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Objective: The objective of this research is to create Innovation in midwifery practices as an alternative to estimate postpartum blood loss. Method: This research is a DRM (Design Research Methodology) of creating Innovation in midwifery practices (A method to measure postpartum blood loss) followed by step two, which is a Clinical Trial through alpha and beta testing (implementation of the instrument on III childbirth as well as a surveyor data gathering). The population of this research is 700 midwives in the city of Banjarmasin with a sample of 46 midwives and 30 patients taken with Random Sampling method. Result: Innovation in midwifery practices is safe for the skins of new mothers (no skin irritation was observed), capable of storing blood up to 1.800 ml, easy to use, has a multitude of uses (can determine the amount of blood loss, increases midwife productivity, increases midwife work quality, and help with documentation), as well as economical. Conclusion: Innovation in midwifery practices can be used to detect postpartum bleeding early, which will lead to a decrease in the death rate caused by postpartum bleeding.