The Mostafa Maged hemostatic flipping-over technique to control and prevent the post-partum bleeding from the lower uterine segment in placenta previa cases

Mostafa Maged Ali


Post-partum hemorrhage is still a headache to all obstetricians around the whole world. Every obstetrician exerts his own full effort to control bleeding which can occur post-partum by applying all maneuvers to preserve the fertility and the uterus for the patient. We demonstrate a new technique (Mostafa Maged) technique to control and prevent post-partum hemorrhage. It is so simple maneuver and easy to be applied within short period of time. Satisfactory hemostasis can be assessed after application. The aim of this technique is to see the Success in Controlling and prevention of the bleeding from placenta previa cases from lower uterine segment. The average duration of this new technique is (5-7) minutes. The results have shown that the hysterectomy done to one patient with new technique (1/13) (7.6%) cases because of the uncontrollable bleeding, blood was creeping down from the flipped sutured lower uterine segment. All of patients are introduced to the operating room as first-time cesarean section. One patient (7.6%) out of thirteen patients were tachycardiac post-operatively due to the more loss of blood as the new (Mostafa Maged) technique took a long time in these two patients (8 minutes). The tests of success were expected if hemostasis is done by the bimanual compression at first place.


Post-partum hemorrhage, Placenta previa, Lower uterine segment, Cesarean section, Mostafa Maged technique

Full Text:



Anderson-Bagga FM, Sze A. Placenta Previa. In: StatPearls. Treasure Island (FL): StatPearls Publishing. 2021.

Bhide A, Thilaganathan B. Recent advances in the management of placenta previa. Curr Opin Obstet Gynecol. 2004;16(6):447-51.

Wormer KC, Jamil RT, Bryant SB. Acute Postpartum Hemorrhage. In: StatPearls. Treasure Island (FL): StatPearls Publishing. 2021.

Maswime S, Buchmann E. A systematic review of maternal near miss and mortality due to postpartum hemorrhage. Int J Gynaecol Obstet. 2017;137(1):1-7

Oya A, Nakai A, Miyake H, Kawabata I, Takeshita TJ. Risk factors for peripartum blood transfusion in women with placenta previa: a retrospective analysis. Nippon Med Sch. 2008 Jun; 75(3):146-51.

Lee HJ, Lee YJ, Ahn EH. Risk factors for massive postpartum bleeding in pregnancies in which incomplete placenta previa are located on the posterior uterine wall. Obstet Gynecol Sci. 2017;60(6):520-6.