scholarly journals EFEKTIVITAS PELAKSANAAN PERCEPATAN PENURUNAN ANGKA KEMATIAN IBU (AKI) DI INDONESIA

2018 ◽  
Vol 2 (1) ◽  
pp. 28
Author(s):  
Arif Nurhidajat ◽  
Dyah Kusumawati
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Jel Classification ◽  
Top Down ◽  
Maternal Mortality Rate ◽  
Health Quality ◽  
Development Goals ◽  
Program Plan ◽  
The Impact

Maternal Mortality Rate (MMR) is a sensitive indicator that shows the health quality of a country and gets special attention from the United Nations (UN) so that it is placed as one of the targets in the Millennium Development Goals (MDGs). This study tries to look at the effectiveness of efforts to reduce MMR in Indonesia with a focus on research on the analysis of AKI targeting in Indonesia, the effectiveness of the RAN PPAKI program, and the adequacy of budget allocations for efforts to reduce MMR. Furthermore, by using a qualitative analysis approach that adopts the Miles and Huberman (1984) model, results are obtained that the target targets for decreasing the MMR have been quite realistic even though in the determination there are differences in the calculation methods between national targets and the MDGs. In terms of the program plan and its implementation, it was found that the implementation of the RAN PPAKI program was not optimal and effective due to several factors, including: 1) determining the output and efforts to reduce MMR in the form of top down from the Ministry of Health, which paid little attention to needs and characteristics each region; 2) the synchronization and coordination between the activities of reducing MMR financed from the APBN and APBD are not optimal; 3) cross-sectoral coordination that is still very weak and not optimal; and 4) there has been no in-depth evaluation of the impact or relevance of RAN PPAKI's output / activity and budget on the achievement of the reduction in MMR. In addition, the analysis results related to the variable budget allocation for the reduction of MMR, namely the budget to support the implementation of the 2013-2015 RAN PPAKI has been sufficient but the problem is the lack of flexibility in its use, given the allocation of the budget by the center and regions less able to adjust to the needs based on the characteristics in the area. Keywords: Effectiveness, Maternal Mortality Rate, Reduction JEL Classification: H51, I18   Abstrak Angka Kematian Ibu (AKI) merupakan indikator sensitif yang menunjukan kualitas kesehatan suatu Negara dan mendapat perhatian khusus dari Perserikatan Bangsa Bangsa (PBB) sehingga ditempatkan sebagai salah satu target dalam Tujuan Pembangunan Millennium atau Millenium Development Goals (MDGs). Kajian ini mencoba melihat efektivitas upaya penurunan AKI di Indonesia dengan fokus penelitian pada analisis penetapan target AKI di Indonesia, efektivitas program RAN PPAKI, dan kecukupan alokasi anggaran untuk upaya penurunan AKI. Selanjutnya, dengan menggunakan pendekatan analisis kualitatif yang mengadopsi model Miles dan Huberman (1984), diperoleh hasil bahwa target sasaran penurunan AKI yang ditetapkan sudah cukup realistis meskipun dalam penetapannya terdapat perbedaan metode perhitungan antara target nasional dan MDGs. Dari sisi rencana program dan pelaksanaannya diperoleh hasil telitian bahwa pelaksanaan program RAN PPAKI belum optimal dan efektif yang disebabkan oleh beberapa faktor, antara lain: 1) penentuan output dan aktifitas upaya penurunan AKI lebih bersifat top down dari Kemenkes, di mana kurang memperhatikan kebutuhan dan karakteristik masing-masing daerah; 2) sinkronisasi dan koordinasi antara kegiatan penurunan AKI yang dibiayai dari APBN dan APBD belum optimal; 3) koordinasi lintas sektor yang masih sangat lemah dan belum optimal; dan 4) belum adanya evaluasi mendalam terhadap dampak atau relevansi output/aktivitas dan anggaran RAN PPAKI terhadap capaian penurunan AKI. Di samping itu, juga diperoleh hasil analisis terkait dengan variabel alokasi anggaran untuk penurunan AKI, yaitu anggaran untuk mendukung pelaksanaan RAN PPAKI 2013-2015 telah cukup memadai namun yang menjadi masalah adalah kurang adanya fleksibilitas dalam penggunaannya, mengingat peruntukkan anggaran telah ditetapkan oleh pusat dan daerah kurang dapat menyesuaikan dengan kebutuhan berdasarkan karakteristik yang ada di daerah.

