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Abstract Placenta accreta is considered a severe pregnancy complication that may be associated with massive and potentially life-threatening intrapartum and postpartum hemorrhage(9). Life-threatening bleeding is the most common complication to be associated with this condition; the average blood loss at time of delivery is reported to be 3000–5500 mL, which leads to significant postoperative morbidity and death(10). Postpartum hemorrhage, adjacent organ injury, ileus, infection, and thromboembolic complications are all markedly increased in the presence of invasive placentation, leading to increased rates of maternal morbidity(11). In several recent studies invasive placentation has replaced uterine atony as the leading indication for peripartum hysterectomy(12).It has become the leading cause of emergent hysterectomy. Maternal morbidity had been reported to occur in up to 60% and mortality in up to 7% of women with placenta accreta. In addition, the incidence of perinatal complications is also increased, mainly due to preterm birth fetuses(13).Aim of our study is:• To compare the effectiveness of transverse B-Lynch compression suture and hystrectomy as a lines of management placenta accretaThe results showed the following: ConclusionTransverse B-Lynchis effective method for conservative management of placenta accreta& associated with less blood loss, need for blood transfusion adjacent organ injury, need for post- operative ICU admission, Hospital staycompared with hysterectomy. |