Hemorrhage remains a leading cause of maternal mortality. Postpartum hemorrhage (PPH) is defined as blood loss over 500mL within 24 hours of delivery or blood loss of any amount with hemodynamic changes. The main causes of PPH are uterine atony, trauma, and retained placental tissue. Prevention focuses on risk factor identification and active management of the third stage of labor with uterotonics. Treatment involves fluid resuscitation, blood transfusion, uterotonics, uterine massage, and in severe cases, surgical interventions like hysterectomy.