Back Ground: Postpartum hemorrhage (PPH) continues to be the leading direct cause ofrnmaternal mortality worldwide.rnObjective: To determine maternal and perinatal outcomes in mothers who had postpartumrnhemorrhage.rnMethods: A facility based retrospective cross-sectional study was conducted on all women whorncame to Black Lion Hospital, with a diagnosis of PPH during the five years, from Jan.1, 2009 tornDec.30, 2013 GC. Data were collected using a structured questionnaire from the mothers andrntheir neonateâ€™s charts and labor ward reporting log book .Data were collected by the principalrninvestigator and trained labor ward nurses.rnResults: There were 12,995 deliveries at TASH during the five year. Generally there were 185rncases of PPH who delivered in Black Lion Hospital as well referred from other health facilitiesrnwhich makes the magnitude of 1.4% during the five year. However, 160 cases of PPH whosernmedical charts were retrieved were used for its completeness.rnThe maternal age of the study population was ranging between 17 and 44 years with mean agernof 28.56 years. Most of the post partum women who had PPH, 105(65.6%) were from AA andrnthe remaining were out of AA.rnConclusionrnThe magnitude of PPH was 1.4% during the study period and it was associated withrnsignificant maternal and perinatal complications. Retained placenta or conceptus materialrnwas the most leading cause for PPH in this study which accounts for 37.5%. Shock andrnsevere anemia were the most common complications they were encounters.