INTRODUCTIONPostpartum haemorrhage(PPH) is the leading cause of maternal mortality worldwide1 with about 35% of all maternal deaths globally attributed to it2 and the adverse effects more severe in the developing countries3. An African woman’s lifetime risk of dying from pregnancy-related causes is about 100 times higher than that of a woman in a developed country3. Every year, about 14 million women around the world suffer from postpartum haemorrhage4 with uterine atony being the leading cause of postpartum haemorrhage whatever the mode of delivery. Its severe forms are often unexpected and may occur in the absence of recognized risk factor5. Postpartum heaemorrhage occurs in 4-6% of deliveries6and it is severe in 1 to 2 percent of life births7.There are many management modalities for postpartum haemorrhage ranging from the conservative use of drugs like oxytocin, misoprostol etc to prevent it to more conservative uterine sparing surgeries and finally hysterectomy as the final treatment8,9. Uterine compression sutures have been shown to be effective in the management of postpartum haemorrhage10,11 with reported success rates ranging from 76% to 100% with an added advantage of preservation of the uterus12,13. This makes them proven as essential treatment options for postpartum haemorrhage.Apart from the B- Lynch sutures first reported in 199717, various methods of uterine compression sutures have been proposed and have yielded good outcomes with success rates of 76-100%12. In August 2020, the Esike’s technique of uterine compression method was published as a new, safe, simple and effective treatment for massive life-threatening postpartum haemorrhage5. Its use preserves the uterus and the success rate is 89 percent15.Despite the impressive effectiveness and safety of uterine compression suture methods, concern has been raised in some quarters concerning its safety and preservation of fertility. A few studies have reported that use of uterine compression sutures can lead to changes in fertility that might have effect on subsequent pregnancies16-18. This has made it imperative for any pregnancy outcome from such methods especially new ones like the Esike’s technique to be reported to the scientific community since subsequent pregnancies in women desiring more pregnancies is about the surest way of confirming, not just the safety and effectiveness of such methods, but also the usefulness of the preservation of the uterus that is amongst many other advantages that are inherent in the uterine compression methods of combating postpartum haemorrhage. We report a successful pregnancy outcome in a multipara with one previous caesarean section then who had placenta praevia type 4 and subsequently delivered by repeat caesarean section in her last pregnancy on 14 June 2017 and subsequently had life-threatening PPH that was controlled with the Esike’s technique with preservation of her uterus. She conceived and successfully delivered a life 3.7kg male baby with good outcome at term.