A novel approach to Hayman suture technique in the management of severe postpartum hemorrhage: Three vertical uterine compression sutures

To reduce maternal morbidity and mortality due to bleeding caused by uterine atony, a simple and effective procedure that can be easily applied even junior physicians is required. Two vertical sutures are transfixed, one on each side of the lower uterine segment, from anterior to posterior over the bladder reflection avoiding the endometrial cavity, and tied over the fundus. Similarly, a third is placed between the two vertical sutures at the same level and tied in the middle of the fundus. We report a novel approach of using three vertical compression sutures in 25 women without requiring hysterectomy except one.