Effectiveness of the implementation of the birth planning and complication prevention (P4K) program for pregnant women in supporting the optimization of the labor process in the Working Area of Poasia Health Center, Kendari City

Overview: Improving maternal health is crucial for achieving the Sustainable Development Goals (SDGs), specifically reducing the Maternal Mortality Ratio (MMR) to 70 per 100,000 live births by 2030. Indonesia faces significant challenges in maternal health, particularly in Southeast Sulawesi. This study aims to analyze the impact of Birth Planning and Complication Prevention (P4K) on labor outcomes in the Poasia Health Center's working area in Kendari City. It focuses on the relationship between P4K preparation and the smoothness of labor among pregnant women in this region. Body of Knowledge: Maternal health is directly linked to lower maternal mortality and reduced complications during childbirth. Programs like P4K help pregnant women prepare for safe deliveries by educating them on recognizing danger signs and managing potential complications. Previous research has shown that birth planning and early detection of complications lower labor risks. These findings emphasize the importance of education, accessible health services, and psychological support to improve maternal health outcomes. Methods: The study used a cross-sectional design with a total sample of 69 pregnant women from the Poasia Health Center's working area. Data were collected through questionnaires and observations, with statistical analysis using the Chi-square test to assess the relationship between P4K preparation and smooth labor. Total sampling was employed to ensure all eligible participants were included. Results: Results revealed a significant link between P4K preparation and smoother labor. Of the 69 women surveyed, 85.7% who prepared for P4K had smooth deliveries, while 50% of those who did not prepare experienced complications. The statistical analysis indicated a p-value of 0.041, confirming the positive impact of P4K. Recommendation: The study recommends enhancing education and accessibility of P4K services, particularly for women facing transportation or economic challenges. Additionally, improving psychological support and educating families on pregnancy danger signs can further reduce complications and improve maternal health in the Poasia Health Center area.