AbstrakIntra uterine Fetal Death (IUFD) adalah kematian janin setelah usia kehamilan 20 minggu dan diklasifikasikan menjadi IUFD dini dan IUFD lanjut. IUFD dini jika kematian janin terjadi sebelum usia kehamilan 24 minggu dan IUFD lanjut jika kematian janin setelah usia kehamilan 24 minggu. Banyak faktor yang berkontribusi terhadap tingginya angka kematian ibu dan angka kematian neonatus  penyebabnya diantaranya factor proses persalinan,seperti partus lama, posisi janin,tempat persalinan dan penolong persalinan.Tujuan penelitian ini untuk mengetahui factor factor  yang mempengaruhi kejadian Intra Uterin Fetal Death di Rumah Sakit Kota Gorontalo. Penelitian ini menggunanakan metode survey analitik rancangan case control dengan pendekatatan retrosfektif. Pengambilan sampel menggunakan tehnik purporsive sampling sebanyak 94 ibu yang dibagi dalam 2 kelompok. Kelompok kasus 47 ibu yang melahirkan dengan IUFD dan kelompok control 47 ibu yang melahirkan normal. Analisis data menggunakan uji odd Rasio. Hasil uji statistic menunjukkan umur (OR=7,169), Pekerjaan (OR=5,273), Paritas (OR= 4,615), Kehamilan Ganda (OR=1,000), Preeklamsi (OR=6,875) dan KPD (OR=4,615) dari hasil uji statistik  disimpulkan ada pengaruh umur, pekerjaan, paritas dan pre-eklamsi terhadap kejadian IUFD sedangkan kehamilan ganda dan KPD tidak ada pengaruh terhadap kejadian Intra Uterine Fetal Death namun tidak signifikan. Disarankan kepada ibu hamil untuk memeriksa kehamilannya secara rutin.Kata kunci: IUFD, Paritas, KPD, Pre-eklamsi, Kehamilan ganda                                                                                                                    Abstract Intra uterine Fetal Death (IUFD) is fetal death after 20 weeks of gestation and is classified into early IUFD and late IUFD. Early IUFD if fetal death occurred before 24 weeks of gestation and late IUFD if fetal death occurred after 24 weeks of gestation. Many factors contribute to the high maternal mortality rate and the cause of neonatal mortality, including labor processes, such as prolonged labor, fetal position, place of delivery and birth attendants. Gorontalo. This study uses an analytical survey method with a case control design with a retrospective approach. Sampling with purporsive sampling technique as many as 94 mothers who were divided into 2 groups. The case group was 47 mothers who gave birth with IUFD and the control group was 47 mothers who gave birth normally. Data analysis used the odd ratio test. The results of the statistical odd ratio test showed age (OR = 7,169), Occupation (OR = 5,273), Parity (OR = 4,615), Multiple Pregnancy (OR = 1,000), Preeclampsia (OR = 6,875) and PROM (OR = 4,615) from the results Statistical tests can be concluded that there is an effect of age, occupation, parity and preeclampsia on the incidence of IUFD, while multiple pregnancy and KPD have no effect on the incidence of Intra Uterine Fetal Death but it is not significant. It is recommended for pregnant women to check their pregnanc.

BACKGROUND: The high rate of stunting cases is a serious nutritious problem that still persists in Indonesia. The problem is potentially impactful on the quality of the country’s human resources. AIM: This present study aimed to analyze the determinant factors of stunting cases in 24–59-month-old children in the working area of Puskesmas or Community Health Center in Kota Tengah, Gorontalo. METHOD: The case-control survey analytical research involved a case population of 34 people and a control population of 34 people. All the participants were 24–59 months old. All case populations were treated as the research subject, while the control population was calculated based on the formula. A simple random sampling technique was employed to acquire the sample in the control group. The study involved independent variables of birth length, birth weight, provision of exclusive breastfeeding, and the number of siblings. Meanwhile, the dependent variable was the stunting cases in 24–59-month-old children. The data were analyzed by Chi-square (χ2) and multiple logistic regression statistical tests. RESULTS: The bivariate analysis that used the Chi-square suggested that the birth length (0.001) < (0.05), birth weight (0.003) < (0.05), and provision of exclusive breastfeeding (0.000) < (0.05) were the factors of stunting cases. Meanwhile, parity (1.72) > (0.05) was not a factor of stunting. Moreover, the multivariate analysis involving multiple logistic regression tests indicated that the provision of exclusive breastfeeding (0.006) served as the determinant factor of stunting cases. CONCLUSIONS: The provision of exclusive breastfeeding is the most significant determinant factor of stunting cases.

