{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T17:09:46Z","timestamp":1791824986117,"version":"4.3.4"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T00:00:00Z","timestamp":1771286400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T00:00:00Z","timestamp":1771286400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Uterine compression sutures are widely used for postpartum hemorrhage, but conventional techniques might be less effective for bleeding from the lower uterine segment in placenta previa. The Nausicaa suture has shown efficacy; however, concerns regarding uterine ischemia remain. We describe a modified Nausicaa compression suture (MNCS) designed to minimize ischemic risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>This single\u2010center, retrospective observational study included women with singleton pregnancies complicated by placenta previa or low\u2010lying placenta who underwent cesarean delivery between 2018 and 2024. MNCS is a localized uterine compression suture in which U\u2010shaped sutures are placed directly above and below the bleeding point of the lower uterine segment from the serosal side of the anterior or posterior uterine wall, without compressing both walls or penetrating the endometrial cavity. MNCS was applied in cases of persistent bleeding at the placental attachment site.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>MNCS technique was applied in 45 women during cesarean section; 11 required additional hemostatic procedures. Among the 34 women managed with MNCS alone, the median blood loss was 728\u2009g (range, 250\u20132600\u2009g), and the median skin\u2010to\u2010skin operative time was 39\u2009min (range, 26\u2013104\u2009min). No short\u2010term postoperative complications were observed, and eight women subsequently achieved pregnancy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Despite the limitations of a retrospective, single\u2010center design without a control group and possible selection bias, MNCS appears to be a simple and safe initial hemostatic option for bleeding from the lower uterine segment in placenta previa.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.70871","type":"journal-article","created":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T11:48:32Z","timestamp":1771328912000},"page":"749-757","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Modified Nausicaa compression suture for lower\u2010segment bleeding in placenta previa and low\u2010lying placenta: A retrospective case series"],"prefix":"10.1002","volume":"174","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-3652-4128","authenticated-orcid":false,"given":"Haruhiko","family":"Shimizu","sequence":"first","affiliation":[{"name":"Department of Gynecology and Obstetrics Seirei Hamamatsu General Hospital  Shizuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeshi","family":"Murakoshi","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Seirei Hamamatsu General Hospital  Shizuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kentaro","family":"Iga","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Seirei Hamamatsu General Hospital  Shizuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiguna","family":"Sei","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Seirei Hamamatsu General Hospital  Shizuoka 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