Pelayanan kebidanan merupakan bagian yang tidak terpisahkan dari sistem pelayanan kesehatan. Pelayanan kebidanan merupakan layanan yang diberikan oleh bidan sesuai kewenangan bidan yang diarahkan untuk mewujudkan kesejahteraan keluarga terutama ibu dan anak sehingga terwujud keluarga bahagia, sejahtera dan berkualitas.Dalam penyelenggaraan Praktik Kebidanan, Bidan memiliki kewenangan untuk memberikan pelayanan kesehatan ibu, pelayanan kesehatan anak; danpelayanankesehatan  reproduksi  perempuan  dan keluarga berencana.Manajemen nyeri persalinan dapat diterapkan secara non-farmakologis dan farmakolgis. Manajemen nyeri non-farmakologis lebih aman, sederhana dan tidak menimbulkan efek merugikan serta mengacu kepada asuhan sayang ibu, dibandingkan dengan metode farmakologi yang berpotensi mempunyai efek yang merugikan Tujuan penelitian ini yaitu untuk menganalisis penatalaksanaanPenatalaksaan  Massage Punggung Sebagai Alternatif Pengobatan Untuk Pengurangan Intensitas Nyeri Pada Ibu Bersalin Primigravida Di Bpm Titiek C, A.Md.KebTahun 2018 Desain penelitian ini menggunakan quasy eksperimen dengan rancangan penelitian pretest dan post test terhadap satu kelompok tanpa adanya pembanding. Sampel dalam penelitian ini sebanyak 23 responden. Variabel independennya adalah Penatalaksanaan Massage Punggung dan variabel dependennya adalah intensitas nyeri persalinan. Data dalam penelitian ini diambl dengan cara observasi.  Dari hasil teknik massage punggung sangat efektif dalam menurunkan tingkat nyeri persalinan primigravida di BPM Titiek C, A.Md.Kebdengan nilai p = 0,00 (p <0,05) yang artinya p value < 0,05, sehingga hipotesa dalam penelitian ini diterima. Penatalaksanaan nyeri dengan massage punggung merupakan salah satu Teknik yang dibutuhkan dalam pengelolaan nyeri pada persalinan, massage punggung dapat menurunkan nyeri persalinan kala I dan juga memberikan gambaran secara umum pada ibu yang akan melahirkan sehingga ibu akan merasa lebih tenang dalam menjalani persalinan

Background: Cases related to adolescent health have increased during the COVID-19 pandemic. Midwives have a very important role in conducting counseling related to adolescent health. This is a form of commitment in fulfilling the right to health of adolescents. The role of the midwife is stated in terms of reproductive health in accordance with the Regulation of the Minister of Health of the Republic of Indonesia Number 28 of 2017 concerning Permits and Implementation of Midwifery Practices article 21a. The purpose of this research is to know the role of midwives in the implementation of adolescent counseling as the fulfillment of adolescent reproductive health rights.Methods: Qualitative research methods, with a sociological juridical approach. The study used in-depth interviews with midwife and adolescent informants. The research was conducted from May to June 2021. Data analysis was carried out by qualitative data analysisResults: The results of the study show that BIdans have carried out their authority and obligations in the role of counselors based on the Midwifery Law Number 4 of 2019 and the Regulation of the Minister of Health of the Republic of Indonesia Number 28 of 2017 concerning Permits and Implementation of Midwifery Practices article 21a. The role of midwives in the implementation of adolescent counseling is to increase knowledge of reproductive health as a fulfillment of adolescent reproductive health rights. Midwives are implementers of youth health service programsConclusion: Reproductive health rights in adolescents based on the International Conference on Population and Development (ICPD) in Cairo in 1994 there are 12 rights of which 11 reproductive health rights have been well fulfilled.

Substitution is still a threat to the failure of ARV therapy so that no matter how small it must be noted and monitored in ARV therapy. The aims  was analysis risk factor substitution ARV first line in therapy ARV. This study was an analytic longitudinal study with retrospective secondary data analysis in a cohort of patients receiving ARV therapy at the District General Hospital of Buleleng District for the period of 2006-2015 and secondary data from medical records of PLHA patients receiving ART.  Result in this study that the percentage of first-line ARV substitution events is 9.88% (119/1204) who received ARV therapy for the past 11 years. Risk factors that increase the risk of substitution in ARV therapy patients are zidovudine (aOR 4.29 CI 1.31 -2.65 p 0.01), nevirapine (aOR1.86 CI 2.15 - 8.59 p 0.01) and functional working status (aOR 1.46 CI 1.13 - 1.98 p 0.01).

