The complication of pregnancy and labor is not always predictable before it was happened , so pregnant woman must have access nearly Basic Emergency Obstetric Services. Puskesmas were hoped to give basic emergency services. Increased the pregnancy woman access to Puskesmas will decrease Maternal Mortality Rate and Child Mortality Rate fast. The objective of the research asses the innovation of basic obstetric and neonatal emergency services (PONED) at the Puskesmas and comprehensive obstetric and neonatal emergency services (PONEK) at the hospital. The function of PONED puskesmas and PONEK hospital were influenced by human resource, facility, drugs.