Based on Indonesian Demographic and Health Survey in 2008, there were 80,000 newbornsdied. One possible cause was infection. Infections acquired from placenta transplant from mother tofetus can cause congenital abnormalities such as TORCH infections. This can be prevented by doingpremarital examination. This study investigated the relationship between childbearing women’s knowledgeabout premarital examination and attitude in premarital examination in Tanjungpinang in 2014.This was an analytic study with a cross-sectional research design. Location was selected in Tanjungpinangon June 12 to June 23, 2014. The sampling was done by purposive sampling technique. The sample was47 people. Instrument used was a questionnaire and data collection was done by filling the questionnaire.The obtained data was analyzed with chi-square test. The results showed that, of the 47 respondents,87.2% had high knowledge with 68.1% having a positive attitude while 12.8% had low knowledgewith 31.9% having a negative attitude. The results of the chi-square statistical test obtained a pvalueof 0.009 (p <0.05), then H0 was rejected, meaning that there was a correlation between childbearingwomen’s knowledge about premarital examination and attitude in premarital examination inTanjungpinang in 2014. It was suggested that the childbearing women expected to undergo premaritalexamination before marriage. It was recommended to the Health Clinic Laboratory to improve thepremarital screening program with promotional efforts.

Background: Reports show the prenatal anxiety of Indonesia reaches a percentage of 28.7% of mothers experience anxiety. The COVID-19 pandemic influences pregnant mothers’ psychology, 76.2%. The physical, psychological, and spiritual balance of pregnant mothers should be healthily balanced.  This healthy balance includes the childbirth process to avoid psychological interruption. The use of android application information for obstetric service could improve maternal quality by providing intervention autonomously. Method: This Research & Development used True Experimental Pre and Post-test with Control Group Design. The intervention was with MiSIs-PreTy application to lose the anxiety of primipara pregnant mothers with Trimester III status on the experimental group for 7 days. Every day, the mothers received 30 minutes of implementation. The positive control group, on the other hand, received health education about childbirth preparation. The researchers took 30 respondents as the samples randomly. The data analysis was tested with non-parametric Wilcoxon and Mann Whitney tests. Results: The experts’ validation about the developed application reliability obtained an average score of 92.80% from six aspects. They were based on the ISO 9126 software’s quality, such as usability, reliability, functionality, efficiency, maintainability, and portability. The experiment used the given intervention for both groups. It was effective to lose the anxiety. The effectiveness for experimental group was p < 0.001 while control group obtained p < 0.005. However, the use of the developed application was more effective to lose the anxiety with an average score of 11,8±5,414 for the experimental group than the positive control group with 4,46±4,24. Conclusion: The developed application, MiSIs-PreTy, was validated and revised to be more effective to lose the anxiety of pregnant mothers. Further researches could develop the findings by adding some variables, such as childbirth self-efficacy as the valid measuring tool to examine the pregnant mothers' belief to give birth.

Mortality and morbidity due to bleeding occur due to delayed care. On the island, more advanced technology models based on the 4.0 digital development facilities and infrastructures are important to improve the health service quality. This literature review identifies modern technology-based bleeding detection as an effort to detect and diagnose early postpartum hemorrhage on the island. This systematic review study selected the data with the PRISMA protocol method. The researchers took 12 journal article outlets with years of publications from 2011 until 2020. The researchers found 587 articles. However, the most relevant articles with the applied keywords were 12 articles. Various modern technology-based detections for bleeding applied pantograph, gravimetric, bag collector, under-buttock, SAPHE mat, and scoring measurement to efficiently promote early bleeding. These investigated models were more effective than visual estimation with effectiveness percentages of 25-89%. Technology-based detections could early detect and facilitate postpartum hemorrhage and provide immediate care.  High technological advancement in the health field facilitates the patients' care, especially in islands that need immediate action. The results of this research are useful to promote further research about modern-technology-based models to detect and diagnose postpartum hemorrhage in islands.

Background: Reports show the prenatal anxiety of Indonesia reaches a percentage of 28.7% of mothers experience anxiety. The COVID-19 pandemic influences pregnant mothers’ psychology, 76.2%. The physical, psychological, and spiritual balance of pregnant mothers should be healthily balanced.  This healthy balance includes the childbirth process to avoid psychological interruption. The use of android application information for obstetric service could improve maternal quality by providing intervention autonomously. Method: This Research & Development used True Experimental Pre and Post-test with Control Group Design. The intervention was with MiSIs-PreTy application to lose the anxiety of primipara pregnant mothers with Trimester III status on the experimental group for 7 days. Every day, the mothers received 30 minutes of implementation. The positive control group, on the other hand, received health education about childbirth preparation. The researchers took 30 respondents as the samples randomly. The data analysis was tested with non-parametric Wilcoxon and Mann Whitney tests. Results: The experts’ validation about the developed application reliability obtained an average score of 92.80% from six aspects. They were based on the ISO 9126 software’s quality, such as usability, reliability, functionality, efficiency, maintainability, and portability. The experiment used the given intervention for both groups. It was effective to lose the anxiety. The effectiveness for experimental group was p < 0.001 while control group obtained p < 0.005. However, the use of the developed application was more effective to lose the anxiety with an average score of 11,8±5,414 for the experimental group than the positive control group with 4,46±4,24. Conclusion: The developed application, MiSIs-PreTy, was validated and revised to be more effective to lose the anxiety of pregnant mothers. Further researches could develop the findings by adding some variables, such as childbirth self-efficacy as the valid measuring tool to examine the pregnant mothers' belief to give birth.