Midwifery service factors that can reduce childbirth sectio caesarea at az-zahra. Primary health care

Introduction: Indonesia's section Caesarea rate in the JKN ERA is currently 79.2%, higher than the WHO recommendation of 10% to 15%. As the leading midwifery services, primary health services have an essential role in reducing cesarean section referrals. Midwifery services in primary health services are currently considered unable to lower the referral rate for Sectio Caesarea. This study aims to determine the indicators of midwifery services in primary health services that can reduce cesarean section deliveries. Research Methods: This study used a qualitative research design. Data were collected using in-depth interviews using a sample of 19 people. They divided into nine primary informants (pregnant women) and ten additional informants (mothers who had a history of cesarean delivery). Research Results: Found 18 indicators in midwifery services at the primary health care Clinic Azzahra Tangerang.1. Competent, 2. Comfortable, 3. Motivational, 4. Compassionate, 5. Clean, 6. Communication, 7. Knowledge, 8. Praying, 9. Friendly, 10. Calm, 11. Patient, 12. Sustainable, 13 Childbirth Assistant, 14. Availability, 15. Appreciating, 16. Complete Facilities, 17. Low Cost, 18. Leadership Conclusion: Comprehensive midwifery services can reduce cesarean delivery in Az-Zahra Primary Health Services.