Introduction :Delivery haemorrhage remains the leading cause of maternal mortality in Morocco [1] . It is an obstetric emergency that requires rapid, effective and multidisciplinary care In cases of severe post-partum haemorrhage that is resistant to medical treatment, progress in interventional radiology and especially surgical techniques have provided safe and effective alternatives to haemostasis hysterectomy. Over the last ten years, uterine compression techniques have been described and integrated into the therapeutic arsenal against post-partum haemorrhages. However, their evaluation in the literature is still weak.We report a rare case of uterine necrosis following a combination of uterine compression sutures and vascular ligation.