During last six years, Indramayu had a high number of maternal and baby deaths. Even in 2016, Indramayu was as a third rank in number of maternal and baby deaths in West Java. The main cause of this problem was that there was no system to monitor the most causes of the maternal and baby deaths. Public health office could not plan what they should do because they did not have enough information about the real circumstance of pregnant mothers during their pregnancy. For consequence, public health office could not prepare well both the first and advance aid for the pregnant mothers who had a high risk for their health. That is why we propose a system that can provide features to monitor the progress of pregnant mothers especially in terms of four main causes involving the maternal and baby deaths happened, called E-SIBAYU. E- SIBAYU is developed for both mobile and web based. The mobile based app is used by midwifes to entry the health information of pregnant mothers, while the web-based app is used by public health officers to monitor all health information of pregnant mothers. The infor-mation is not only stored in cloud but also can be visualized in graphs and charts. E-SIBAYU has been used by public health office of Indramayu since 2017, and it has shown a positive impact on the decrease of number of maternal and baby deaths in that year. This paper presents the design and implementation of a tele-monitoring app for monitoring pregnant mother and babies called E-SIBAYU. This work is an initial work of future work to develop a wearable health device that will be able to measure the blood pressure of pregnant mothers and heart rate of babies in real-time where the future device will be possible to be mass produced to support industry of e-Health technology implementation.