Introduction: Despite improvements in health, maternal mortality remains a global public health problem. The haemorrhages of the third trimester are still responsible for a heavy mortality. Objectives: Contribute to the study of immediate postpartum hemorrhages (PPH) at the maternity department of Nabil Choucair Health Center (NBHC). Methodology: It was a retrospective descriptive and analytical study on cases of PPH treated between of January 1st, 2011 and December 31th, 2015 at the maternity department of NBHC. We included any patient who was being cared for in the maternity waedfor a PPH. We studied the sociodemographic characteristics of the patients, identified etiological factors and evaluated treatment and prognosis. Results: The frequency of PPH was 1.1%. The mean age of the patients was 27.5 years. Primiparas (34.3%) and pauciparas (33.3%) were the most affected. The main etiologies of PPH were traumatic lesions (39.6%), uterine atony (31%) and retained placenta (25.2%). Medical management was based on resuscitation using filling fluids, transfusion (22.4%) and administration of oxytocin (51.4%) and prostaglandin analogs associated with oxytocin (48.6%). Obstetrical care consisted of uterine revision and uterine massage (59.8%), uterine revision alone (20.4%) and uterine revision, uterine massage and sandbag placement (19.1%). The mechanical means were mainly represented by intra-vaginal tamponade (69.2%) and intrauterine tamponade (24.4%), including 2 with the balloon. The surgical treatment included 18 hemostasis hysterectomies (13.1%) and 118 (85.5%) restorative sutures. The main maternal complication of PPH was anemia (71%). The lethality related to PPH was 6.8% with 14 deaths including 7 from blood clotting disorders. Conclusion: The diagnosis and precise estimation of postpartum hemorrhage are the basic elements of the course to be taken.