Angka Kematian Ibu di Banjarnegara masih tinggi, salah satu penyebab kematian ibu adalah komplikasi kehamilan, upaya penurunan kematian ibu adalah dengan deteksi komplikasi sedini mungkin sehingga akan segera memperoleh pelayanan rujukan yang efektif. Cakupan deteksi dini ibu hamil risiko tinggi oleh bidan di Kabupaten Banjarnegara tahun 2010 11,6% masih di bawah Standar Pelayanan Minimal, Untuk itulah penelitian ini dilakukan, untuk mengetahui faktor-faktor yang berhubungan dengan deteksi dini ibu hamil risiko tinggi oleh bidan di Kabupaten Banjarnegara Tahun 2011. Penelitian ini dilakukan menggunakan metode penelitian kuantitatif dengan desain cross sectional. Dari penelitian yang dilakukan didapatkan hasil yaitu 58,8 pengetahuan responden rendah, 51% responden tidak mendapat pelatihan, 61,9% responden mendapat buku pedoman, ada hubungan bermakna antara pengetahuan, pelatihan dan pemanfaatan buku pedoman dengan praktik deteksi dini ibu hamil risiko tinggi oleh bidan. Untuk meningkatkan ketrampilan bidan dalam praktik deteksi dini ibu hamil risiko tinggi, Dinas kesehatan perlu melakukan pelatihan, pengadaan buku pedoman tehnis bagi bidan,koordinasi dengan organisasi terkait.

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Maternal Mortality in Banjarnegara still high, one of the causes of maternal death is complications of pregnancy, maternal mortality reduction efforts is to detect complications as early as possible so that it will soon acquire an effective referral service. Coverage of early detection of high risk pregnant women by midwives in Banjarnegara District in 2010 was still 11.6% below the Minimum Service Standards, for the research was conducted, to determine factors associated with early detection of high risk pregnant women by midwives in the District Banjarnegara 2011. This research was carried out using methods of quantitative research with a design of cross section.

Research determined that the result is 58.8 survey under knowledge, 51% of respondents did not receive training, 61.9 per cent of respondents receive manuals, significant relationship between knowledge, training and the use of the guidelines to the practice of the early detection of the mothers of high risk of pregnancy by midwives. To improve the skills of midwives in the practice of early detection of pregnant women at high risk, the Health Department needs to carry out the training, the provision of technical manuals for midwives, coordination with relevant organizations.