Background: The COVID-19 pandemic has affected the performance of several sectors, one of which is the quality of maternal and child health services. One of the factors contributing to the decline in the quality of maternal and child health services is limited access during the COVID-19 pandemic. Telemedicine is here as one of the answers to overcome the problem of limited access to health services during the COVID-19 pandemic. This study aims to analyze the use of telemedicine applications by pregnant women during the COVID-19 pandemic using the ISO 9241-11 framework. Subjects and Method: This research method is an observational study with a descriptive approach to analyze usability in three measurement aspects namely effectiveness, efficiency, and satisfaction. The number of samples used was 42 pregnant women who had used telemedicine applications that had been determined during the COVID-19 period with a sampling technique using random sampling. The instrument used is an adaptation of the Standardized Usability Questionnaire (SUQ) which will be analyzed using the Structural Equation Modeling-Partial Least Square (SEM-PLS) technique to determine the usability score of the application. Results: Based on the results of the Structural Equation Model-Partial Least Square (SEM-PLS) analysis, the ISO 9241-11 model has a goodness-of-fit model with an R-square value of 0.760 and a Q-square value of 0.577 with a Goodness of Fit (GoF) of 0.780. The effectiveness variable has a significant effect on the usability variable of the Teman Bumil application at a significance level of 5% with a statistical T value of 1,955. There is not enough evidence for the efficiency and satisfaction variables to say they have a significant effect on the usability of the Teman Bumil application at a 5% significance level with T-statistic values of 0.866 and 1.452. The usability score for the Friends Pregnant application is 44.45. Conclusion: The usability score obtained by the Teman Bumil application is 44.45, which means that Sahabat Bumil application has not been accepted by users as a system product that can help effectively, efficiently and satisfactorily. Keywords: telemedicine, pregnant women, COVID-19, ISO 9241-11, usability. Correspondence: Nurani Zulfa Zakiya, Midwifery Program Study, Faculty of Medicine, Universitas Airlangga, Indonesia. Jl. Mayjen Prof.Dr. Moestopo No. 47, Pacar Kembang, Kec.Tambaksari, Kota SBY, Jawa Timur60132. Email: nurani.zulfa.zakiya-2019@fk.unair.ac.id. Mobile: +6281217621007.

Background: In the last few decades the trend of work has shifted from normal delivery to Sectio Caesarea (SC), this is evidenced by the increasing incidence of CS deliveries in various countries. cesarean delivery without medical indications is one of the biggest factors causing cesarean delivery, this is due to the fear of normal labor pain. However, in developing countries, women still see a lot of interest in being able to be born normally, so the purpose of this study is to find out preferences and research experiences in choosing a normal delivery care model. Methods: The method used is a qualitative research by exploring, with the population is postpartum mothers who are in the target area of the Tuban Public Health Center and the Semanding Health Center, Tuban, East Java. The total respondents in this study were 8 respondents, the results of interviews with 8 respondents were then analyzed by transcribing verbatim, making general points, noting ideas that arise, and indexing or coding. Results: 1) preference for places of occurrence, geographical and economic factors, 2) preference in choosing a model that is carried out by a fast recovery process, and feeling like a real mother. 3) The preference for stress helpers is influenced by experiences from other families. Conclusion Preferences for nursing care models can affect the mother's decision making in choosing a nursing care model that can have an impact on her delivery experience