Introduction: Stress is a part of life that is considered one of the great pandemics of the 21th century. At work, stress can affect health, personal well-being and job satisfaction, and in severe cases can trigger burnout syndrome. Factors that cause burnout including personal factors, workload excessive, and the quality of the work environment that do not support. Methods: This research uses literature study design from an international database, namely PubMed with the keywords used "burnout", "health workers", and "cross sectional". Result and Discussion: There have been 1942 journals in the last 10 years. After that, the year of publication and language screening were carried out in 399 journals, then the researchers identified screening titles, abstracts, and complete copies of 46 journals and selected accordingly with the inclusion criteria so that 13 articles will be reviewed in this literature review. Conclusion: It was found that burnout has a negative impact on health services as well as on the quality of life of health workers.

Background: Health workers including midwives have the potential to experience mental fatigue or burnout syndrome caused by prolonged stress to interpersonal pressure, especially at work. The COVID-19 pandemic has caused an increase in the burden of health services which can also increase the incidence of burnout. During the COVID-19 pandemic, the percentage of midwives who experienced burnout was 83%. Burnout in midwives can have an impact on reducing the quality of health services. The purpose of this study was to analyze the factors associated with the incidence of burnout among midwives during the COVID-19 pandemic at Dr. Soetomo City of Surabaya. Method: This study uses an analytic observational method with a cross-sectional approach which aims to correlate the burnout variable in midwives with the variables age, length of work, marital status, relationship with husband/family, husband/family support, number of children, and personality. Total population of 94 midwives with the sampling technique using total sampling. The instrument used is a questionnaire. The collected data were analyzed using chi-square analysis. Results: out of 94 midwives, 53 midwives were included in the inclusion. A total of 36 midwives (68%) experienced moderate burnout, 9 midwives (17%) experienced severe burnout, and 8 midwives (15%) experienced mild burnout. Based on this study, factors related to burnout are age and length of service, while factors that are not related are marital status, relationship with husband/family, family support, number of children, and personality. Conclusion: The data shows that most of the midwives who participated in the study experienced burnout in the moderate category related to the age and length of work of the midwives. Keywords : burnout in midwives, pandemic COVID-19, related factors