Hypogastric artery ligation reduces the mean pressure and blood flow rate in the pelvic circulatory system, thereby reducing pelvic bleeding. Hypogastric artery ligation is often indicated for the management of blood loss in obstetric emergencies and many other situations.

Postpartum haemorrhage is a major life-threatening risk to the mother. This is an obstetric emergency, requiring resuscitation and active intervention. Partial hysterectomy and hypogastric artery ligation are options if medical treatment is ineffective.