AbstractMaternal mortality (MMR) and infant mortality (IMR) are critical health indicators. An essential part of the MCH service is using the MCH Handbook. The Maternal and Child Health Book is a tool or media midwives use to provide health information to pregnant women, women in childbirth, mothers and children. The results of RiskesDas showed that 80.8% had an MCH handbook, but only 40.4% could show an MCH handbook at the time of the survey, and 19.2% of mothers did not have an MCH handbook at all. The Obstetrics and Gynecology Outpatient at Ulin Hospital is a referral centre for high-risk mothers in the Banjarmasin Wetlands. This activity aims to optimize the use of MCH guidelines and carry out health education to increase the knowledge of high-risk pregnant women. This activity was conducted specifically for high-risk pregnant women who underwent routine ANC at the Ulin Hospital Obstetrics Outpatient in June-July 2023. The pre and post-questionnaires were filled in to assess the results of the counselling activitiesfor 60 pregnant women. Most pregnant women over 35 years (50%) multipara as much as 41.67%, anaemia 83.33%, K4 less than 50%. The cumulative high pre-test score was only 16.67%, and the high post-test score increased to 33.33% after this activity is hoped to be continued and developed by optimizing the MCH Handbook use. Keywords: MCH Handbook; pregnant mother; Activity
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