This manual is intended to provide basic and advanced updates on the subject. It conglomerates evidences on pathophysiology, prevention and management of postpartum hemorrhage. Particular attention has been given to interactions between system-level determinants, like skills and drills, referral services, and point-of-care services. It also examines the effectiveness, feasibility of interventions like active management of third stage of labor, uterotonics, non-pneumatic antishock garment, and surgical-nonsurgical procedures in diverse settings (WHO, FIGO). This book highlights the medical and surgical management of postpartum hemorrhage. Many untouched areas like retained placenta, lacunae in estimation of blood loss have been clarified and role of newer modern inventions, newer modalities and newer guidelines on Postpartum hemorrhage have been elucidated. This manual covers analysis of why mothers die of hemorrhage and proposed preventive strategies. It is truly a manual for every practicing obstetrician to help maximize the golden hour.