KEMAS 14 (1) (2018) 115-125 Jurnal Kesehatan Masyarakat http://journal.unnes.ac.id/nju/index.php/kemas Te Giving of Guava Leaves Boiled Water to Postpartum Perineal Wound Healing Nina Zuhana 1 , Lia Dwi Praftri 1 , Wahyu Ersila 1 1 STIKES Muhammadiyah Pekajangan Pekalongan, Indonesia Article Info Article History: Submitted August 2017 Accepted February 2018 Published July 2018 Keywords: Water Decoction of Guava leaves, Per- ineal Wound Healing DOI https://doi.org/10.15294/ kemas.v14i1.10663 Abstract Labor ofen results in a tearing of the birth canal, either primigravida or multigravida with a rigid perineum. Approximately 85% of women who give birth spontaneously vag- inal have 32-33% perineal trauma due to episiotomy and 52% are spontaneous lacera- tions. Perineal trauma may occure perineal infection due to poorly maintained perineal hygiene. Tis can be prevented by treating injuries. Te research aims to know the efect of guava boiled water (psidium guajava linn) on the duration of wound healing of the postpartum nurse’s perineum. Tis research uses quasi-experimental research method with posttes control group design. Population used all postpartum with perineal sew wound in Pekalongan district in 2017 with sampling technique non probability sampling type consecitive sampling. Data analysis using un-paired t test showed that there was infuence of guava leaf decoction (Psidium Guajava Linn) on the duration of wound healing of postpartum nurse perineum with signifcance value p 0,000 (<0,05).  Correspondence Address: Jl. Raya pekajangan No.87 Pekalongan 51172, Indonesia. Email : ninazuhana@gmail.com pISSN 1858-1196 eISSN 2355-3596 time of delivery. Causes of death were bleeding (21.14%), hypertension (26.34%), infections (2.76%), circulatory system disorders (9.27%) and others (40.49%) (Dinkes Provinsi Jawa Tengah, 2015). Labor is a series of events that end with giving birth of an adequate or close month infant, followed by expulsion of the placenta and fetal membranes from the mother’s body. Labor ofen results in tearing of the birth canal, either primigravida or multigravida with a rigid perineum (Bick et al., 2010). About 85% of women who deliver a baby spontaneously the vagina will have 32-33% perineal trauma due to episiotomy and 52% due to spontaneous lacerations, and about ¾ of them require perineal suture to assist the healing (Bick et al., 2010). Introduction Maternal Mortality Rate (MMR) is one of the sensitive indicators to describe the welfare of people in a country. Te maternal mortality referred to the deaths during pregnancy or within 42 days of the end of pregnancy, due to all causes associated with or aggravated by pregnancy or treatment, but not by accident or injury. In 2015, MMR in Central Java Province experienced a signifcant decrease from 111.16 per 100,000 live births while previously at 126.55 per 100,000 live births in 2014. Te highest was brebes with 52 cases and the lowest was temanggung with 3 cases, while the district of Pekalongan showed 22 cases of maternal mortality. 60.9% of maternal mortality occurred at the time of childbirth, 26.33% during pregnancy and 12.76% at the