Bilateral Uterine Artery Ligation in Reducing Incidence of Postpartum Hemorrhage in Cesarean Section

Inclusion Criteria: * Women with one or more of the following conditions undergoing cesarean section for obstetric indication were included: * Maternal anemia (not less than 7 gm %). * Macrosomic baby \>4kgs. * Twin pregnancy and high order pregnancy. * Polyhydramnios. * Grand multipara. * Previous history of atonic postpartum hemorrhage. * Prolonged vaginal delivery. * Emergency cesarean. * Chorioamnionitis. Exclusion Criteria: * \- Placenta previa. * Patients with bleeding tendency (congenital or acquired) * Ante-partum hemorrhage. * Patients with no risk for uterine atony.