The government and the community are responsible for ensuring that every mother has access to quality maternal health services. The purpose of this study was to study the implementation of the authority and competence of midwives in meeting health service standards, especially in the midwifery service sector in Buleleng Regency.The purpose of this study was to determine the legal aspects of implementing the authority of midwives in midwifery services. This research design is a qualitative research design with a phenomenological descriptive study. The sample in this study were 25 respondents.From the research results, it can be seen that the legal basis for implementing the authority and competence of midwives in meeting midwifery service standards

Background Covid-19 is a disease that can be transmitted through droplets, with signs and symptoms, namely coughing, shortness of breath, hyperthermia and others. The Covid-19 pandemic period is something that really needs to be considered, especially for maternity mothers who will have a caesarean section, by screening a good covid-19 protocol before a caesarean section is carried out.Purpose of this study was to determine the gestational characteristics of mothers giving birth with Sectio Caesaria during the Covid-19 pandemic in the Central Surgical Installation Room (IBS) of the Sanjiwani Hospital, Gianyar.Methods This study uses a mix method design, where quantitative data uses a cross sectional approach to the type of secondary data, namely Medical Records. The qualitative data used in-depth interviews involving the head of the room and the Head of Nursing at the Sanjiwani Hospital consisting of 4 doctors, midwives and nurses. The data were analyzed by univariate analysis with Stata SE 12 software. This study used total sampling in the period March-September 2020 with a total of 102 mothers who gave birth by cesarean section. Results of the study were obtained from 102 respondents with an average age of 29.77 years, with high school education, namely 75 people (70%), 55 people not working (52%), medical indications 82 people (80.39%), complaints of vaginal discharge (KPD) were 33 people (32.35%), positive rapid test 37 people (36.27%), and positive PCR swab results were 33 people (32.35%).Conclusion The policy is that all pregnant women must undergo a rapid test and PCR test before the delivery process is carried outSuggestions The regulation of maternity services during the COVID-19 pandemic is more about screening, namely mandatory rapid tests and PCR tests. Handling with strict health protocol level 3 to break the chain of virus transmission. Key words: Sectio Caesaria, Covid-19, SOP ABSTRAK  Latar Belakang Covid-19 merupakan penyakit yang dapat ditularkan melalui droplet, dengan tanda dan gejala yaitu batuk, sesak, hipertermi dan lain-lain. Masa pandemi Covid-19 merupakan hal yang sangat perlu diperhatikan terutama pada ibu bersalin yang akan dilakukan tindakan sectio caesarea, dengan melakukan skrining protocol covid-19 yang baik sebelum dilakukan tindakansectio caesarea.Tujuan penelitian ini adalah untuk mengetahui karakteristik gestasional pada ibu bersalin dengan Sectio Caesaria pada masa pandemi Covid-19 di Ruang Instalasi Bedah Sentral (IBS) RSUD Sanjiwani Gianyar.Metode Penelitian ini menggunakan rancangan mixmethod, dimana data kuantitatif menggunakan pendekatan cross sectional pada jenis data sekunder yaitu Rekam Medis. Data kualitatif menggunakan wawancara mendalam yang melibatkan kepala ruangan dan Kabag Keperawatan RSUD Sanjiwani yang terdiri dari dokter, bidan dan perawat yang berjumlah 4 orang. Data dianalisis dengan analisis univariat dengan software Stata SE 12.  Penelitian ini menggunakan total sampling pada periode Maret-September 2020 dengan total 102 orang ibu bersalin dengan tindakan SC.      Hasil penelitian didapatkan dari 102 responden rata-rata pada umur 29,77 tahun, berpendidikan SMA yaitu 75  orang (70%), tidak bekerja sebanyak 55 orang  (52%), indikasi medis sebesar 82 orang (80.39%), keluhan keluar air pervaginam (KPD) yaitu 33 orang (32.35%), rapid test positif 37 orang (36.27%), dan hasil swab PCR positif sebanyak 33 orang (32.35%).Kesimpulan Kebijakan yang dilakukan bahwa seluruh ibu hamil wajib dilakukan rapid test dan PCR test sebelum dilakukan proses tindakan persalinanSaran Regulasi layanan ibu bersalin pada masa pandemi COVID 19 ini lebih pada skrining yaitu wajib rapid test dan test PCR. Penanganan dengan protokol kesehatan yang ketat level 3 untuk memutus rantai penularan virus.   Kata Kunci :  Sectio Caesaria, Covid-19, SOP