolescent girls. This activity was implemented and executed in two main phases. The first phase included an educational session delivered by fourth-semester nursing students, focusing on the importance of personal hygiene and reproductive health for adolescent girls. The second phase included an open discussion forum where participants were encouraged to ask questions, share experiences, and clarify their understanding of the material presented. The results showed a positive response from the participants. Most of them demonstrated increased awareness and understanding of reproductive hygiene and expressed their intention to consistently integrate proper care practices into their daily routines. This suggests that educational interventions, particularly those involving interactive communication, are effective in increasing knowledge and fostering health-conscious behaviors among adolescents. In conclusion, this program successfully contributed to improving participants' knowledge and attitudes in maintaining reproductive health, which is important for their overall well-being and long-term disease prevention efforts.

Hypertension, acommonand chronic non-communicable disease, has become a global health problem and aleading cause of death. Blood pressure that exceeds normal values is known as hypertension, or high blood pressure. From this theory, this study aims to assess the relationship between obesity and family history factors that affect hypertension in women of childbearing age. This study used quantitative methods with an observational analytic design cross-sectional approach. The selected population was women aged 15 to 45 years Getakmoyan village. The result, because the ? value is greater than ? = 0.05. The results showed that 16 respondents who were obese and had hypertension had a ? value of 0.007 (? = 0.05 because the ? value was smaller than ?). Overall, lifestyle factors such as obesity and diet have a greater influence than family history on the risk of hypertension in women of childbearing age.

Cervical cancer is one of the most common types of cancer in women, especially in developing countries, including Indonesia. As the disease often goes undetected in its early stages, education and prevention are crucial. The purpose of this study is to increase public awareness on how to prevent cervical cancer in post-fertile women and Adolescents. The method used in this service is by means of socialization activities carried out through seminars, interactive discussions, and dissemination of educational materials. The materials contained information on the risk factors and symptoms of HPV and vaccination. A total 30 participants participated in this active, and the evaluation results showed that after the socialization, participants had a better understanding of cervical cancer. Result show that health education is essential to prevent cervical cancer. The conclusion was that participants’ knowledge of cervical cancer after socialization increased significantly. Activities like this are expected to increase public awareness about cervical cancer and encourage proactive measures to maintain reproductive health. 

Background: In Indonesia, the prevalence of anemia in pregnant women is 37.1%, the highest number in rural areas is 37.8%, the lowest in urban areas is 36.4%, in 2018 it increased to 48.9%. Pregnant women continue to experience the greatest rates of anemia in rural areas (49.5%) and urban areas (48.3%) (Ministry of Health of the Republic of Indonesia, 2019). In 2016, the Ministry of Health of the Republic of Indonesia reported that the three primary causes of direct maternal mortality in Indonesia during pregnancy and childbirth remain unchanged: 30.3% of the cases were connected to hemorrhage, 27.1% to hypertension during pregnancy, and 7.3% to infections.Objective: This study aims to identify risk factors for the incidence of pre-eclampsia and anemia in Indonesia.Methods: Uses the Study Literature Review method by taking data that has been published on trusted national research sites.Results: Based on research results through a review that had been carried out, researchers found 14 national studies that were included in the inclusion criteria.Conclusion: The most dominant risk factors for preeclampsia are history of preeclampsia, parity, pregnancy spacing and maternal age. Meanwhile, the most dominant risk factors for anemia in pregnant women in this study were: nutritional status, maternal age, parity and pregnancy spacing.
 
 

Background: Hypertensive Disease in Pregnancy (HDK) is a vascular disorder that occurs during pregnancy, arises during pregnancy or in the postpartum periode, and is one of the most common causes of maternal death. Objective: this study was to determine how factors of having a history of hypertension, obesity, and using hormonal birth control impact the incidence of hypertension Disease in pregnancy (HDK). Metodes: the research approach used was analytic observation with a croos sectional design. This study involved 332 pregnant women who come to the Health Center. A sampel random sampling technique, with a sample size of 183 was used. In this study, the independent variables were history of hypertension, obesity, and hormonal birth control use; the incidence of HDK was the dependent variable. Data was collected using a documention study approach with an observation sheets. To analyse the data, a logistic regression statistical test was used with an error rate of ? 0.05. The results showed that pregnant women with HDK were exposed to hypertension 45.6%, and hormonal birth control by 36.3%. The result of bivariate analysis of hypertension history with HDK is o.o1 < ? 0.05, and the variable of obesity with HDK is 0.024 < ? 0.05 and the variable of hormonal birth control history with HDK is 0.21% < ? 0.05. The conclusion of the results showed that of the three factors contributing to the incidence of HDK, only the history of hypertension and obesity had a significant influence, with a history of hypertension accounting for 9.9% of HDK cases. Therefore, it is recommended that Strengthing Integrated Antenatal care for increasing the role of mindwives and general practitioners in better screening of pregnant women at risk.

