Obstetric hemorrhage, with related complications, remains a significant and often preventable cause of maternal morbidity and mortality. Changes in definitions, an expansion of the spectrum of causes, variation in interventions and guidelines and lack of innovation are some of the issues that pose ongoing challenges for meaningful risk reduction. What is the most common cause of obstetrical hemorrhage and first line management? What are priority nursing interventions for postpartum hemorrhage? Protocols should provide a standardized approach to evaluate and monitor the patients. A standard protocol must be recognized by the institution and must be accepted and known by all team members. Is it time for a more personalised approach?Here in this chapter reader may find current approaches in obstetric hemorrhages including etiology, pathophysiology, symptoms, signs, diagnosis & prognosis with the help of international quality articles published mostly in the last few years.