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Background: Normal utterance upbringing is a competence which should be had by a midwife to prepare in order the students has the capability of knowledge, skills and behaviour which could be developed through ability. Students’ ability could be given practically in class and clinic laboratory. Simulation is a learning method which presents the learning by using real situation or process by the students actively involves and interacts in any situation in their environment. The experience of practicum learning using simulation is a learning process in laboratory in order to strengthen the theory or knowledge which ha been gained by learning other. Clinical practice of midwifery is a clinical learning in the lesson of utterance upbringing in normal (pregnant, uttering, and parturition) women and the utterance upbringing in newborn baby, neonates and normal toddlers where the students directly applied the theory to reach achievement in practice of midwifery.

Purpose of research: To know the relation between simulation learn by clinical practice of normal utterance of V semester students in Health Academy of Muhammadiyah of Academic Period of 2006/2007 in Kudus.

Method of research: This research has analytical characteristic by correlational descriptive design by used primary and secondary data. Ex-post facto research is a research conducted to study the incident which happened and then tracking back the data to find factors which cause the incident understudied. The subjects of this research were V semester students in Health Academy of Muhammadiyah in Kudus of Academic Period of 2006/2007. To select the sample of respondent in this research it used technique of census sampling. Statistical analysis used was analysis of Pearson Correlation by using confidence level of 95% thus significance level of 5%.

Result of research: Most of V semester students in Health Academy Muhammadiyah in academic period of 2006/2007 in Kudus that graduated in simulation of Normal Utterance Upbringing were 50 (92,6%) students and others were 4 (7,4%) students did not graduate in simulation of Normal Utterance Upbringing. The result of practical test of APN gained that most of V semester students of Health Academy of Muhammadiyah in academic period of 2006/2007 in Kudus that graduated in practice of Normal Utterance Upbringing were 45 (83,3%) and the others were 9 (16,7%) students did not graduated in practice of Normal Utterance Upbringing.

Conclusion: There is positive relation between the graduation in simulation of Normal Utterance Upbringing by practice of Normal Utterance Upbringing (p value : 0,001).