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.