Jiang L, et al. - For controlling refractory postpartum hemorrhage (PPH) in vaginal delivery, researchers presented a noninvasive procedure of bilateral cervix apex clamping (BCAC) procedure as a new second-line therapy for refractory PPH. To arrest bleeding after the failure of the first-line therapy for PPH, the anterior and posterior walls of the cervical apex are clamped using toothless ovum forceps during the procedure. Of 13,359 vaginal deliveries from January 1, 2016, to May 31, 2018, 44 women underwent BCAC. As per outcomes, the BCAC may lead to reduction in the incidence of severe PPH (0.27%) and reduction in the necessity of intrauterine balloon tamponade (3/13,359 0.22%), uterine artery embolization (0/13,359) and even the exploratory laparotomy hysterectomy (1/13,359). Given its efficacy, convenience, low cost, and noninvasiveness, they support considering this procedure as a new second-line noninvasive treatment for PPH.