Placenta Accreta-No More a Rare Occurance

INTRODUCTION - Placenta accreta, once a rare occurrence is now becoming an increasingly common complication of pregnancy mainly due to increasing rate of caesarean deliveries. AIMS AND OBJECTIVES Of this study is to determine the incidence, the causes, the risk factors of increasing rate of placenta accreta and to evaluate its outcome. MATERIALS AND METHODS It is a prospective study of patients presenting to department of OBG, Osmania medical college and hospital, Hyderabad, between 1-07-2016 to 1-11-2016. RESULTS- The incidence of placenta accreta in our study is 1 in 510, majority of which are associated with previous two LSCS and placenta previa. Thus we identify that the major risk factors for placenta accreta are 1. Increasing order of prior caesarean deliveries 2. Previous caesarean with a coexisting placenta previa 3. scared uterus CONCLUSION In our study with proper anticipation, analysis and antenatal assessment we made prenatal diagnosis of placenta accreta in all the cases, this provided us a golden opportunity to make a planned multidisciplinary team approach for its management and achieve no mortality and acceptable morbidity. Hence antenatal diagnosis of the condition gives us prepaidness.