The incidence of cesarean hysterectomy, defined as hysterectomy associated with cesarean delivery, is reported to occur in approximately 71–82 cases per 100,00 deliveries worldwide. The prevalence of cesarean hysterectomy is directly related to the increasing incidence of cesarean delivery which is now performed in at least 30% of all births [1]. The most common indication for cesarean hysterectomy is maternal hemorrhage associated with uterine atony (35.3% of cases), placental accreta spectrum (34.8% of cases), and uterine rupture/trauma [2, 3]. Uterine atony is the most common cause of hemorrhage although abnormal placentation is increasingly recognized as a key contributor.