Adherent placenta at unscarred site of uterus in previous caesarean section

Adherent placenta is not a rare association with previous caesarean it usually presents with vaginal bleeding during difficult placental removal in 3rd stage of labour. Increasing incidence is due to increasing caesarean rates. Pathogenesis of placenta accreta in cases of women with previous caesarean section is believed as defective decidualization, abnormal maternal vascular remodelling, excessive trophoblastic invasion or a combination occurring at uterine scar site .Placenta accreta is an obstetrical complication associated with significant maternal morbidity and mortality .Adherent placenta at unscarred area is a rare presentation. Antenatal diagnosis of morbidly adherent placenta is key to save the women’s life.