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Data statistic nasional Amerika Serikat menyebutkan sekitar 8% dari kematian ini disebabkan oleh perdarahan postpartum.Di Negara industri, perdarahan postpartum biasanya menjadi peringkat ke 3 teratas penyebab kematian maternal, diantara embolisme dan hipertensi. Dibeberapa Negara berkembang angka kematian maternal melebihi 1000 wanita tiap 100.000 kelahiran hidup, dan WHO menunjukkan bahwa 25% dari kematian maternal disebabkan oleh perdarahan postpartum dan diperkirakan 100.000 kematian maternal tiap tahunnya. Penelitian menggunakan design analitik dengan metode case control. Populasi dalam penelitian ini adalah seluruh ibu bersalin di RSUD dr.Ahmad Mochtar kota bukittinggi tahun 2017. Sampel dalam penelitian ini terbagi menjadi dua yaitu kelompok kasus yaitu ibu bersalin dengan perdarahan postpartum sebanyak 45 orang. Sedangkan kelompok control yaitu ibu bersalin yang tidak mengalami perdarahan postpartum sebanyak 90 orang. Hasil penelitian menunjukkan bahwa dari 135 responden yang mengalami polihidramnion pada kelompok kasus sebanyak 26 responden (57,8%), yang diberikan induksi oksitosin pada kelompok kasus sebanyak 70 responden (51,9%), yang mengalami partus lama pada kelompok kasus sebanyak 50 responden (37%). Dari 135 responden yang mengalami perdarahan postpartum sebanyak 45 responden (33,3%) dan tidak mengalami perdarahan postpartum sebanyak 90 responden (66,7%).Ada hubungan yang signifikan antara polihidramnion (OR = 8,665) dan partus lama (OR = 5,955) dengan kejadian perdarahan postpartum. Tidak ada hubungan yang signifikan antara induksi oksitosin dengan kejadian perdarahan postpartum dengan nilai OR = 2,166. Berdasarkan hasil penelitian disarankan kepada tenaga kesehatan untuk lebih memberikan informasi dan meningkatkan pelayanan kesehatan ibu bersalin terutama pada paritas dengan memberikan pendidikan kesehatan pada calon ibu tentang 4T.

US national statistics account for about 8% of maternal deaths caused by postpartum hemorrhage. In industrialized countries, postpartum hemorrhage is usually ranked the 3rd leading cause of maternal death, between embolism and hypertension. In some developing countries maternal mortality exceeds 1000 women per 100,000 live births, and WHO shows that 25% of maternal deaths are caused by postpartum hemorrhage and an estimated 100,000 maternal deaths each year. Research using analytic design with case control method. Population in this research are all mothers who has delivery process in Dr. Ahmad MochtarHospital Bukittinggicity year 2017. The sample in this study are divided into two groups namely the interventiongorup of maternal mothers with postpartum hemorrhage as many as 45 people. While the control group of maternal mothers who did not experience postpartum hemorrhage as many as 90 people. The result showed that from 135 respondents who had ppolihydramnios in intervention group were 26 respondents (57.8%), which was given oxytocin induction in intervention group as much as 70 respondents (51.9%), who experienced the prolongedlabor in intervention group as many as 50 respondents (37%). From135 respondents who experienced postpartum hemorrhage were 45 respondents (33.3%) and did not experience postpartum hemorrhage as much as 90 respondents (66.7%). There is a significant relationship between polihydramnios ( OR = 8,665 ) and prolongedlabor with ( OR = 5,955 ) with the incidence of postpartum hemorrhage. There was no significant relationship between oxytocin induction and postpartum hemorrhage incidence with OR = 2,166. Based on the results of research suggested to health workers to provide more information and improve maternal health services, especially on parity by providing health education to prospective mothers about 4T.