{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T16:06:21Z","timestamp":1768925181110,"version":"3.49.0"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>This case report describes a 38-year-old woman in whom a primary caesarean section for placenta previa was complicated by postpartum haemorrhage due to a placenta accreta. Despite tamponade with a Bakri balloon and placement of a B-Lynch suture, the amount of blood loss could not be effectively reduced. The blood loss was eventually minimised by the placement of a Penrose drain around the cervix as a cervical tourniquet. We think that a cervical tourniquet is an effective method of stopping haemorrhage during caesarean section, as shown in this case report, and we consider this technique to be a valuable addition to several existing methods through which fertility is preserved by preventing emergency hysterectomy.<\/jats:p>","DOI":"10.1136\/bcr-2013-009237","type":"journal-article","created":{"date-parts":[[2013,4,22]],"date-time":"2013-04-22T14:30:28Z","timestamp":1366641028000},"page":"bcr2013009237","source":"Crossref","is-referenced-by-count":2,"title":["Cervical tourniquet in case of uncontrollable haemorrhage during caesarean section owing to a placenta accreta"],"prefix":"10.1136","volume":"2013","author":[{"given":"Q C A","family":"Huijgen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A F","family":"Gijsen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E","family":"Hink","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P J M","family":"Van Kesteren","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,4,22]]},"reference":[{"key":"2025042707373328000_2013.apr22_1.bcr2013009237.1","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1080\/00016340601088448","article-title":"Emergency obstetric hysterectomy","volume":"2013","author":"Daskalakis","year":"2007","journal-title":"Acta Obstet Gynecol Scand"},{"key":"2025042707373328000_2013.apr22_1.bcr2013009237.2","doi-asserted-by":"crossref","first-page":"65.e1","DOI":"10.1016\/j.ajog.2011.07.041","article-title":"The combination of intrauterine balloon tamponade and the B-Lynch procedure for the treatment of severe 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