Department of Obstetrics, Medical College, Tikrit University


Background: placenta accreta is still a major cause of obstetric hemorrhage. It is a potentially life-threatening obstetric condition that requires a multi-disciplinary approach to management. The incidence of placenta accreta has increased and seems to parallel the increasing cesarean delivery rate. The diagnosis is occasionally discovered at the time of delivery. In general, the recommended management of suspected placenta accreta is planned cesarean hysterectomy. Recently, some authors have proposed conservative treatmentas an alternative to preserve fertility. However, surgical management of placenta accreta may be individualized. Methods: A, descriptive study was undertaken over a period of 15 months in (Salah Aldin Teaching Hospital. Tikrit. Iraq) of all diagnosed cases of adherent placenta intraoperative. Two alternatives are caesarean section with subsequent immediate hysterectomy, which has traditionally been the treatment of choice or if the patient wishes more children, excision of the placenta site with internal iliac ligation. Results: 34 cases adherent placenta diagnosed introperative were identified. All patients underwent emergency caesarean section. 26 patients had excision of placental site, 8 patient's required obstetric hysterectomywere noted. Conclusion: Placenta accreta can be manged conservatively to preserve fertility