Background: Obstetric hemorrhage is major cause of maternal mortality worldwide. In India obstetric hemorrhage constitutes 38% of maternal deaths. BIAL is advocated as effective means of controlling severe obstetric hemorrhagepreventing maternal mortality and morbidity. Aims: To study effectiveness and outcome of BIAL IN severe obstetric hemorrhage as therapeutic measure. Setting & Design: The present study is carried out Dept of obs/gynae, Govt medical college. It is a retrospective observational study done among patients who have undergone BIAL as therapeutic measure to control severe obstetric hemorrhage. Methods: The study was conducted from January 2011 to January 2016. universal sampling done. Data of 25 patients collected in prestructured questionnaire, collected data analysed using MS Excel software. Statistical Analysis: Frequency analysis done for study variables. Results: During this 5 yr period BIAL was done in 25 patients. 40 % of the patients were from the age group of 25-29 yrs,36% patients were primipara and 28% patients were grand multipara. In Maximum no of patients BIAL was done patients for atonic PPH (32%), followed by for rupture uterus (20%). The effectiveness of BIAL was 92% & uterus conservation was 72%,with no major complication encountered. Conclusion: Early & prompt decision of BIAL in severe obstetric hemorrhage is very effective as therapeutic measure to save life as well as to preserve fertility of the patients.

Keywords: BIAL; Severe Obstetric Haemorrhage; North Maharashtra