Exercise in pregnancy have positive effect on the pregnancy outcomebecause stumulate to strengthen and maintain elasticity in abdominalmuscles and pelvic muscles which was associated with labor that whenstraining the muscles will relax actively that the head baby will outeasily and the pelvic floor muscle is weak, will not easily tear when willgive birth. The incidence of perineum rupture at Limboto CommunityHealth Center is 46,7%. The purpose of this study was to analyze theeffectiveness of gymnastics pregnancy against rupture perineum inMaternity at Limboto Community Health Center. The method of researchwas used pre-experimental research with statistical group comparisondesign with using chi square test. The population in this study were allthirty pregnant trimester III which amounted 30 people. The sample inthis study were 15 case groups and 15 control groups. The variablepregnant exercise was independent variabel and the dependentvariable was incidence of perineal rupture. The result of this researchby using chi square statistic test was showed t arithmetic 8,571, thatmean the respondent who have high pregnancy exercise did notexperience rupture perineum. Results p - value 0.009 with degree ofsignificance 0.05 (p < 0.05). The conclusion there was a significant effectof pregnancy exercise effectiveness on the incidence of perineal rupturein maternal mothers at Limboto Community Health Center.

Abstrak: Baby Massage adalah terapi sentuh tertua dan terpopuler di dunia dan merupakan bentuk intervensi dini yang sangat penting untuk mendukung pertumbuhan dan perkembangan anak. Di Indonesia, pemijatan bayi di masyarakat dilakukan oleh dukun bayi, dimana hal tersebut hanya dilakukan pada saat bayi sakit. Pijat bayi optimal sebagai perangsang tumbuh kembang jika dilakukan secara teratur, saat sehat dan tidak sakit. Tujuan dari pengabmas ini adalah untuk menginformasikan dan mengedukasi masyarakat terutama ibu bayi tentang pijat bayi untuk bayi di atas 3 bulan sehingga mereka dapat melakukan sendiri pijat bayi untuk anaknya serta mencegah kejadian stunting pada 1000 Hari Pertama Kehidupan (HPK) untuk anak usia 6-24 bulan dengan pendekatan humanistik menggunakan teknik pijat bayi. Tahapan kegiatan terdiri dari (1) pembukaan kegiatan; (2) pemeriksaan antropometri; (3) Pemutaran video baby massage; (4) Pelaksanaan baby massag; dan (5) Penutupan dan Evaluasi. Hasil yang dicapai yaitu 21 bayi dengan usia 6-24 bulan telah diberikan teknik baby massage yang dilihat langsung oleh orang tua bayi.Abstract: Baby Massage is the oldest and most popular touch therapy in the world and is a very important form of early intervention to support children's growth and development. In Indonesia, baby massage in the community is performed by traditional birth attendants, where this is only done when the baby is sick. Baby massage is optimal as a growth and development stimulant if it is done regularly, when healthy and not sick. The purpose of this community service is to educate the community, especially baby mothers, about baby massage for babies over 3 months so that they can do baby massage for their children themselves and prevent stunting in the first 1000 days of life (HPK) for children aged 6-24 months with a humanistic approach using baby massage techniques. The stages of the activity consist of (1) the opening of the activity; (2) anthropometric examination; (3) the screening of the baby massage video; (4) the implementation of the baby massage; dan (5) Closing and Evaluation. The results achieved were 21 babies aged 6-24 months who were given baby massage techniques which were directly watched by the baby's parents.

Abstrak: Masalah gizi terjadi akibat kekurangan asupan zat gizi pada anak dan kurangnya pengetahuan orang tua, sehingga perlu diberikan makanan tambahan bagi anak dan edukasi gizi bagi orang tua. Tujuan kegiatan pengabdian kepada masyarakat ini untuk meningkatkan pengetahuan dengan cara pemberian edukasi dan demonstrasi pada ibu tentang stunting dan cara pengolahan bubur manado sebagai menu sehat untuk mencegah stunting melalui Poster dan Leaflet, memberikan informasi terkait cara mengolah dan pemberian bubur manado secara sehat dan tepat pada ibu bayi dan balita dan mengevaluasi tingkat pemahaman dan pengetahuan peserta. Metode yang digunakan adalah Pre-Test, Edukasi, Demonstrasi pembuatan Bubur Manado, tanya jawab, dan Post-Test. Kegiatan ini bekerja sama dengan Puskesmas Kabila Kabupaten Bone Bolango, dengan jumlah peserta 31 ibu yang memiliki anak balita. Hasil yang dicapai menunjukkan bahwa adanya peningkatan pengetahuan tentang stunting dan cara pengolahan Bubur Manado untuk balita yakni, 18 Responden (58%) berpengetahuan baik; 9 Responden (29%) berpengetahuan cukup; dan 4 Responden (13%) berpengetahuan kurang.Abstract: Nutritional problems occur due to lack of nutritional intake in children and lack of parental knowledge, so it is necessary to provide additional food for children and nutrition education for parents. The purpose of this service is to provide education to mothers of children under five about stunting through posters and leaflets, provide information related to how to give healthy and correct complementary feeding to mothers of toddlers to prevent stunting, and evaluate the level of understanding and knowledge of mothers under five about giving Healthy and correct. The methods used were Pre-Test, stunting education, demonstration of making Manado porridge , question and answer, and Post-Test. The partners involved were the Head of the Kabila Health Center, the Midwives, and the Health Cadre. The results of the activity showed that 18 respondents (58%) had good knowledge; 9 respondents (29%) knowledgeable enough; and 4 respondents (13%) had less knowledge about stunting prevention materials and how to give healthy and correct food.