ABSTRACT Immediate postpartum hemorrhage (IPH) is one of the leading causes of maternal death in developing countries and is defined as blood loss of more than 500 ml within 24 hours of delivery. It is often aggravated by delays in recognition, management and referral of patients. This study aimed to determine the prevalence, causes and management modalities of IPH at the maternity ward of Savè Zone Hospital in 2025. We conducted a retrospective descriptive study over a period of 15 months. All records of women who gave birth in the maternity ward of the zonal hospital from January 2024 to March 2025 were included in the study. A total of 30 records of women who presented with HPPI were retained. Data were collected from medical records and analyzed descriptively with R software versions 4.4.2. Qualitative variables were expressed as percentages and quantitative variables as means with their standard deviations. Out of a total of 1169 deliveries recorded during the period, 30 women had Immediate Postpartum Hemorrhage, a prevalence of 2.56%. The average age of patients with postpartum hemorrhage is 27.13 years ± 6.40 years, with extremes of 17 and 44 years. The average gestation observed in this study was 3.56 ± 2.04, with extremes ranging from 1 to 8. The average parity is 3.06 ± 2.09. The average number of prenatal consultations (CPN) carried out by the women surveyed was 3.03 with a standard deviation of 2.14. 66.67% were referred from another health facility. Uterine atony is identified as the main cause of PPH, followed by birth canal trauma. The majority of patients are successfully managed with the use of oxytocics and other medical interventions. HPPI is a major obstetric emergency and remains one of the leading causes of maternal mortality. It occurs within 24 hours of delivery and requires rapid and effective management. Its prevention relies on active management of delivery and identification of risk factors. Keywords: HPPI; prevalence, associated factors; HZ Savè