الفهرس 
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Abstract
This study included 43 female patients with history of placenta accreta spectrum who were conservatively managed. It was designed as an interventional study to assess the potential outcomes. Cervical advancement was performed on all instances as a treatment for placenta accreta spectrum.
The objective of this research was to assess the condition of the cervix, uterine cavity, and the occurrence of postoperative complications in instances of placenta accrete spectrum after cervical advancement using a hysteroscope.
The hysteroscopic examination of the patient revealed the following findings: 69.8% had cervical stenosis, 11.6% had intrauterine adhesions (2.3% had severe adhesions, 2.3% had moderate adhesions, and 6.97% had mild adhesions), 4.7% had endometrial scarring, 16.27% had irregularities in the uterine cavity, and 20.9% had scar niches.
● A positive correlation was observed between the development of cervical stenosis and the duration of CS.
● There was a statistically significant negative correlation between the development of cervical stenosis and scar thickness, while a strong significant negative correlation was found between the development of cervical stenosis and endometrial thickness.
There was a insignificant negative correlation seen between the duration of caesarean section (CS) and scar thickness as measured by ultrasound (US). Similarly, there was also a negligible negative correlation between the duration of CS and endometrial thickness as measured by US.
● There was a weak positive correlation between the development of intrauterine adhesions and the duration of caesarean section (CS), but it was not statistically significant. Similarly, there was a positive correlation between the development of intrauterine irregularity and scar niche and the duration of CS, but it was also not statistically significant.
● There was a negative correlation between the development of intrauterine adhesions and cervical length and scar thickness, but it was not statistically significant. However, there was a weak positive correlation with endometrial thickness, although it was also not statistically significant.
● There was a strong negative correlation between the development of uterine cavity irregularities and endometrial thickness, and a statistically significant negative correlation with scar thickness. There was a weak positive relationship with cervical length, but it was not statistically significant.
● There was a strong negative correlation between the development of scar niche and cervical length, but it was not statistically significant with other variables.