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Abstract Post partum hemorrhage (PPH) continues to be a leading cause of maternal morbidity and mortality worldwide. According to the world health organization estimates, more than 585.000 women die every year from pregnancy related cause, of which 25% were due to severe bleeding Post partum hemorrhage is defined as a blood loss of than 1000 ml in the first 24 hr following delivery. The incidence of cesarean delivery is increasing and the average blood loss during cesarean delivery (1000ml) is double the amount lost during vaginal delivery (500ml Active management of third stage of labour by administration of uterotonic drugs reduced risks of postpartum hemorrhage, reduced post partum anemia and the need for blood transfusion. Therefore, active management should be the routine management of choice. |