scholarly journals MODEL SOSIO EKOLOGI PERILAKU KESEHATAN DAN PENDEKATAN CONTINUUM OF CARE UNTUK MENURUNKAN ANGKA KEMATIAN IBU

2017 ◽  
Vol 12 (1) ◽  
pp. 129 ◽  
Author(s):  
Sri Sumarmi
Keyword(s):  
Quality Of Life ◽  
Mortality Rate ◽  
Maternal Mortality ◽  
Ecological Model ◽  
Health Indicators ◽  
Continuum Of Care ◽  
National Health Survey ◽  
Maternal Mortality Rate ◽  
Development Goals

Maternal mortality rate is the important health indicator which is used as a component of Nation Development Index or quality of life index in all countries in the world. It is the most sensitive indicator among other health indicators to assess health status or quality of life in a country. Recently, Indonesiafaces an inconvenience situation when a surprise increasing of maternal mortality rate was launched by national health survey, reflected an un-successful effort to achieve Millenium Development Goals (MDGs) target 2015 or the Sustainable Development Goals (SDGs). Reducing maternal mortality ratein Indonesia is a big challenge, because maternal mortality is a multi-causes problem. Furthermore, various factors may play a role as the root causes that could not be addressed only through health interventions, but should involve multi-sectoral approach. Base on thus issues, this paper will discuss appropriate strategies to reduce maternal mortality in Indonesia by combining concept of socio ecological model of health behavior and continuum of care approach.Keywords: Maternal Mortality Rate, Socio Ecological Model, continuum of care

scholarly journals Bottleneck Pelayanan Nifas pada Upaya Penurunan Risiko Kejadian Kematian Ibu di Wilayah Dinas Kesehatan Kota Semarang

2017 ◽  
Vol 5 (3) ◽  
pp. 28-35
Author(s):  
Ike Johan Prihatini ◽  
Sri Achadi Nugraheni ◽  
Sutopo Patria Jati
Keyword(s):  
Public Health ◽  
Mortality Rate ◽  
Health Services ◽  
Maternal Mortality ◽  
Risk Reduction ◽  
Post Partum ◽  
Scale Up ◽  
Monitoring And Evaluation ◽  
Maternal Mortality Rate

Maternal and child health was a priority of health program in Indonesia. Maternal Mortality Rate in Semarang was ranked second highest in Central Java. The highest proportion of maternal deaths occurred during puerperium. That’s indicates, there was a problem in a process of maternal health services during puerperium period in health facilities. This study was conducted to examine constraints on health systems that limit range of interventions or health services that were important for postpartum, bottlenecks related to postpartum services in Public Health Center (PHC), especially infrastructure, human resources, access to PHC, post partum visits (KF1 and KF3), as well as quality of post partum services on risk reduction of maternal mortality. This case study used a qualitative approach. Data collection through interviews to five midwives as main informants, 5 midwives coordinator and 5 heads of PHC as informant triangulation. Data analsyis used content analysis method, then assigned priority bottleneck through MCUA (Multiple Criteria Utility Assessment) techniques. WHO's scale-up BNA plan to analyze bottleneck causes. Results showed, there was a bottleneck on childbirth services in PHC. The causes of bottleneck risk reduction efforts of maternal mortality incidence in puerperium period has never been analyzed workload of health personnel in PHC, lack of monitoring and evaluation of an availability infrastructure facilities in PHC, there has not been regular training, especially on delivery until puerperium services, and PHC has not received more detailed and operational information about puerperium so their maternal knowledge about puerperium has not increased much and couldn’t raise mother's awareness to do so. Semarang Public Health Office (Dinas Kesehatan Kota Semarang) needs to conduct periodic monitoring and evaluation implementation of postpartum services and improve quality of childbirth services in PHC.Keywords: Bottleneck analysis, health services, post partum, Primary Health Care, Puskesmas, Maternal Mortality Rate

scholarly journals An Impact of Socio-Cultural Practices on Maternal Mortality in Masasi District, Tanzania

