<![CDATA[Postpartum hemorrhage (PPH) remains an important maternal health problem and is influenced by a combination of maternal, socioeconomic, cultural, and health-service factors. This study aimed to determine the factors associated with postpartum hemorrhage at dr. Dradjat Prawiranegara Regional General Hospital, Serang Regency, in 2026, and to identify the most dominant factor. A quantitative analytic study with a cross-sectional design was conducted among 60 women who gave birth at the Maternal Emergency Department during January–March 2026. Data were obtained from medical records, delivery registers, hemoglobin examination results, and structured questionnaires. Univariate analysis was used to describe the variables, bivariate analysis used the Chi-square test, and multivariate analysis used binary logistic regression with the Backward Likelihood Ratio method. Among 60 respondents, 38 (63.3%) experienced PPH and 22 (36.7%) did not. In the bivariate analysis, maternal age (p=0.049), parity (p=0.011), and socioeconomic status (p=0.013) were significantly associated with PPH, whereas medical history/anemia (p=0.512), social culture (p=0.649), and health-worker support (p=0.258) were not. In the final multivariate model, maternal age (OR=6.072; 95% CI 1.404–26.251; p=0.016), parity (OR=7.751; 95% CI 1.797–33.442; p=0.006), and socioeconomic status (OR=4.229; 95% CI 1.163–15.378; p=0.029) remained significant. Parity was the most dominant factor. The findings support comprehensive risk screening, particularly for parity, age, and socioeconomic vulnerability, from antenatal care through the immediate postpartum period.]]>
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