Abstract: Among 19 cases of emergency cesarean hysterectomy the indications of 18 cases was uterine hemorrhage, 15 cases were cesarean section (CS) and 3 eases were vaginal delivery (VD). It has been shown that CS is the high risk factor of emergency obstetrical hysterecto-my. Blood loss of VD was more than CS and leaded easier to maternal death. The first rea-son of uterine bleeding was some kind of abnormal placenta related to frequent abortion. The indication of one case was amnion fluid embolism who died because operation was per-formed too late. It was pointed that if bleeding still couldn’ t be coltrolled through counti-nous, fast and systematical treatment including primary, formal and special therapies in the compensatory period hysterectomy should be done immediately and decisively.

Key words: hysterectomy, cesarean section, uterine bleeding maternal death