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According to the WHO (World Health Organization), every day in 2017 around 810 women died, at the end of the year reaching 295,000 people, of which 94% were in developing countries (WHO, 2019). The MDGs (Millennium Development Goals) which ended in 2015, were then continued with the development of the SDGs (Sustainability Development Goals) until 2030. The five biggest causes of maternal death in Indonesia in 2010-2016 were bleeding (30.3%), hypertension in pregnancy ( 27.1%), infection (7.3%), prolonged labor (1.8%), abortion (1.6%) and others (31.9%). This study aims to identify the relationship between HB levels and postpartum hemorrhage at the Djasamen Saragih Regional General Hospital in 2023.Type of quantitative research with a case control design. This study was conducted on a sample of 100 postpartum. To measure the characteristics of the respondents, a data collection form was used which was obtained through collecting data from the evaluation section at the Djasamen Saragih Regional General Hospital in 2023.Based on the statistical test using chi-square, the value of ρ = 0.001 (ρ <α, α = 0.05) is obtained, the strength of the relationship between the two variables is seen based on the contingency coefficient, which is 0.302, which means the strength of the relationship is moderate. Then the odds ratio (OR) results obtained OR = 0.215 [95% CI 0.087 – 0.532] which means that the range 0.087 – 0.532 does not exceed the value of 1, so postpartum mothers with low Hb levels during pregnancy have a greater chance of postpartum hemorrhage 0.215 than mothers postpartum Hb was normal during her pregnancy.There is a relationship between Hb levels and postpartum hemorrhage at the Djasamen Saragih Regional General Hospital in 2023    

Background: Sixty percent of all maternal deaths occur during the postpartum period and 45% of these cases occur within the first 24 hours postpartum (WHO, 2018). Steps that can prevent postpartum bleeding management include active third stage, administration of uterotonics and early initiation of breastfeeding. Oxytocin hormone levels will increase in the third stage after separation of the placenta and when early initiation of breastfeeding is carried out because the pituitary gland releases the oxytocin hormone through the baby's stomping, touching and licking of the mother's skin so that it can prevent postpartum bleeding and speed up the expulsion of the placenta naturally. Objective: To determine the effect of early initiation on the number of post-delivery events at the Griya Mazaya midwifery clinic in 2023. Method: The research method uses analytical observational analysis with case control. The research design used a retrospective approach with a sample size of 44 respondents divided into 22 groups of respondents who did IMD and did not do IMD with a data processing test using Mann Whitney. Results: The results of Mann Whitney data processing showed a p value of 0.000, which means p value < sig (0.05) thus proving that there is a difference in the incidence of post-delivery bleeding. Mothers who did IMD had less bleeding than mothers who did not do IMD. Conclusion: Management of early initiation of breastfeeding immediately after the new baby is born can significantly reduce the rate of postpartum hemorrhage.