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Postpartum Haemorrhage (PPH) is associated with increased maternal morbidity and mortality worldwide and it is estimated that it contributes to 25% of maternal deaths, annually.Primary postpartum haemorrhage occurs due to four primary causes: uterine atonia, retained placenta and membranes, genital tract trauma or coagulopathy.Secondary Postpartum haemorrhage that occurs 24 hours after birth usually occurs due to infection (endometritis) or retained products of conception.Management Algorithms such as 'HAEMOSTASIS' have been proposed to aid systematic and logical management of postpartum haemorrhage.A vast majority of postpartum haemorrhage may be managed by a conservative approach.However, if conservative or medical measures fail or if there is haemodynamic instability, surgical measures may be required to control bleeding and to save a woman's life.Various types ofmyometrial compression sutures or myometrial excision with or without pelvic devascularisation may be attempted and if these measures fail, radical surgery (subtotal or total abdominal hysterectomy) should be considered.Timely and appropriate surgical management is essential to save life as several confidential enquiries into maternal deaths have highlighted 'too little being done too late', as the major contributor to maternal deaths.Recently,the "Triple P Procedure' has been described for management of women with morbidly adherent placentae.This involves peri-operative placental localization and delivery of the fetus above the placental edge, pelvic devascularisation and placental non-separation and myometrial excision with good outcomes.Surgical management is also required for PPH secondary to genital tract trauma such as vaginal lacerations, cervical tears, uterine rupture and uterine angular extensions during caesarean sections.