Inclusion Criteria:  patients in childbearing period. Patients with bleeding occurring in the first 24 hours after delivery (primary postpartum hemorrhage). Patients with causes of Postpartum hemorrhage like uterine atony, preeclampsia, blood diseases as inherited and prepartum acquired coagulopathies, and others e.g., acute fatty liver of pregnancy, amniotic fluid embolism, etc.  Exclusion Criteria:  Patients with bleeding after 24 hours from delivery (secondary postpartum hemorrhage). Patients with miscarriages (bleeding before 22 weeks of gestation) or Antepartum hemorrhage. Traumatic causes of postpartum hemorrhage e.g., rupture uterus, abruptio placenta, Lacerations, hematomas, Uterine inversion, and iatrogenic trauma.