Early pregnancy remains a significant maternal health issue due to the increased risk of obstetric complications that impact the safety of both mother and baby. Adolescents who experience pregnancy generally have limitations in biological, psychological, and access to health services, thus requiring special attention in efforts to prevent complications. This study aims to analyze the risk factors associated with childbirth complications in early pregnancy women in the Marisa Community Health Center working area. The study used a quantitative analytical design with a cross-sectional approach on 30 respondents selected through a purposive sampling technique. Data were collected using a structured questionnaire and medical record review, then analyzed using the Fisher Exact Test with a significance level of α = 0.05. The results showed that five variables had a significant relationship with childbirth complications, namely antenatal care visits (p = 0.047), education (p = 0.041), parity (p = 0.039), husband's support (p = 0.021), and history of pregnancy diseases (p = 0.009). Meanwhile, gestational age did not show a significant relationship (p = 0.314). This study concludes that childbirth complications in young mothers are a multifactorial phenomenon influenced by both medical and social factors. These findings underscore the importance of strengthening antenatal care, reproductive health education interventions, and increasing family support to improve birth safety in high-risk groups.
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