Reducing intraoperative lower segment blood loss in placenta previa with Ashok Anand stitch

Ashok R. Anand, Deepti Gupta, Anju Prasad


Background: To avoid the need for blood transfusions and reducing complications in cases of placenta previa during cesarean section delivery by a new simple innovative technique developed by Dr ASHOK ANAND known as Ashok Anand’s stitch.

Methods: This stitch is based on the reasoning that taking the stitch bilaterally occludes the collaterals supplying the lower segment. As these are end arteries, their occlusion causes hemostasis in the lower segment. Sample size: 20 cases in each study group. Blood loss was estimated by standardized visual method (fixed container and mop).

Results: By applying this technique in 20 cases, there was significant reduction in the blood loss compared to the control group, thereby reducing the need for blood transfusion (p value <0.05).

Conclusions: Ashok Anand’s stitch is a simple and effective technique in controlling lower segment bleeding in cases of placenta previa during cesarean section thus avoiding the need for blood transfusions for operative blood loss and obstetric hysterectomy. The technique is easy to apply, less invasive and does not require any special instruments. It can be life-saving.


Postpartum hemorrhage, Placenta previa, Lower segment bleeding

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