Inclusion Criteria:  Patients aged 20-40 years old. Pregnant females with previous CS deliveries (at least 1) diagnosed with focal or partial PAS (placenta accreta/increta/percreta) candidate for 3rd trimester cesarean delivery. Patients wishing uterine conservation to preserve fertility. Gestational age: > 28 weeks confirmed by the 1st day of the LMP or 1st trimesteric ultrasound scan. Singleton pregnancies. CS under general anesthesia.  Exclusion Criteria:  Maternal Anemia (hemoglobin < 10 g %). Chronic or pregnancy induced medical disorders (e.g., cardiac, renal, DM and hepatic diseases). Patients presented with severe antepartum hemorrhage. Patients requested radical management (caesarean hysterectomy). Fetal death (IUFD). Fetal anomalies or IUGR (estimated fetal weight below the 5th centile). Women attending for emergency CS. Patients found to be suffering from placenta previa or total placenta accreta