الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Placenta accreta is a serious pregnancy condition that occurs when the placenta grows too deeply into the uterine wall. It is considered a high-risk pregnancy complication. Maternal morbidity and mortality can occur as a result of severe and sometimes fatal hemorrhage, which frequently necessitates blood transfusion.
Although ultrasound evaluation is important, the absence of ultrasound findings does not preclude a diagnosis of placenta accreta spectrum; thus, clinical risk factors remain equally important as predictors of placenta accreta spectrum.
A multidisciplinary team, blood bank, and an intensive care unit are required to manage placenta accreta in a tertiary care center.
There are numerous strategies for managing cases of placenta accreta, including conservative and radical management.
In our study, all 75 cases underwent conservative management with myometrial resection.
The aim of our work was to assess the pattern of uterine involution after conservative management of placenta accreta and to detect by ultrasound any postoperative complications that might develop during this involution process of the uterus. Our study concluded that the incidence of placenta accreta increases with advancing maternal age and gravidity. After evaluating and monitoring our cases for 40 days postoperatively during the puerperium, we observed that the uterine involution process followed typical physiological processes, and in case of some complications, most of them resolved completely by the end of puerperium, and the sutures for myometrial repair dissolved without complications. Hematomas were found related to the uterine scar sutures, and most of them resolved during puerperium when the measurement of the uterus and its position went through the normal involution process. Cesarean scar defects are common in any caesarean section and in the uterus with placenta accreta and need to be followed up to see the long term outcome.