Sleep disturbances in pregnancy according to the literature, they can affect newborn outcomes also can impact the growth and development of the baby.This study evaluated the effect of maternal sleep quality with newborn health. The research design was a cross-sectional study.The sample of this study were mothers who gave birth by cesarean delivery method with gestational age ≥ 37 weeks without complications, totally 78 pregnant women. The maternal sleep quality were assessed by PSQI questionnaire. Newborn Health (neonatal birth weight, body length and APGAR SCORE) were assessed by neonatal medical record. BDNF levels checked using the ELISA. Data were analyzed by Independent T-test and Mann-Whitney Test. There was no significant association between Maternal Sleep Quality with neonatal birth weight (p= 0,177).There were significant association between Maternal sleep quality with body length and APGAR SCORE of neonates with p value <0.05 (p = 0.025)(p=0,002). There was also a significant relationship between maternal sleep quality and neonatal cord blood BDNF levels (p=0.00). Sleep disturbances can impact obstetric conditions and newborn health. In this study there was no significant relationship between maternal sleep quality with neonatal birth weight.

Anxiety conditions and sleep disorders in pregnant women will affect theBrain-Derived Neurotrophic Factor (BDNF) level of the baby's umbilical cord blood, which will then affect the growth and development of the baby. This study aims to assess the relationship between maternal anxiety and sleep quality with neonates' BDNF levels. The research design was a cross-sectional study. Pregnant Women who gave birth by cesarean delivery method with a gestational age of ≥ 37 weeks, Totally 78 pregnant women were recruited. Anxiety levels and sleep quality were assessed by questionnaire, and BDNF levels were taken from the umbilical cord blood and then checked using the ELISA method. Data were analyzed by One-Way-Anova and Independent T-test. There was a significant association between anxiety levels and sleep quality with Neonatal BDNF levels (p = 0.000). The results obtained for pregnant women without anxiety, the mean level of BDNF is 2.017 ± 0.138 ng /ml, mild anxiety the mean value of BDNF level is 1.792 ±0.134 ng/ml, moderate anxiety the mean value of BDNF level is 1.708±0.177 ng/ ml, severe anxiety the mean value of BDNF levels was 1.585±0.257 ng/ml . Pregnant women with good sleep quality had the mean BDNF level of 1.969±0.211 ng/ml, while the mean BDNF level of poor sleep quality was 1.673 ±0.188 ng/ml. Conclusion: The higher the anxiety level of pregnant women, the lower the average Neonatal BDNF level is. The worse the sleep quality of pregnant women, the lower the average Neonatal BDNF level is.

World Health Organization reported 56 million babies, 34 million babies are not exclusively breastfed. Previous studies have shown 80% of them came from developing countries. The achievement of exclusive breastfeeding in Indonesia based on Indonesia Health Profile (2017) is 55.7% and decreased 54.0% in 2018. West Sumatera reached exclusive breastfeeding target 66.7% in 2017, but lower than Indonesia average target 80%. Babies are not exclusively breastfed are susceptible to morbidity and mortality. Exclusive breastfeeding has a role in preventing LBW, stunting, and reducing the risk of obesity and chronic disease. The lack of mother’s knowledge associated with the practice of exclusive breastfeeding Aims, to determine the knowledge in RW 10 Pampangan Nan XX Village. The assessment of knowledge about exclusive breastfeeding and overview of its implementation. The metode of this event was intervention an education exclusive brestfeeding for 14 pregnant women in RW 10, pampangan XX. Respondent was gave education on Whatsapp and Youtube. Data collection was got by questioners and interviews. The data was processed analyzed, after that was defined priority problems and made action of plans. Result, 78.6% of mothers knew about exclusive breastfeeding but only 43% implemented it. The causes of problem were incorrect about knowledge and techniques breastfeeding. The results of this study were submitted to the puskesmas and stakeholderfor advocacy. Hope that health promotif concerning axclusive breastfedding will increase, through of online and creative medias, by the same token will be escaleting sectoral collaboration as support.