Abstract Maternal mortality (AKI) in Balikpapan the year 2017 has increased from the previous year. Various efforts have been undertaken by the Government to help lower the AKI with of pregnant women class. The scope of of pregnant women class at the Balikpapan is still low and the handling of complications of childbirth has decreased from 99.5% to 96.87%. The number of labor in RSKB Dear Mother in the year 2017 of 1440 with labor complications by 25%. The purpose of the research is to find out the relationship between a class of pregnant women with delivery complications on RSKB Dear Mother of Balikpapan. Design research is observational case study controls. The population of the research was the whole maternity in labor period September s.d November RSKB 2018 in Dear Mother of Balikpapan. Sample research 76 of mothers in labor. Data analysis using Chi-Square test, Spearman rho, and Logistic regression. The results showed there was a relationship of pregnant women class with delivery complications  with  the  direction of  the  negative correlation (r =-0285; p < 0.05), there are relationship age with delivery complications (r = 0,279; p < 0.05) and there is a relationship of parity with the delivery complications (r = 0,233; p < 0.05). Parity have a greater influence to delivery complications (OR = 0.111; p < 0.05) compared to of pregnant women class (OR = 0,095; p < 0.05). Summary this research there pregnant women class, age and parity relationships with the delivery complications. Parity have a greater influence to delivery complications   Keywords: class of pregnant women, age, parity, delivery complications                                                                                         Abstrak                             Angka Kematian Ibu (AKI) di Kota Balikpapan Tahun 2017 mengalami peningkatan dari tahun sebelumnya. Berbagai upaya telah dilakukan oleh pemerintah untuk membantu menurunkan AKI salah satunya dengan program kelas ibu hamil. Cakupan kelas ibu hamil di puskesmas kota Balikpapan masih rendah dan penanganan komplikasi persalinan mengalami penurunan dari 99,5% menjadi 96,87%. Tujuan Penelitian adalah untuk mengetahui hubungan antara kelas ibu hamil dengan komplikasi persalinan di RSKB Sayang Ibu Balikpapan. Desain penelitian adalah penelitian observasional studi kasus kontrol. Populasi penelitian adalah seluruh ibu bersalin periode September s.d November 2018 di RSKB Sayang Ibu Balikpapan. Sampel penelitian berjumlah 76 responden. Besar sampel untuk tiap kelompok adalah 38 kelompok kasus dan 38 kelompok kontrol. Analisis data menggunakan uji Spearman rho. Hasil penelitian menunjukkan terdapat hubungan kelas ibu hamil dengan komplikasi persalinan dengan arah korelasi negatif (r= -0.285 ; p<0,05), terdapat hubungan usia dengan komplikasi persalinan (r=0,279; p<0,05)  dan terdapat hubungan paritas dengan komplikasi persalinan (r=0,233; p<0,05). Paritas mempunyai pengaruh yang lebih besar terhadap komplikasi persalinan ( OR=0,111; p<0.05) dibandingkan dengan kelas ibu hamil (OR=0,095; p<0.05) Simpulan penelitian terdapat hubungan kelas ibu hamil, usia dan paritas dengan komplikasi persalinan. Paritas mempunyai pengaruh yang lebih besar terhadap komplikasi persalinan.   Kata kunci: Kelas Ibu Hamil, Usia, Paritas, Komplikasi Persalinan

Introduction: Urinary incontinence is a comorbid condition that often occurs in post TURP clients. Low urinary incontinence scores were found in post TURP clients who did Kegel exercises. The purpose of this study was to explain the effect of Kegel exercise on urinary incontinence, and quality of life in post- TURP clients. Methods: The study design was a true experiment pre-post test control group design. The sample size was 32 people who were selected by systematic random sampling, consisting of 16 people in the control group and 16 people in the group treatment. The independent variable in this study was Kegel exercise and the dependent variable was quality of life. Data were collected using a quality of life questionnaire with WHOQOL-BREF. Inferential analysis used statistical t-test (Independent t-Test and Paired t-Test), MANOVA with a significance level of α < 0.05. Results: The results showed that: Kegel exercises improve quality of life scores of the significance level p = 0.045. Conclusion: Kegel exercise can build pubococcygeus muscle mass, improve blood circulation, and improve the bulbocavernosus and ischiocavernosus muscles, thereby reducing urinary incontinence, and quality of life for post TURP clients in a wider population by increasing the reach of the study population and increasing monitoring of client exercise

