One of the major public health problem in Indonesia is the high of maternal mortality rate (MMR). Based on data, the number of maternal mortality in Balangan in 2014 there were 294.3/100,000 live births. One of the efforts to decrease MMR through antenatal class pregnancy, right election for the delivery assistance and optimize the program through the role of midwife. This study used qualitative method. Population is the midwife in the working area of Health Office Balangan District and informant is 13 midwife coordinator. The research instrument is indepth interviews guide. Data were analyzed qualitative (interview transcript). The results showed the implementation of the antenatal class pregnancy in Balangan walking routinly within the guidelines of the antenatal class pregnancy through the role of midwifes in performing their duties, although still found a lack of initiative to moving the antenatal class pregnancy creatively to attract participants. Midwife as the spearhead of the antenatal class pregnancy program implementation class stated that there are several obstacles, among others, uneven funding, which is not ideal infrastructure in accordance with the guidelines, and there are still pregnant women who are illiterate thus hindering the process of providing information. The impact of this program implementation is an increase in birth attendance by skilled health worker. Therefore, it can be concluded that the midwife’s role in the implementation of a the class of pregnant women in Balangan is good enough although they encountered some problems and may increase the scope of delivery assistance by professional health worker . Required all of sector cooperation and sustainable and that further study about mother health and mortality for decrease MMR. Keyword: role of midwife, delivery assistance, antenatal class pregnancy