Abstract : Postpartum hemorrhage is an obstetric emergency, and conservative management of the hemorrhage is gaining popularity. Uterine compression sutures are considered to have high effectivity when it comes to uterus preservation. We are reporting a case in which uterine compression sutures were successfully used to control hemorrhage and preserve uterus in a 22-year-old primigravida at 35 weeks of gestational age with uterine atony after an emergency cesarean section due to severe pre-eclampsia and intra-uterine fetal death (IUFD). We did a series of post-operation examination and no synechia nor uterine necrosis were present. The patient had her first menstruation two months post-operation.