<![CDATA[Early identification of pregnancy warning signs is important to prevent complications during pregnancy. The Maternal and Child Health (MCH) book is an educational resource that helps pregnant women understand pregnancy conditions and recognize danger signs. However, its utilization remains suboptimal and may be influenced by maternal knowledge. This study aimed to analyze the relationship between pregnant women's knowledge of pregnancy danger signs and the utilization of the MCH book at UPTD Puskesmas Tampa. This study used an observational analytic design with a cross-sectional approach. The research was conducted from March to April 2026 involving 30 pregnant women selected through purposive sampling. Data were collected using questionnaires on pregnancy danger sign knowledge and observation sheets for MCH book utilization. Data analysis used the Chi-square test with a significance level of p < 0.05. The results showed that most respondents were in the healthy reproductive age category and multiparous. Most pregnant women had limited knowledge (43.3%), while MCH book utilization was categorized as good (56.7%). Statistical analysis showed a significant relationship between knowledge of pregnancy danger signs and MCH book utilization (p = 0.002). Continuous maternal health education is needed to improve MCH book utilization in antenatal care services.]]>
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