PPH is defined as blood loss > 500 ml after vaginal delivery or > 1,000 ml after cesarean section(4). Major etiologies of PPH include a failure of the uterus to contract (tone), accounting for 70%, tissue and vascular tearing (trauma), 20%, fetal or placental tissue retention (tissue), 10%, and coagulopathy (thrombin), 1%(5). More than 70% of PPH are caused by uterine atony, which has multiple associated risks comprising a large-sized baby, induction of labor, magnesium sulfate administration in the mother, chorioamnionitis