Perineal rupture cases in Indonesian occur in women at the age of 25-30 years are 24%, while at the age of 32-39 are 62%. Perineal rupture can cause female organ dysfunction, bleeding, and infection. One way to prevent perineal rupture is to do perineal massage to increase blood flow and elasticity of the perineal. This study aims to analyze the effect of perineal massage on the incidence of spontaneous perineal rupture in primigravida normal deliveries. This research method uses a literature review by conducting searches on the PubMed, Science Direct, and Google Scholar databases. The literature used is written in English and Indonesian. The articles in this study were published in 2014-2018. The keywords used are Perineal Massage, Rupture Perineum, and Primigravida Normal Labor. From the 12 articles which had been obtained, 8 articles discuss the benefits of perineal massage to prevent perineal rupture, 1 article discusses the comparison of perineal massage with kegel exercise, 1 article discusses risk factors that can affect the occurrence of perineal rupture, 1 article discusses knowledge and the period of service of the midwife related to perineal massage and 1 article discusses perineal massage which does not provide benefits to perineal rupture but perineal massage is safe during delivery. Perineal massage can increase the elasticity of the perineal muscles, relax the perineal tissue, prevent perineal tears, facilitate the delivery process so that labor complications do not occur, and reduce maternal morbidity

Abstrak: Covid-19 pada tahun 2020 dinyatakan sebagai darurat kesehatan masyarakat dunia termasuk di Indonesia. Vaksinasi Covid-19 merupakan upaya yang dilakukan pemerintah untuk mengurangi angka kesakitan dan kematian akibat Covid-19 Tujuan kegiatan ini untuk membantu menyukseskan program percepatan vaksinasi Covid-19 melalui gerakan mahasiswa. Metode kegiatan ini berupa pemberian layanan vaksinasi Covid-19 kepada masyarakat yang bekerja sama dengan petugas vaksinasi Covid-19 Dinas Kesehatan Kabupaten Sukoharjo. Hasil yang telah dicapai adalah terlaksananya program vaksinasi Covid-19 yang dapat menjangkau 4.600 dosis terbagi dalam empat kegiatan. Kegiatan ini dapat meningkatkan ketercapaian program percepatan vaksinasi Covid-19 dikarenakan rata-rata setiap kegiatan vaksinasi Covid-19 yang sudah berjalan di wilayah Dinas Kesehatan Kabupaten Sukoharjo hanya dapat menjangkau 400 dosis karena keterbatasan petugas.Abstract: Covid-19 in 2020 was declared a world public health emergency, including in Indonesia. The Covid-19 vaccination is an effort made by the government to reduce morbidity and mortality Covid-19. This activity aims to help make the Covid-19 vaccination acceleration program successful through the student movement. The method is providing Covid-19 vaccination services to the community in collaboration with Covid-19 vaccination officers from the Sukoharjo District Health Office. The result that has been achieved is the implementation of the Covid-19 vaccination program, which can reach 3,600 doses divided into three activities. This activity can increase the achievement of the Covid-19 vaccination acceleration program because on average, every Covid-19 vaccination activity that has been running in the area of the Sukoharjo.

<p><strong>Background:</strong> Maternal mortality rate in Indonesia has decreased from 184/100,000 live birth (LB) (2016) to 177/100,000 LB (2017), but this number is still high enough than SDGs target of 70/100,000 LB. The one of direct cause of maternal death is hemorrhage, especially postpartum hemorrhage (PPH). Causes of PPH are uterine atony, laceration of birth canal, resistant placenta and uterine inversion. PPH prevention method is Active Management of Third Stage of Labor (AMTSL). The objective of this systematic review is to analyze the use of uterotonics in AMTSL.</p><p><strong>Methods:</strong> This systematic review used the PRISMA protocol, articles taken from Google Scholar, Science Direct, and Pub Med. The time span of the research article was 2010 to 2021.</p><p><strong>Result:</strong> The results of the study describe that the use of uterotonics in single use or combination in third stage of labor can reduce the risk of PPH and shorten the time of the stage. The side effects were reported in misoprostol and methyl ergometrine than oxytocin. In addition, combination therapy with oxytocin and misoprostol can reduce the length of the third stage and the potential for a decrease in hemoglobin within 24 hours of delivery. In Indonesia, if oxytocin is not available, maternal nipple stimulation is performed as nonpharmacological therapy or ergometrine 0.2 mg is given to patients without complications of high blood pressure.</p><p><strong>Conclusion:</strong> The use of uterotonics is adjusted to its cost-effectiveness, ability to store and refrigerate also the benefits compare to the side effects to the patients.</p>