Introduction: In the human life cycle there is growth and development either physically and mentally. In the elderly phase there are both physical and mental changes due to the degenerative process, leading to limitation in having physical activities, remembering things and speaking. This limitation affects social interaction with others which tends to decline and become passive. Decreasing social interaction of the elderly can cause the feeling of isolation, being useless and lead them to seclusion, because there is no emotional channeling through socializing. The purpose of this study was to identify the association between mental status and Social Interaction Capacity among the elderly at Sukodadi Community Health Center, Lamongan District. Methods: This quantitative study used correlational study and cross sectional design. Data were obtained from Short Portable Mental Status Questionnaire and social interaction capacity questionnaire. Samples consisted of 47 respondents, taken with consecutive sampling technique. Data analysis used Spearman test. Results: The majority of respondents (44,7%) had medium intellectual damage and the majority (51,1%) had medium social interaction capacity. The result of Spearman rho test showed p=0,024 and r=0,328 which meant that there was association between mental status and social interaction capacity at medium strength and positive correlation direction. Conclusion: There was association between mental status and social interaction capacity of the elderly at Sukodadi Community Health Center, Lamongan District.

Introduction: Hypertension is often a silent killer because it is often without symptoms that warn of a problem. Symptoms that appear are often considered as common disorders, so that the victim is too late to realize that the disease is coming. Hypertension is an increase in blood pressure above normal limits with systolic value of 140 mmHg and diastolic value of 90 mmHg. The purpose of this study was to determine the level of hypertension in patients with primary hypertension in Karangbinangun Lamongan District. Method: This research design using descriptive with a population of 70 respondents then sampled using simple random sampling and get a sample of 64 respondents, in accordance with the inclusion criteria, are healthy patients and willing to sign the informed consent The variable in this study is the level of hypertension. The data of this study were taken from the results of blood pressure measurements by standards WHO. The data is tabulated in the form of frequency distribution by categorizing hypertension into mild, moderate and severe. Result: The results showed that half of the respondents (50%) had mild hypertension, 28.1% moderate hypertension and 21.9% severe hypertension. Conclusion: Seeing the results of this study, that there are still many people who have hypertension, so health education by health workers and family is needed to prevent recurrence.

Introduction: At this time, people with gout arthritis are not only found in the elderly because lifestyles that pay less attention to their health also have a risk of increased uric acid levels in the blood. Gout arthritis is a joint disease caused by increased uric acid levels in the blood, causing several problems. One of the causes of gout is the patient's lack of knowledge about the rules of the gout arthritis diet. The purpose of this study was to carry out family nursing care with a deficiency of understanding of case gout arthritis in Balungtawun Village, Sukodadi District of Lamongan Regency. Methods: The research method used is case study research. The research subjects used five respondents from five family members who had gouty arthritis with knowledge deficit problems in Balungtawun Village, Sukodadi District of Lamongan Regency, using a family nursing process approach. The data was collected through interviews, observation, physical examination, and documentation. The data obtained were analyzed by comparing the theory with cases. Results: The results of the case studies were analyzed, and it was found that there was a match in the process of assessment, diagnosis, intervention, and evaluation. Meanwhile, there are gaps in implementation that are not by the planned intervention. Conclusions: It is expected that families and patients can apply the proper diet for gout arthritis to reduce recurrence and uric acid levels in the patient's blood.