2017 ◽  
Vol 4 (1) ◽  
pp. 47-58
Author(s):  
Robert Ngelela Shole
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Cultural Practices ◽  
Good Health ◽  
Research Approach ◽  
Maternal Mortality Rate ◽  
Mother And Child ◽  
The Government ◽  
The Impact

This study was about to find out the impact of socio-cultural practices on maternal mortality rate in Tanzania by using Masasi District as the case study. The study involved 3 sample hospital namely Mkomaindo, Maendeleo, and Mkapa Road. The data obtained from 30 total respondents namely clinical officers, maternal mothers, and midwives. The study used mixed research approach under Explanatory Design in which data collection were done by questionnaire and interview. Data was processed by a computer to obtain tabulation, simple figures, Percentages and content analysis. Findings showed that the impact of socio-cultural practices on maternal mortality rate was loss of blood, miscarriage, difficulties during the time of giving birth, lack of good health to the maternal mother and child. Researcher recommended some ways on how to reduce the problem of socio-culture practices on maternal mortality rate include the provision of education to maternal mother. Also, the government should enact strict law against those who still practice bad traditional to maternal mother also the government should ensure services to maternal mother are cheap so that they can be able to go to the hospital.

scholarly journals LITERATURE REVIEW : EFEKTIFITAS PELVIC ROCKING EXERCISE MENGGUNAKAN BIRTHING BALL TERHADAP KEMAJUAN PERSALINAN PADA IBU PRIMIPARA

2021 ◽  
Vol 16 (3) ◽  
pp. 603-605
Author(s):  
Lea Ingne Reffita ◽  
Senditya Indah Mayasari ◽  
Ummi Halfida ◽  
Wili Sinarti ◽  
Yaumil Fitriyah ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Active Phase ◽  
Maternal Mortality Rate ◽  
Live Births ◽  
Delivery Times ◽  
Development Goals ◽  
Prolonged Labor ◽  
Primiparous Women ◽  
Selection Of

Indonesia's Health Profile in 2019 in general, there was a decrease in maternal mortality during the period 1991-2015 from 390 to 305 per 100,000 live births, if it is associated with the 2015 Millennium Development Goals (MDGs), namely reducing the maternal mortality rate (MMR) to 102/100,000 live births. the maternal mortality rate did not reach the MDGs target. Physiological efforts are made to prevent prolonged labor, such as pelvic rocking exercise using the birthing ball technique. This is also a method that really helps respond to pain in an active way and reduces the length of the first stage of labor in the active phase. This study aims to determine the effectiveness of the implementation of pelvic rocking with a birthing ball on the progress of labor in primiparous women in 2020. This study uses Systematic Literature Reviews (SLR), which is a synthesis of systematic, clear, comprehensive literature studies, by identifying, analyzing , evaluating through the collection of existing data with an explicit search method and involving a critical review process in the selection of studies. In 6 journals, all journals perform pelvic rocking exercise techniques using the birthing ball technique when the mother enters the first stage of the active phase. The conclusion in this study is that all journals reviewed by researchers can be ascertained that all of these journals get the same results, namely stating that using the Pelvic Rocking Exercise technique with the help of a birthing ball can make delivery times for mothers go faster

scholarly journals The Impact of Legal Abortion: Redefining the Maternal Mortality Rate

1974 ◽  
Vol 89 (3) ◽  
pp. 267 ◽  
Author(s):  
Lewis H. Roht ◽  
Roger Sherwin ◽  
Maureen M. Henderson
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Legal Abortion ◽  
Maternal Mortality Rate ◽  
The Impact

FAKTOR– FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN ANEMIA PADA IBU HAMIL DI PUSKESMAS TALANG RATU PALEMBANG TAHUN 2014

2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Yuhemy Zurizah Yuhemy Zurizah
Keyword(s):  
Mortality Rate ◽  
Health Service ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Health Center ◽  
Significant Relationship ◽  
World Health ◽  
Chi Square ◽  
Cross Sectional ◽  
Maternal Mortality Rate

