Placenta accreta spectrum and placenta praevia are a significant cause
of obstetric haemorrhage, maternal morbidity and mortality worldwide. We
report a novel surgical technique, which pre-emptively and
prophylactically reduces intrapartum bleeding during caesarean sections
for these conditions and hence reducing the risk for a caesarean
hysterectomy. This technique is particularly useful in low resource
healthcare settings where interventional radiology is not readily
available and where the woman is keen on uterine preservation. In this
report we present the surgical and clinical outcomes of a case series of
16 patients on whom this technique was piloted demonstrating its
feasibility and safety.