Introduction: According to the Indonesian Health Profile (2021), preeclampsia or eclampsia, bleeding, and COVID-19 caused the highest number of maternal deaths in 2021. In 2022, the maternal mortality rate in Indonesia reached 183 deaths per 100,000 live births, with preeclampsia as the main cause. One of the most common maternal health problems in Indonesia is preeclampsia, which has a high incidence rate and causes dangerous complications for the mother and baby. Research and prevention efforts continue to be needed to reduce maternal mortality in Indonesia. Apart from disorders during pregnancy, we as academics who continue to be pro-active in community service activities in our field, must also pay attention to post-partum health. The incidence of postpartum blues in Indonesia will reach 50-70% in 2023. According to WHO, around 10% of pregnant women and 13% of new mothers experience mental health disorders, especially depression. Risk factors that increase the possibility of postpartum blues are the mother's young age, lack of support from her husband, and a difficult economic situation. Method: The method used in this activity is lecture and discussion, using power points and leaflets. Target: Women of Childbearing Age (WUS), pregnant women and post partum mothers. Results: After the educational activity, participants asked several questions, such as how to know whether a pregnant woman is experiencing problems, how many times should she have an examination, and what should the family do if the mother seems stressed after giving birth. With the aim of improving the welfare of pregnant women and babies, Family Centered Maternity Care (FCMC) is a midwifery approach that involves the family. This approach provides good social support to pregnant women, which can help them deal with stress and anxiety that may occur during pregnancy, childbirth and the postpartum period. In addition, pregnant women and their families are given the opportunity to actively participate in decision-making regarding health care, so that they can take responsibility for their own health. Conclusion: When Women of Childbearing Age (WUS) have good knowledge, attitudes and behavior, they will produce a generation of healthy and intelligent children. Health workers and the public must pay attention to the four Ts: too young, too old, too much, and too close. Antenatal visits and postpartum visits, which are types of physical examinations during pregnancy, are well carried out in first-level health facilities.

Introduction: Mothers are susceptible to experiencing postpartum blues syndrome during the postpartum period, or the period after giving birth. Rapid mood swings, feelings of sadness, worry, anxiety, and tiredness are signs of this syndrome, and mothers may feel more emotional and anxious, which can impact their mental health. Method: This type of research is quantitative analytical with a cross sectional approach. The population was postpartum mothers and the sample was 38 people with the inclusion criteria being postpartum mothers in the immediate postpartum to early postpartum categories who had previously had routine pregnancy checks in the Garut Regency Development Health Center working area. Data processing was carried out computerized with bivariate data analysis using the Chi Square statistical test. Results: The results of the study stated that 25 respondents had good husband support and 13 respondents had less husband support. Of the 38 respondents, 24 experienced postpartum blues . The results of this study stated that there was a link between husband's support and the incidence of postpartum blues , with a p value of 0.007. Conclusion: there is a connection between husband's support and the incidence of post partum blues, so that people can provide information to each other in preventing post partum blues . Health workers can also continue to be proactive in providing education to someone who plays the role of husband regarding the importance of maintaining the health of post partum mothers both physically and mentally for reproductive health and the health of mother and child .
 

The family planning program is the main pillar in preventing risky pregnancies and reducing maternal mortality and infant mortality. the prevalence of contraceptive use by married women is projected to be 62.2%. The percentage continues to increase until it reaches 64.4% in 2030. The level of achievement in the use of contraceptives can be seen from the coverage of couples of childbearing age and postpartum mothers. The number of mothers giving birth in 2021 will be 25,430 who will become new family planning participants. The importance of educating the public is to increase understanding regarding the selection of appropriate contraceptives for couples of childbearing age and postpartum mothers. The aim of this education is to increase knowledge regarding the selection of appropriate contraceptives, especially for couples of childbearing age and postpartum mothers. This education uses community service methods with outreach to women and couples of childbearing age and also post partum mothers, using power points and pamphlets. The results of this education showed an increase in public knowledge during the pretest and posttest.