One of the goals of the SDGs is a healthy and prosperous life with the achievement of improving health services towards universal health coverage, especially strengthening basic health services (Primary Health Care) (Ministry of National Development Planning/Bappenas, 2020). Antenatal care is a way to detect early high-risk pregnancy and childbirth and can reduce maternal mortality and monitor the condition of the fetus (Hardiani, 2018). This type of research is quantitative with a cross-sectional approach. The research was conducted in the Nurhayani Midwife Practice Area, Kec. People's Village District. South Labuhan Batu, North Sumatra in 2023. The research population was 30 people from Balimbingan Hospital, Simalungun Regency in 2023. The sampling technique used was the simple total sampling technique. The data analysis used is univariate analysis and bivariate analysis, the analysis used is the Chi Square (X2) statistical test with α = 0.05. The final results of this research are different from research conducted by Anisa (2019) regarding "Communication Relationships between Midwives and "Satisfaction Level of Pregnant Women in Receiving ANC Services at the Sei Jingah Community Health Center, North Banjarmasin". From the research results, the majority of midwives' communication with pregnant women was very good, amounting to 28 people (93.4%), 21 people (70.00%) said they were very satisfied and the results of statistical analysis using the Spearman rank test showed no significant relationship between midwife communication and The level of satisfaction of pregnant women in receiving ANC services at the Sei Jingah Community Health Center, Banjarmasin in 2015 was p= 0.358. There is a relationship between midwife communication and the level of satisfaction with ANC services in getting services at the Nurhayani Midwife Practice. The results of research using the Chi-Square test obtained a value of p= 0. .00 < 0.05 which means there is a relationship between midwife communication and the quality of antenatal care services and satisfaction of pregnant women.
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