Asphyxia is a condition in which the baby cannot breathe, thus reducing O2 and increasing CO2 which is bad. Risk factors for the incidence of asphyxia are maternal factors such as his disorder, presence of antepartum bleeding, maternal age less than 20 years or more than 35 years, primiparous and grande multiparous, low socioeconomic, preeclampsia and his disorders. Infant factors, namely respiratory depression due to anesthesia or analgesic drugs given to the mother, intracranial bleeding, congenital abnormalities, premature, postmature, location abnormalities, twins, shoulder dystocia, vacuum extraction, forceps, amniotic fluid mixed with meconium. Placental factors include umbilical cord twisting, short umbilical cord, umbilical cord knot, and umbilical cord prolapse. The purpose of this study was to determine the relationship between knowledge of pregnant women about risk factors for newborn asphyxia with delivery referral planning. This type of research is quantitative analytic with a cross sectional research design. This research was conducted at Puskesmas RI Sidomulyo with a research instrument in the form of a questionnaire. The results showed a relationship between mother's knowledge of risk factors for newborn asphyxia and delivery referral planning with p value = 0.007. This study is expected for midwives in providing midwifery services to pregnant women to provide knowledge about the risk factors for newborn asphyxia so that pregnant women can make a labor referral plan if during the delivery process they experience the risk of newborn asphyxia and the knowledge of pregnant women about risk factors for infant asphyxia. newborns so that they can plan a delivery referral if an emergency case is found in a newborn.

The birth planning program and the prevention of childbirth complications are programmed by the government, as one of the efforts to reduce maternal and infant mortality rates due to the high number of complications, especially in childbirth. This requires careful preparation that can be done by the mother and family such as preparing blood donors and so on. This community service aims to provide knowledge to pregnant women about preparing for delivery referrals when they encounter cases of childbirth complications. This community service method is carried out with lectures and discussions. The results of the activity were the results of filling out the pre-test questionnaire, where 83.7% of participants with less knowledge and 8.3% with high knowledge. The results of observations after the post test showed an increase in participants' knowledge to a high of 91.7%. The conclusion is that the education about preparation for referral for delivery with complications can be understood by the participants. It is hoped that pregnant women and their families can prepare for delivery as early as possible so that if cases of complications are found, they can be immediately referred to the referrals that have been prepared. ABSTRAK Program Perencanaan persalinan dan pencegahan komplikasi persalinan yang diprogramkan oleh pemerintah, sebagai salah satu upaya penurunan angka kematian ibu dan bayi dikarenakan masih tingginya kasus komplikasi terutama pada persalinan. Hal ini membutuhkan persiapan yang matang yang dapat dilakukan oleh ibu dan keluarga seperti persiapan pendonor darah dan sebagainya. Pengabdian masyarakat ini bertujuan untuk memberikan pengetahuan kepada ibu hamil tentang persiapan rujukan persalinan apabila menemui kasus komplikasi persalinan. Metode pengabdian masyarakat ini dilakukan dengan ceramah dan diskusi. Hasil kegiatan hasil dari pengisian kuisioner pre test, dimana 83,7% peserta dengan pengetahuan kurang dan 8,3% dengan pengetahuan tinggi. Hasil pengamatan setelah dilakukan post test terjadi peningkatan pengetahuan peserta menjadi tinggi sejumlah 91,7%. Kesimpulannya bahwa penyuluhan tentang persiapan rujukan persalinan dengan komplikasi dapat dimengerti oleh peserta. Diharapkan ibu hamil dan keluarga dapat mempersiapkan persalinan sedini mungkin sehingga apabila kasus komplikasi ditemukan dapat segera dirujuk dengan rujukan yang telah dipersiapkan.

