Early postpartum hemorrhage remains a significant cause of maternal morbidity and mortality, Postpartum hemorrhage is most commonly due to uterine atony ,The problem of placenta previa and accreta is likely to become more common, as the incidence of cesarean section continues to rise, trauma to the genital tract and coagulopathy defects. In recent years new therapeutic measures to control the bleeding have gained attention. Although, these newer therapies focus on avoiding the need for emergency hysterectomy and preservation of reproductive function.