  ABSTRACT Maternal Mortality Rate is a barometer of mother health service in a country. At this time maternal mortality rate in Indonesia is still very high. Indonesia Demography Survey on 2007, maternal mortality rate is about 28 per 100.000 of live births. The direct cause of maternal mortality in Indonesia as well as in the other country is hemorraghe (25%), sepsis (15%), eklampsia (12%), abstructed labor (8%). World Health Organization (WHO), 35-37% of pregnant women in developing coutries get anemy. Causing factor’s of anemy on pregnant women is age of pregnant, parity, economi socio, job, education, and nutritional status. Purpose of this research is to know the associated factors with incidence of anemy on pregnant women at the Health Center Talang Ratu Palembang in 2014. This research use analytic survey method with “cross sectional” approach. Population in this research is all of preganant women in medical treatment at Talang Ratu Palembang in 2014. Sample taking in this research with non random samplingmethod and accidental sampling technic. Analysis with univariatly and bivariatlywith Chi Square Statistic test with significant level α 0,05. The result of this research show that from 35 respondent there is (48,6%) respondent with anemy, high–risk age (28,6%), high parity (60,0%) and low economi socio (37,1%). This result show that there is significant relationship between age with incidence of anemy on pregnant women at the health center Talang Ratu Palembang in 2014 with p value0,027, there is significant relationship between parity with incidence of anemy on pregnant women at the health center Talang Ratu Palemabang in 2014 with p value0,023, and there is significant relationship between economi socio with incidence of anemy on pregnant women at the health center Talang Ratu Palembang in 2014 with p value0,026. Of the result, the author hope that health service worker at Talang Ratu health center can improve health service to pregnant women and often giving information about anemy on pregnant and nutritional for pregnant women during pregnancy.     ABSTRAK Angka Kematian Ibu (AKI) merupakan barometer pelayanan kesehatan ibu di suatu negara. Pada saat ini angka kematian ibu di Indonesia masih sangat tinggi. Menurut Survey Demografi dan Kesehatan Indonesia (SDKI) tahun 2007, angka kematian kematian ibu adalah 28 per 100.000 kelahiran hidup. Penyebab langsung kematian ibu di Indonesia seperti halnya Negara lain adalah perdarahan (25%), sepsis (15%), eklampsi (12%), partus lama (8%). Menurut World Health Organization (WHO), 35-37% ibu hamil di negara berkembang dan 18% di negara  maju mengalami anemia. Faktor penyebab terjadinya anemia pada ibu hamil secara tidak langsung adalah umur ibu, paritas, sosial ekonomi, pekerjaan, pendidikan, jarak kehamilan, dan status gizi.Tujuan penelitian ini adalah untuk mengetahui faktor - faktor apa saja yang berhubungan dengan kejadian anemia pada ibu hamil di Puskesmas Talang Ratu Palembang Tahun 2014. Penelitian ini menggunakan metode survey analitikdengan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh ibu hamil yang berobat di Puskesmas Talang Ratu Palembang Tahun 2014. Pengambilan sampel pada penelitian ini dengan metode non random sampling dengan teknik Accidental sampling. Analisis dilakukan secara univariat dan bivariat. Dengan uji statistik chi square tingkat kemaknaan α 0,05. Hasil penelitian menunjukkan dari 35 responden terdapat (48,6%) responden yang anemia, umur yang beresiko  tinggi (28,6%), paritas tinggi (60,0%), dan sosial ekonomi rendah (37,1%). Hasil penelitian ini menunjukkan ada hubungan yang bermakna antara umur dengan kejadian anemia pada ibu hamil di Puskesmas Talang Ratu Palembang Tahun 2014 dengan  p value0,027,  ada hubungan bermakna antara paritas dengan kejadian anemia pada ibu hamil di Puskesmas Talang Ratu Palembang Tahun 2014 dengan p value0,023 dan ada hubungan yang bermakna antara sosial ekonomi dengan kejadian anemia pada ibu hamil di Puskesmas Talang Ratu Palembang Tahun 2014 dengan p value0,026. Dari hasil penelitian ini penulis berharap petugas kesehatan di Puskesmas Talang Ratu Palembang meningkatkan pelayanan kesehatan pada ibu hamil dan lebih sering melaksanakan penyuluhan anemia pada kehamilan dan nutrisi yang baik bagi ibu hamil.    

