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Long transports from home or primary health care facilities, a dearth of skilled providers, and lack of intravenous fluids and\/or a safe blood supply often create long delays in instituting appropriate treatment. We review the evidence for active management of third\u2010stage labor and for the use of specific uterotonics. New strategies to prevent and manage postpartum hemorrhage in developing countries, such as community\u2010based use of misoprostol, oxytocin in the Uniject delivery system, the non\u2010inflatable antishock garment to stabilize and resuscitate hypovolemic shock, and the balloon condom catheter to treat intractable uterine bleeding are reviewed. 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