Hemorrhage, usually occur in the postpartum period, is responsible between one quarter and one third of obstetric deaths.According to the world health organization obstetrics hemorrhage causes 127,000 deaths annually worldwide and is the leading cause of maternal mortality.Postpartum hemorrhage (PPH) is a frequent complication of delivery and its incidence is commonly reported as 2-4% after vaginal delivery and 6% after cesarean section with uterine atony being the cause in about 50% cases.