Objective: was to determine the safety and effectiveness of transabdominal ultrasound guided uterocervical packing with cervical clamping to control intractable postpartum uterine hemorrhage due to uterine atony. Method: Retrospective study in private set up. Inclusions: Patients delivered either vaginally or by caesanan section that developed primary or secondary postpartum hemorrhage due to uterine atony, refractory to conventional medical treatment. On the way to control PPH in this unit, initially all had been subjected to uterine gauze packing. Patients were divided into 2 groups depending on the method of uterine packing used.