<![CDATA[The maternal mortality rate in Indonesia is categorized as high, caused by gender problems, namely the inability of women in making decisions related to self-readiness to face pregnancy, and the selection of helpers before childbirth. The purpose of the study was to determine the gender relationship regarding midwifery service decision-making, facing childbirth in third trimester pregnant women at the Malinau Health Center. Analytical observational research methods are used, with a cross-sectional design. The study sample was totaling 45 people. The data was analyzed with the Chi Square test. As a result, 23 respondents (51.11%) made inappropriate decisions about choosing midwifery services. Gender roles were 24 people (53.33%) in the ‘less’ category. There is a significant relationship between gender roles and decision-making for midwifery services facing childbirth in the third trimester of pregnant women at the Malinau Health Center in 2023, where the p-Value value = 0.001 < α = 0.05 is obtained. It was found that there was a significant relationship between gender roles and decision-making of midwifery services facing childbirth in third trimester pregnant women. Health workers should be more sensitive to gender issues, in carrying out midwifery care for patients]]>
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