Introduction: Uterine hemorrhage is a common problem at the time of caesarean section especially in a repeat caesarean section and when the operation is performed for placenta praevia.
Case report and discussion: We present the case of a 28 year old woman undergoing a repeat emergency caesarean section for scar tenderness. She had excessive hemorrhage from the incision site that could not be controlled by traditional management including intravenous oxytocin and ergometrine, intramyometrial prostaglandin and local hemostatic sutures, but was successfully controlled with topical oxidized regenerated cellulose absorbable hemostat.