Uterine compression suture (UCS) has become widely acknowledged as an effective measure to achieve hemostasis mainly for atonic bleeding. UCS was effective in performing cesarean hysterectomy. Unresponsive to uterotonics, UCS was performed, which did not achieve hemostasis, with bleeding amount of 7000 mL. Peripartum (cesarean) hysterectomy was performed without any difficulty. UCS compressed the uterus or at least prevented the uterine cavity from filling with a large amount of blood.