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In Indonesia cases of unwanted pregnancy are increasing. Research conducted by Setia Pranata and FX Sri Sadewo [1] about unwanted pregnancy mentioned cities in Indonesia which is the center of industrialization and urbanization is the highest contributor city of unwanted pregnancy cases. To keep local wisdom is one of the prevention to reduce the incidence of unwanted pregnancy. The research method was conducted qualitatively with the strategy using grounded theory approach by Burhan,[2] with field research type. The technique of collecting data through an in-depth interview with four midwives in Padangsidimpuan city. The reason the midwives became participants in this study because they are considered modern women who still hold the values of local wisdom and religion in life. They have practiced for more than 10 years. Data analysis was performed with constant comparative methods by Moleong.[3] The implementation of religion in life both individually and community can be a protector to avoid unwanted pregnancies. The influence of religion that is acculturated with culture affects adolescent sexual behavior. To maintain unwanted pregnancies without medical indications are the expectation of 4 midwives in the city of Padangsidimpuan. The analysis will be carried out by expressing theories and evidence and data relating to the implementation of local wisdom in preventing the occurrence of abortion as one of the therapy in case of unwanted pregnancy by midwives. Hafidhuddin [4] states that in the Qur'an (Al-Baqarah 148, Ali Imran 112) called Muslims can live in harmony with the flow of globalization. Adamczyk and Hayes [5] state the culture and structural characteristics protect individual actions. Besides, the influence of macro and micro religions can protect individuals in the case of premarital or extramarital sex. Because in the city of Padangsidimpuan culture and globalization go hand in hand with the philosophy of community life "salumpat saindege" which is in carrying out life togetherness and harmony that is not contrary to the principles of religion.The importance of keeping local wisdom that is a culture that has acculturated religion in Padangsidimpuan city as prevention in case of unwanted pregnancy. The approach of religious integration and reproductive health through religious counseling is believed to be one method of applying local wisdom. Humanism is offered local wisdom without avoiding the flow of globalization and accompanying it with harmony and balance.

Management Of Midwife In Case Of Unwanted Pregnancy: A Challenges And Opportunity To Face Up Globalization And To Keep Exist A Local Wisdom In Padangsidimpuan City