Changes during pregnancy that make discomfort require an adaptation process. Nausea and vomiting discomfort can occur in 60-80% of primigravida pregnancies and 40-60% of multigravida pregnancies. Symptoms of nausea can be severe if not managed properly. Various efforts have been made to reduce maternal nausea and vomiting. In addition to pharmacological therapy can also be carried out nonphamacological therapy that is simple, inexpensive, effective, and without adverse side effects, namely in the form of acupressure or massage at the point 6 of the pericardium and administration of aromatherapy. The aim of the study was to measure literature related to pericardium acupressure and citrus aromatherapy. Methods: the method used is a literature study on the effectiveness of pericardium acupressure and citrus aromatherapy for pregnancy. The source of literature uses electronic media with various journals and libraries in 2008-2018 from several databases, namely Sience Direct and Google Scholar.The article found as many as 5 journals consisting of 2 international journals and 3 national journals. Research design: descriptive design, by analyzing journals related to the topic. Results: the results of the literature review were complementary follow-up treatment of pericardium P6 acupressure and citrus aromatherapy categorized as safe and effective enough to reduce nausea and vomiting in pregnancy. The conclusions from this literature review that the of pericardium P6 acupressure and citrus aromatherapy administration showed its effectiveness in combining nausea and vomiting in pregnancy.

The maternal mortality rate (MMR) in Indonesia is far from being the target of sustainable development goal's (SDG's), with one of the dominant causes being hypertension in pregnancy (HDK) such as preeclampsia. Pregnant women with preeclampsia are prone to experience anxiety, which if left untreated will have an effect on the welfare of the mother and baby. Anxiety can also cause blood pressure to raise. One relaxation technique to reduce anxiety and blood pressure is with murottal therapy. The purpose of this study was to determine the effect of murottal therapy in reducing anxiety and blood pressure in pregnant women with preeclampsia and to find out how to apply it to the case study. The research design used is literature review and case study. Samples for literature review were obtained from electronic databases, namely Google Scholar of 6 articles about the theme of Murottal and anxiety therapy (5 national and 1 international) and 8 articles on the theme of murottal therapy and blood pressure. Samples for case studies of 2 pregnant women with preeclampsia. The results obtained from the literature review include a decrease in anxiety scores before and after treatment with a mean reduction in anxiety scores 6,297, there is an effect of murottal therapy on blood pressure or there is a difference in blood pressure before and after getting treatment, the average decrease in mean systole 12,188 and average mean decrease in mean diastolic 6,233. Whereas the results obtained from the case study include risk factors for preeclampsia in the respondent is a history of hypertension, obesity and primipara; lack of knowledge or information and lack of optimal application of therapeutic communication is a factor that aggravates anxiety and; anxiety scores dropped after receiving murottal therapy and blood pressure also fell relative.

Kematian Ibu di Kabupaten Banyumas periode Januari-Juni 2018 didominasi oleh preeklampsia berat. Pada periode yang sama Puskesmas Rawalo memiliki data rujukan preeklmapsia jauh lebih tinggi dibanding data deteksi dini risiko tinggi preeklampsia. Perjalanan penyakit preeklampsia seringkali tidak memberikan gejala tanda di awal, namun dapat memburuk dengan cepat. Oleh karenanya, diperlukan upaya preventif untuk menekan angka kejadian preeklampsia. Salah satu inovasi sebagai upaya preventif preeklampsia adalah launching GEMPITA BUMIL (gerakan makan pisang dan jalan pagi teratur bagi ibu hamil). Tujuan kegiatan ini adalah masyarakat mengerti faktor risiko, tanda bahaya dan upaya pencegahan preeklampsia serta memperkenalkan GEMPITA BUMIL yang merupakan kerjasama Puskesmas Rawalo dengan Mahasiswa Magister Terapan Kebidanan Poltekkes Kemenkes Semarang. Peserta adalah perwakilan ibu hamil masing-masing desa di Wilayah Kerja Puskesmas Rawalo, sejumlah 18 orang. Rangakaian kegiatan launching GEMPITA BUMIL meliputi penapisan faktor risiko preeklmapsia, pelaksanaan jalan pagi, makan pisang bersama dan penyuluhan. Semua ibu hamil mengikuti kegiatan dengan antusias dari awal sampai akhir. Hasil penapisan, 89 % ibu hamil memiliki faktor risiko dengan rentang 1-5. Faktor risiko preeklampsia yang paling dominan adalah penyakit gigi di urutan pertama, nulipara di urutan kedua serta usia > 35 tahun dan multipara yang jarak kehamilan sebelumnya ≥ 7-10 tahun di urutan ketiga. Rekapitulasi penapisan faktor risiko preeklmapsia tersebut telah dilaporkan kepada Puskesmas Rawalo untuk di lakukan tindak lanjut. Materi yang disampaiakan dalam penyuluhan meliputi definisi preeklampsia dan superimposed preeklampsia, faktor risiko preeklampsia dan superimposed preeklampsia, tanda gejala preeklampsia, upaya pencegahan preeklapmsia, manfaat makan pisang bagi ibu hamil, manfaat jalan pagi teratur bagi ibu hamil dan kontraindikasi jalan pagi serta kapan waktu jalan pagi yang dianjurkan. GEMPITA BUMIL akan dilaksanakan di masing-masing desa di Wilayah Kerja Puskesmas Rawalo mengikuti jadwal kelas ibu hamil. Di anjurkan kepada seluruh ibu hamil untuk melaksanakan secara rutin di rumah. Kata kunci: GEMPITA BUMIL; makan pisang; jalan pagi teratur; ibu hamil Abstract [LAUNCHING GEMPITA BUMIL GERAKAN MAKAN PISANG DAN JALAN PAGI TERATUR BAGI IBU HAMIL] Maternal Death in Banyumas District for the period of January-June 2018 is dominated by severe preeclampsia. During the same period, Rawalo Health Center had far higher preeclampsia referral data compared to early detection data for high risk of preeclampsia. The course of preeclampsia often does not provide signs of symptoms at the beginning, but can worsen quickly. Therefore, preventive efforts are needed to reduce the incidence of preeclampsia. One of the innovations as a preventive effort for preeclampsia is the launching of BUMIL GEMPITA (movement of eating bananas and regular morning walks for pregnant women).