scholarly journals PERBANDINGAN REGRESI ZERO INFLATED POISSON (ZIP) DAN REGRESI ZERO INFLATED NEGATIVE BINOMIAL (ZINB) PADA DATA OVERDISPERSION (Studi Kasus: Angka Kematian Ibu di Provinsi Bali)

2016 ◽  
Vol 5 (4) ◽  
pp. 133
Author(s):  
NI PUTU PREMA DEWANTI ◽  
MADE SUSILAWATI ◽  
I GUSTI AYU MADE SRINADI
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Regression Models ◽  
Negative Binomial ◽  
Mean Value ◽  
Response Variable ◽  
Maternal Mortality Rate ◽  
Excess Zeros ◽  
Zero Values ◽  
Independent Variable

Poisson regression is a nonlinear regression which is often used for count data and has equidispersion assumption (variance value equal to mean value). However in practice, equidispersion assumption is often violated. One of it violations is overdispersion (variance value greater than the mean value). One of the causes of overdipersion is excessive number of zero values on the response variable (excess zeros). There are many methods to handle overdispersion because of excess zeros. Two of them are Zero Inflated Poisson (ZIP) regression and Zero Inflated Negative Binomial (ZINB) regression. The purpose of this research is to determine which regression models is better in handling overdispersion data. The data that can be analyzed using the ZIP and ZINB regression is maternal mortality rate in the Province of Bali. Maternal mortality rate data has proportion of zeros value more than 50% on the response variable.  In this research, ZINB regression better than ZIP regression for modeling maternal mortality rate. The independent variable that affects the number of maternal mortality rate in the Province of Bali  is the percentage of mothers who carry a pregnancy visit, with ZINB regression models and . 

scholarly journals Two year review of maternal mortality at a tertiary care hospital of GMERS, Valsad, Gujarat, India

2018 ◽  
Vol 7 (6) ◽  
pp. 2283
Author(s):  
Darshna M. Patel ◽  
Mahesh M. Patel ◽  
Vandita K. Salat
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Rural Areas ◽  
Tertiary Care ◽  
Maternal Mortality Ratio ◽  
Care Hospital ◽  
Maternal Deaths ◽  
Maternal Mortality Rate ◽  
Live Births ◽  
Mortality Ratio

Background: According to the WHO, 80 of maternal deaths in developing countries are due to direct maternal causes such as haemorrhage, hypertensive disorders and sepsis. These deaths are largely preventable. Maternal mortality ratio (MMR) in India is 167/100,000 live births.Methods: This retrospective observational study was conducted at GMERS, Valsad. Data regarding maternal deaths from January 2016 to December 2017 were collected and analyzed with respect to epidemiological parameters. The number of live births in the same period was obtained from the labour ward ragister. Maternal mortality rate and Mean maternal mortality ratio for the study period was calculated.Results: The mean Maternal mortality rate in the study period was 413.3/100,000 births. The maternal mortality ratio (MMR) in India is 167/100,000 live births. More than half of maternal deaths were reported in multiparous patients. More maternal deaths were observed in women from rural areas (67.3%), unbooked patients (73.3%) and illiterate women (65.3%). Thirty six (69.3%) maternal death occurred during postpartum period. Most common delay was first delay (60.0%) followed by second delay (40.0%). Postpartum haemorrhage (28.8%), preeclampsia (17.3%), sepsis (13.46%) were the major direct causes of maternal deaths. Indirect causes accounted for one third of maternal deaths in our study. Anemia, hepatitis and heart disease were responsible for 13.4%, 5.7%, and 1.9% of maternal deaths, respectively.Conclusions: Majority of maternal deaths are observed in patients from rural areas, unbooked, and illiterate patients. Hemorrhage, eclampsia and sepsis are leading causes of maternal deaths. Most of these maternal deaths are preventable if patients are given appropriate treatment at periphery and timely referred to higher centers.

scholarly journals Evaluation of maternal and fetal outcome in pregnancies complicated by jaundice-an observational study

2021 ◽  
Author(s):  
Ruchi Kishore ◽  
Neha Thakur ◽  
Mitali Tuwani
Keyword(s):  
Mortality Rate ◽  
Observational Study ◽  
Maternal Mortality ◽  
Viral Hepatitis ◽  
Hellp Syndrome ◽  
Fetal Outcome ◽  
Maternal Outcome ◽  
Fetal Mortality ◽  
Maternal Mortality Rate ◽  
In Pregnancy

