| Atonic postpartum hemorrhage |
| Uterine laceration or rupture |
| Postpartum hemorrhage secondary to abruption or placenta previa |
| Morbidly adherent placenta |
| Post-abortion bleeding |
| Abdominal pregnancy with pelvic implantation of the placenta |
| Bleeding secondary to cervical or cesarean scar pregnancy |
| Before hysterectomy when all conservative measures have failed |
| High risk for recurrent postpartum hemorrhage Jehovah’s Witnesses with high risk for postpartum hemorrhage |
| Traumatic postpartum hemorrhage from the genital tract like the vagina and cervix |
| Gynecological indications |
| Significant bleeding from the broad ligament |
| Profuse bleeding from the pelvic sidewalls |
| Gynecological oncological procedures like radical hysterectomy or exenteration |
| Large tumor at the deeper part of the pelvis |
| Non-gynecological indications |
| Profuse pelvic bleeding without an identifiable vascular bed |
| Profuse pelvic hemorrhage from fracture of pelvis or gunshot injury to the pelvis |
| During endovascular repair of aortoiliac arterial aneurysms |
| Supra-levator hematoma not responding to conservative management |
