Abstract
Background: One of the strategic efforts to reduce maternal mortality rate (MMR) is through the provision of comprehensive midwifery care. from pregnancy, childbirth to the puerperium. Indicators of success in midwifery care can be seen from the quality of life of postpartum mothers. Preliminary studies in Agam and Pasaman districts show that 50% of post-partum mothers have a poor quality of life.
 Methods: This analytic descriptive study with a cross-sectional design involved postpartum mother as the subject. The sample of the study was many postpartum mothers who received midwifery services at practicing independent midwives in Pasaman and Agam districts. Samples were taken using the accidental sampling technique within 1 month. A questionnaire for evaluating the quality of life of postpartum women is used as an instrument to measure the quality of life of postpartum mothers. Data were analyzed univariate and bivariate using the chi-square test
 Results: A total of 75.4% of the research subjects had a good quality of life. There is a relationship between service quality (p= 0.001) and maternal satisfaction (p= 0.001) with the quality of life for postpartum mothers.
 Conclusion: The better the quality of midwifery services and the level of satisfaction with services, the better the quality of life for postpartum mothers. Therefore, it is recommended that midwives maintain the quality of midwifery care starting from pregnancy, childbirth to childbirth on an ongoing basis (continuity of care).
Highlights
Maternal Mortality Rate (MMR) is an indicator that can describe the welfare of the people in a country
In Pasaman district, the maternal mortality rate was recorded as many as 7 cases, of which 2 cases occurred during the postpartum and 5 during childbirth (Tim Penyusun Buku Data Profil Gender Kabupaten Pasaman, 2019)
The sample in this study was postpartum mothers who were given midwifery care starting from pregnancy to childbirth by midwives at Independent Practice Midwives (BPM) in the Pasaman and Agam districts
Summary
Maternal Mortality Rate (MMR) is an indicator that can describe the welfare of the people in a country. In Pasaman district, the maternal mortality rate was recorded as many as 7 cases, of which 2 cases occurred during the postpartum and 5 during childbirth (Tim Penyusun Buku Data Profil Gender Kabupaten Pasaman, 2019). The MMR data on the high MMR during the postpartum period in Pasaman and Agam districts indicated that the quality of midwifery care was not optimal. The MMR profile in the two districts is due to the fact that many midwives have not provided optimal care to mothers during pregnancy, childbirth, and postpartum (Rochmayani, 2018). To complete the understanding of the determinants of the quality of life for postpartum mothers, it is necessary to study the quality of midwifery care received by mothers during pregnancy, childbirth, and the postpartum sustainably and comprehensively. It is necessary to study the relationship between the variable quality of midwifery care and the satisfaction of postpartum mothers with midwifery care and the quality of life for postpartum mothers
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