Background: The spectrum of jaundice in pregnancy varies from a benign condition with good maternal and fetal outcome to a severe form resulting in liver failure and maternal and fetal mortality. Jaundice may complicate 3-5% of pregnancies. Present study was aimed to analyze the cause, course and impact of jaundice during pregnancy so as to have better understanding and hence better feto-maternal outcome. The present study aimed to analyze the various causes of hepatic dysfunction in pregnancy, maternal and fetal outcome in pregnancies complicated by jaundice and various hematological and liver function variables for predicting maternal and fetal outcome.Methods: The present study was an observational study conducted in the department of obstetrics and gynecology, Pt. JNM medical college and associated Dr. BRAM hospital, Raipur (CG) over period of 2 year from September 2018 to September 2020.Results: Total 0.72% pregnancies were complicated by jaundice. HELLP syndrome was the commonest cause of jaundice in pregnancy (36.7%), followed by viral hepatitis (32.7%). Hepatitis E was the most common type of viral hepatitis (91.8%). Hemolytic jaundice presented with best maternal outcome (maternal mortality rate 8.6%). Worst maternal outcome was seen in AFLP (maternal mortality rate 100%). Best fetal outcome was seen in viral hepatitis (live birth rate 67.6%), whereas worst noted with AFLP (fetal death rate 66.6%). Higher total serum bilirubin, higher serum AST, anemia and deranged INR had significant correlation with maternal mortality.Conclusions: HELLP syndrome and viral hepatitis are preventable causes of jaundice yet it contributed to significant proportion of maternal deaths in 26.5 and 18.5% cases respectively. AFLP is often under diagnosed and had a fulminant course in pregnancy causing maternal and fetal mortality.

scholarly journals THE EFFECT OF RED SESBANIA (SESBANIA GRANDIFLORA L.PERS) LEAVES EXTRACT ADMINISTRATION ON THE DECREASE OF LEUKOCYTE LEVEL IN POST-PARTUM MICE (MUS MUSCULUS) INFECTED WITH STREPTOCOCCUS AGALACTIAE

2018 ◽  
Vol 2 (01) ◽  
pp. 6-11
Author(s):  
HEPPY RINA MARDIANA ◽  
Surya Mustika Sari ◽  
YUFI ARIS LESTARI ◽  
ANIK SUPRIANI ◽  
NANIK NUR ROSYIDAH ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Mus Musculus ◽  
Streptococcus Agalactiae ◽  
Post Partum ◽  
Organ Injury ◽  
Control Group ◽  
Maternal Mortality Rate ◽  
Treatment Groups ◽  
Infection Incidence

Introduction: Maternal Mortality Rate (MMR) is indicator of public health degree. The cause of maternal mortality is postpartum infection. Streptococcus agalactiae bacterium contributes to postpartum infection incidence through vaginal or reproductive organ injury. Infection incidence is characterized with the increased level of leukocyte. The treatment of post-partum infection is done by administering antibiotics. Red sesbania leaves contains active substance that can inhibit the microbial growth. Objective: This research aimed to find out the effect of red sesbania leaves extract administration as antimicrobial agent to decrease leukocyte level in post partum mice (Mus musculus) infected with Streptococcus agalactiae. Method: The method employed was true experimental one with post test control group design, by dividing postpartum mice into 4 groups: one control group and three treatment groups at doses of 125 mg/kgBW, 250 mg/kgBW, and 500 mg/kgBW. All 0-12 hour post partum mice were inoculated with Streptococcus agalactiae bacterium. The administration of 1 ml red sesbania leaves extract in treatment group was conducted 2 hours after the bacterial administration at doses of 125 mg/kgBW, 250 mg/kgBW, and 500 mg/kgBW. Result: The result of analysis shows p < 0.05, indicating that the decrease of leukocyte level in all treatment groups (P1, P2, P3). Conclusion: Red sesbania leaves extract has antimicrobial activity that can reduce leukocyte level, thereby can be used as an alternative therapy to decrease maternal mortality rate due to post-partum infectin. KEYWORDS Red sesbania leaves extract, postpartum mice, leukocyte level, Streptococcus agalactiae.

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