Early Onset Preeclampsia (EO-PE) is preeclampsia that develops before 34 weeks 'gestation, caused by intrinsic factors, while Late Onset Preeclampsia (LO-PE) is preeclampsia that develops after 34 weeks' gestation due to extrinsic and maternal factors. There is an increased production of antiangiogenic factors (sFlt-1, s-Eng and PIGF) contribute to pathophysiology of preeclampsia.This study aims to measure the difference of sFlt-1, sEng, PIGF levels between EO-PE and LO-PE. This was an observational study with cross sectional design conducted at Dr. M. Djamil, TK Hospital. III dr. Reksodiwiryo and Biomedical Laboratory FK Unand Padang from August 2017 to August 2018. The sample of this study were 26 severe preeclampsia women : 13 (EO-PE)  and 13 (LO-PE), selected using consecutive sampling. Levels of sFlt-1, sEng, PIGF were examined using the enzyme-linked immunosorbent assay (ELISA) method. Statistical analysis was performed using unpaired t test and Mann-Whitney Test. Results shown that serum levels of sFlt-1 and sEng in (EO-PE)  were 9.51 ± 0.71 ng / L, 1.44 ± 0.06 ng / mL, 5.79 ± 0.42 ng / mL while in PEAL it was 8, 89 ± 0.78 ng / mL, 1.35 ± 0.14 ng / mL, 6.72 ± 0.76. There were a significant difference with a value of p <0.05. The conclusion of this study is that the levels of sFlt-1 and sEng are higher in (EO-PE)  than(LO-PE)and PIGF levels was lower in (EO-PE) compared to (LO-PE)

Abstrak - Penyebab perdarahan yang terjadi pada ibu hamil adalah plasenta previa. Beberapa faktor yang dapat mengakibatkan ibu hamil mengalami plasenta previa  yaitu multiparitas dan umur lanjut (>35 tahun), paritas, riwayat seksio sesaria  dan perokok. Prevalensi placenta previa meningkat tiga kali lipat pada usia di atas 35 tahun karena endometrium tidak subur. Jumlah kematian ibu di Propinsi Riau tahun  2018 sebanyak 109 kasus dengan penyebab utama kematian adalah perdarahan 34%. Berbagai upaya dilakukan untuk meningkatkan pengetahuan seseorang salah satunya adalah penyuluhan kesehatan. Pelaksanaan pengabdian masyarakat yang telah dilakukan  di Desa Kemang Indah Kec. Tambang Kab. Kampar, terdapat 11 responden (68,75%) dengan usia <20 tahun  > 35 tahun, terdapat 15 responden (93,75%) dengan paritas 2-3, terdapat 15 responden (93,75%) dengan tidak pernah riwayat SC, terdapat 16 responden (100%) dengan tidak ada riwayat SC dan tidak perokok. Nilai mean pengetahuan responden pre test adalah 35 dan post test adalah 70. Kesimpulan pengabdian ini adalah adanya peningkatan pengetahuan ibu hamil tentang deteksi dini placenta previa. Diharapkan dari hasil pengabdian ibu hamil dapat bisa melakukan deteksi tentang faktor resiko kejadian placenta previa untuk menghindari kasus perdarahan yang dapat menyebabkan kematian ibu hamil.

Background: The birth process will be experienced by every pregnant woman. The labor process will cause pain caused by contractions that give the effect of pain which is called labor pain. Many factors influence the response to labor pain, including parity. Pain that is felt during labor can have an effect in terms of psychology, suffering, fear, and anxiety as well as the effect on the fetus to be born. Various efforts have been made to reduce labor pain, one of which is massage..Objectives: The research objective was to determine the effectiveness of labor pain management using deep back massage techniques.Methods: The method used in this study was experimental with a one group pretest-posttest design approach that focused on pain management with massage during labour. The sample of this study were 10 mothers giving birth with 4-6 openings. The research instrument used was a questionnaire containing age, gravid, history of miscarriage and Numerical Rating Scale (NRS) pain scale. This research was conducted at Ernita Midwife Independent Practice. The time for conducting the research was carried out in November-December 2021. Pain measurements were carried out before deep back massage was given and after deep back massage was given. The research instrument used was a questionnaire and data were collected by interview. Statistical test using the Wilcoxon Signed Ranks Test.Results: The results of the study describe the level of pain felt by mothers in labor before massage, the majority of severe pain is controlled by 7 respondents (70%) and the majority of labor pain after massage is mild pain by 7 respondents (70%). Massage techniques are effective in reducing pain. The results found that the average labor pain scale before being given a massage was 8.4 and decreased after being given a massage to 2.8. The act of massage for women in labor is effective in reducing labor pain. The results of the statistical test showed a significance, p <0.05.Conclusion: Effective deep back massage techniques performed on birthing mothers provide a reduction in labor pain and are highly recommended for health workers or midwives as birth attendants who can provide deep back massage for birthing mothers.