During pregnancy, there are physiological changes in the mother's physical and psychology due to the growth and development of the fetus and preparation for childbirth. These changes make pregnant women vulnerable to conditions of stress, anxiety and other complaints related to psychological health. Pregnant women with psychological health disorders are at risk for premature birth, low birth weight, prolonged labor duration, immune disorders, postpartum depression, etc. Maternity Class is a training program to deal with childbirth under the supervision and guidance of an experienced obstetrician or midwife with the aim of preparing pregnant women physically and mentally. This type of research is a systematic review with the method used is PRISMA (Preferred Reporting Items for Systematic Review). Data is accessed from various database sources such as; Google Scholar, PubMed, Science Direct, Sage Pud, ProQuest. The literature reviewed in the range of 2011 to 2020 which is original research is experimental research by design; randomized controlled trial, quasi-experimental, and pre-experimental. There are 9 articles resears that in accordance. The research subjects were pregnant women. The result of a systematic review is that participation in classes for pregnant women can reduce levels of stress, fear, and pain when compared to mothers who do not attend classes for pregnant women. Classes for pregnant women can improve labor preparation, reduce postpartum trauma and postpartum stress. The implementation of classes for pregnant women by presenting age-appropriate material can increase correct knowledge and reduce misinformation. The conclusion from this systematic review is that pregnant women's classes are an appropriate educational tool for pregnant women, namely by providing information according to the needs of pregnant women, intervention in emotional and motivational aspects so that pregnant women can empower themselves.Abstrak Selama kehamilan, terjadi perubahan fisiologi pada fisik dan psikologi ibu akibat adanya tumbuh kembang janin dan persiapan persalinan. Perubahan tersebut membuat ibu hamil rentan pada kondisi stres, kecemasan dan keluhan lain terkait dengan kesehatan psikologi. Ibu hamil dengan gangguan kesehatan psikologi berisiko mengalami kelahiran prematur, lahir dengan berat yang rendah, perpanjangan durasi persalinan, gangguan kekebalan tubuh, depresi postpartum, dll. Kelas Ibu Hamil merupakan program pelatihan untuk menghadapi kelahiran di bawah pengawasan dan bimbingan dokter kandungan atau bidan yang sudah berpengalaman dengan tujuan untuk mempersiapkan diri pada ibu hamil secara fisik dan mental. Jenis penelitian merupakan systematic review dengan metode yang digunakan adalah PRISMA (Preferred Reporting Items for Systematic Reviews). Data diakses dari berbagai sumber database seperti; Google Scholar, PubMed, Science Direct, Sage Pud, ProQuest. Literatur dikaji dalam rentang tahun 2011 hingga 2020 yang merupakan riset asli penelitian eksperimental dengan desain; randomized controlled trial, quasy experiment, dan pra experiment. Artikel penelitian yang sesuai sejumlah 9 artikel. Subjek penelitian adalah ibu hamil. Hasil dari systematic review adalah partisipasi pada kelas ibu hamil dapat menurunkan tingkat stres, kecemasan, ketakutan, dan nyeri apabila dibandingkan dengan ibu yang tidak mengikuti kelas ibu hamil. Kelas ibu hamil dapat meningkatkan persiapan persalinan, menurunkan trauma pascapersalinan dan stres postpartum. Pelaksanaan kelas ibu hamil dengan pemberian materi yang disesuaikan umur kehamilan dapat meningkatkan pengetahuan yang benar dan mengurangi disinformasi.Kesimpulan dari systematic review ini adalah kelas ibu hamil merupakan sarana edukasi yang tepat untuk ibu hamil yaitu dengan pemberian informasi yang sesuai kebutuhan ibu hamil, intervensi aspek emosional dan motivasi agar ibu hamil dapat memberdayakan diri.

<p><em>Background: Murottal Al-Qur'an therapy is a therapy for reading Al-Qur'an which is a religious therapy in which a person is recited verses from the Qur'an for a few minutes or hours so that it has a positive impact on one's body. Murottal Al-Qur'an recitation as a remedy for physical ailments. The aim of the study: To see the effect of murottal Al-Qur'an therapy on reducing the intensity of pain during labor. Method: Systematic review using the database: Google Scholar. The search results that meet the criteria are then analyzed the articles. Results: Pain in labor from many factors: 1) Anxiety and Stress, 2) Supporting Environment and Individuals, 3). Number of Deliveries and 4) Subjective Experience. Conclusion: There is an effect of offering murottal Al-Qur'an therapy on reducing pain intensity, where mothers who give birth after receiving Murottal Al-Qur'an therapy have a lower pain scale than mothers who give birth before getting Murottal Al-Qur'an therapy.</em></p><p> </p>