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The B-Lynch brace suture technique is a life-saving procedure. It is a simple and safe alternative to hysterectomy. Thus, it preserves fertility with less surgical morbidity. In this case series, we evaluated the use of a novel modification of the B-Lynch brace suture to minimise its potential reported complications. Five women with intractable primary atonic postpartum haemorrhage were reported. They were initially managed with bilateral uterine artery ligation. The procedure was resorted to women who did not respond to ligation. The procedure is efficient. Women were followed up for up to 24 months to report any complications.

Cesarean section for obstructed labor remains a difficult procedure that may be associated with serious fetal and maternal injuries. In this case series, we evaluated the use of abdominal disimpaction with lower segment support as a novel technique to minimize morbidities. Eight patients who underwent cesarean section for obstructed labor were recruited. Impacted fetal head was delivered using this technique and uterine extensions, bladder injury, vaginal injury, and intraoperative bleeding were reported. Maternal and neonatal outcomes were observed postoperatively. No major morbidities were reported. Accordingly, we consider this technique as a promising step to minimize complications during cesarean section for obstructed labor.

Placenta accreta/percreta is a serious cause of intractable post-partum haemorrhage during caesarean section and acommon cause of peripartum hysterectomy. In this case series, we evaluated the use of multiple 8 sutures as a novelprocedure to preserve the uterus in these cases. Seven women with placenta accreta/percreta were initially managed withbilateral uterine artery ligation. The procedure was resorted to in cases that did not respond to ligation (five women).Women were followed up for up to 24 months to report complications.Key words: multiple 8 suture, placenta accreta, post-partum haemorrhage, transverse lower uterine segment suture.