Placenta accreta is the dysfunctional attachment of the entire placenta or segments of the placenta into the uterine wall. this attachment results placental embedment into the uterine wall and resulting impediment of placental detachment. The resulting impact on maternal-fetal risk is multifaceted and is compounded by the commonly co-occurring placenta previa. In general, maternal morbidity significantly increases in the presence of placenta accrete. Specifically, poor outcomes associated with the dual diagnosis of placenta previa and accrete are preterm birth, low birth weight, maternal-fetal hemorrhage, surgical damage involving the urinary tract, and cesarean hysterectomy.