Inclusion Criteria:  Age group 28:42 years. Pregnant women in their late third trimester (34 0/7 weeks: 37 0/7 weeks). With a single living fetus in the current pregnancy. A previous delivery by at least 1 cesarean section or history of uterine surgery including (surgical evacuation, myomectomy or endomertrial ablation) Having an anterior placenta previa or anterior low-lying placenta by ultrasound assessment.  Exclusion Criteria:  Cases with a non-previa placenta, posterior low lying placenta or posterior previa placenta. Maternal chronic medical disorders( DM, HTN) Patients presented with severe attack of bleeding. Patients presented with rupture of membrane. Emergency delivery regardless the cause.