Patients with severe hemorrhage are identified by careful expert clinical evaluation and often rely on altered hemodynamic status. Thus, we can consider the diagnosis of serious or severe obstetric hemorrhage to that which exceeds 1,000 mL of blood lost in 24 hours. A review by Carroli et al. [7] reported a prevalence of severe PPH, as loss of >1,000 mL of blood as presented in 1.86% of his patients, his report highlights variations by region but the overall estimate in blood volume agrees with other studies.