Inclusion Criteria:  Any age. Any parity. Previous one or more cesarean delivery. Placenta previa accreta diagnosis confirmed by gray scale & color flow Doppler ultrasound in 3rd trimester. All participants had undergone abdominal ultrasound showing placenta previa anterior completely covering the internal os, with criteria suggestive of invasion by U/S  Exclusion Criteria:  women with medical disorder women with bleeding tendency