The achievement of health development in the Republic of Indonesia has shown much success. But behind the success of these achievements, it turns out aspects of maternal and child health still leaves the issue fairly alarming, especially in the border region. Miangas, Talaud regency, North Sulawesi as the outer border of the Republic of Indonesia, is one of the islands, which until now has health facilities with inadequate conditions, in particular health facilities for pregnant women. This causes some emergency cases can not be handled properly. Conditions such as this is like a "ghost" haunting and creates traumatic psychological pressure and influence the pattern of daily life of pregnant women. In the face of such conditions, it turns out they have patterns of rationality that is different from one another. Through qualitative research for 45 days, with in-depth interviews to 25 women who were there. There are three mapping patterns rationality of their choice. First, the indigenous people who have the economic background is quite good, they seek antenatal care to local health professionals and support "mama biang" with the assistance of health personnel. However, during chilbirth, trying to do outside the island Miangas, Second, community immigrants who have the economic background is quite good, try to access the health facility outside Miangas as early as possible. Third, indigenous people and migrants who do not have enough economic background, they will surrender to existing conditions.