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Angka Kematian Ibu (AKI) akibat komplikasi di Indonesia masih tinggi dibandingkan negara-negara ASEAN. Menurut WHO (2010) angka kematian ibu di Indonesia mencapai 220/100.000 kelahiran hidup, Malaysia 29/100.000 kelahiran hidup, Filiphina 99/100.000 kelahiran hidup, Thailand 48/100.000 kelahiran hidup, dan Vietnam 59/100.000 kelahiran hidup. Tujuan dari penelitian ini untuk mengetahui Gambaran Persiapan Persalinan Pada Ibu Hamil Primigravida Trimester III di Bidan Praktek Swasta (BPS) R Kota Bukittinggi Tahun 2016. Jenis penelitian ini adalah deskriptif analitik dengan desain cross sectional. Populasi dalam penelitian ini adalah seluruh ibu hamil primigravida trimester III yang berkunjung ke Bidan Praktek Swasta (BPS) R Kota Bukittinggi yang melakukan kunjungan antenatal care yaitu 42 orang. Teknik pengambilan sampel dilakukan dengan menggunakan teknik accidental sampling. Data di peroleh dengan metode pengisian kuesioner. Analisis data menggunakan uji chi squeare. Hasil penelitian didapatkan 52,4% responden yang memilki pengetahuan yang rendah, 59,5% responden yang memiliki motivasi negative, 54.8% responden yang memiliki dukungan suami kurang, 61.9% responden yang persiapan persalinan kurang. Disimpulkan lebih dari separuh responden yang memiliki pengetahuan rendah tentang persiapan persalinan karena di pengaruhi olehpengetahuan, motivasi dan dukungan suami Disarankan bagi bidan desa agar lebih memberikan KIE tentang persiapan persalinan serta memberikan dukungan secara fisik maupun psikis/mental pada ibu hamil sehingga dapat membentuk persiapan ibu dalam menghadapi persalinan.

Maternal Mortality Rate (MMR) due to complications in Indonesia is still high compared to ASEAN countries. According to WHO (2010) maternal mortality rate in Indonesia reached 220 / 100,000 live births, Malaysia 29 / 100,000 live births, the Philippines 99 / 100,000 live births, Thailand 48 / 100,000 live births, and Vietnam 59 / 100,000 live births. the purpose of the study is to examine "Childbirth Preparation Overview On Pregnant Women primigravid Trimester III in Private Practice Midwife (CPM)" R "Bukittinggi 2016 Childbirth preparation is better be started in early pregnancy by make regular antenatal care visits since the first trimester pregnancy until giving birth. Then, during antenatal care, the mothers are expected to plan the preparation for delivery. The preparation is influenced by various factors, one of them is knowledge. This type of research is analytic descriftives with cross sectional design. The study population primigravida entire third trimester pregnant women who visit the Private Practice Midwife ( CPM ) " R " Bukittinggi to perform antenatal care visits as 42 people. The sampling technique is done by using accidental sampling. Data obtained by the method of filling out the questionnaire. Date were analyzed using chi square test The result showed 52,4% respondent had low knowledge, 59,5% respondents had negative motivation, 54,8% respondents had less husband support, 61.9% respondents had less childbirth. Concluded more than half of the respondents who have low knowledge about childbirth preparation for influence by the motivation and support of husband The midwives are suggested to give more counseling with communication, information, and education (KIE) program about delivery preparation, and also provide motivation both of physically and mentally for pregnant mothers so that they can make better preparation in facing childbirth.