Objective: To assess the effectiveness of bilateral uterine artery ligation followed by B-Lynch compression
suturing in women with atonic postpartum hemorrhage and placental site bleeding due to adherent placenta
accreta. Method: This protocol was followed in 26 women undergoing cesarean delivery for placenta accreta.
Results: Two women died from disseminated intravascular coagulopathy. In the remaining 24 women,
placental remnants completely disappeared within 8 months and ovulation resumed after a mean±SD of
51.6±3.2 days. Moreover, 18 women (75%) became pregnant within 12 months. Conclusion: Atonic postpartum
hemorrhage and placental site bleeding due to adherent placenta accreta can be safely controlled by
bilateral uterine artery ligation followed by B-Lynch compression suturing in women who desire to remain
fertile.