The Relationship Between Preeclampsia Levels and Postpartum Hemorrhage Incidence in the Area of UPTD Tepeleo Inpatient Health Center

Preeclampsia is a life-threatening obstetric complication and a major contributor to maternal mortality worldwide, accounting for 10–15% of all maternal deaths. In Indonesia, postpartum hemorrhage remains the leading cause of maternal death, contributing to approximately 30% of cases. Hypertension during pregnancy accompanied by proteinuria not only endangers maternal health but also increases the risk of postpartum hemorrhage. Therefore, understanding the relationship between the severity of preeclampsia and the incidence of postpartum hemorrhage is crucial for developing effective prevention and management strategies, especially at the primary healthcare level. This study aims to analyze the relationship between the gradation of preeclampsia severity and the occurrence of postpartum hemorrhage among mothers giving birth at the Tepeleo Inpatient Health Center UPTD. The research used a quantitative cross-sectional design involving 30 respondents selected through purposive sampling. Data collected included demographic characteristics, severity of preeclampsia, clinical parameters such as blood pressure and proteinuria, mode of delivery, and types of postpartum hemorrhage. Data were analyzed using descriptive statistics and the Chi-Square test with a 95% confidence level. The results showed that most respondents were aged 20–35 years (63.3%), had secondary education, and were multiparous (43.3%). Mild preeclampsia accounted for 73.3%, while severe cases were 26.7%. Uterine atony was the most common cause of hemorrhage (56.7%). Statistical analysis revealed a significant relationship between preeclampsia severity and postpartum hemorrhage (p = 0.007).