To evaluate angiography performance of hemorrhage after cesarean section and clinical efficacy of uterine artery embolization for bleeding after cesarean section.

Data of 26 patients with cesarean section bleeding, their bleeding was from 500 ml to 2500 ml. 4F Cobra catheter were selected to the uterine artery through the femoral artery puncture under local anesthesia. Gelatin sponge particles were used to embolize uterine artery branches And Gelatin sponge bricks/sticks were used to embolize uterine artery. After embolization, the catheter was selected to the internal iliac for angiography to confirmed embolizing successfully.

The patients were one-time intubation success. Twenty-five patients stop bleeding after embolization in 48 h. The preoperative and postoperative hemoglobin (HGB) were (65.3±7.4)g/L and (83.5±5.6)g/L, there was no statistical different between the two (P<0.01) and no serious complications. Patients with uterine artery embolization leave hospital 1—8 days later, average of 3.9±2.2 days.

Uterine artery embolization for hemorrhage after cesarean section is trauma small, high success rate, fewer complications, shorter hospital stay, and greatly reduce the medical risk. It is worthy of wide popularize.