Inclusion Criteria:  • Diagnosed sonographically to have placenta accreta spectrum.  Pregnancy is singleton and fetus is alive. Elective caesarean section done at 36-38 gestational weeks.  Exclusion Criteria:  • Patients requesting hysterectomy.  Coexisting uterine pathology such as fibroids or gynaecological malignancies. Patients with bleeding diathesis. Morbid obesity of BMI >40. Patients having labour pains or vaginal bleeding before scheduled intervention.