الفهرس 
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Abstract
This study was carried on sixty pregnant women with placenta previa (after 34 weeks gestation). They were recruited from the Obstetrics and Gynecology clinics of Menoufia university hospitals and Shebin El kom teaching hospital in the period from January 2016 to December 2017. This prospective study aimed to evaluate the role of placenta accreta index in predicting placental invasion in patients with placenta previa. The mean age of the patients was 29.97 ± 5.142 years. The mean gravidity among the patients was 2.917 ± 1.749 pregnancies while the mean parity was 2.15 ± 1.65 labors. Abortion occurred in 32 patients (53.33%) while history of previous D&C was found in 33 patients (38.33%) and previous history of CS was found in 52 patients (78.67%). 29 patients (31.67%) had previous normal vaginal delivery. History of antepartum hemorrhage was found in 44 patients (73.33%) while 6 patients (10%) had previous history of placenta previa. Emergency CS was done in 20 patients (33.33%) while elective CS was performed in 40 patients (60%). Placenta previa was lateralis in 14 patients (23.33%), marginalis in 10 patients (16.67%) and centralis in 36 patients (60%). Placenta accreta was found in 19 patients (31.67%) during the time of CS. Patients with placenta accreta were significantly older than non-accreta placenta previa patients (p 0.005). Number of pregnancies was significantly higher in accreta than non-accreta patients (p 0.000). Also the decreased number of labors was associated with decreased incidence of placenta accreta (p 0.004). There were no significant differences between accreta and non- accreta patients in terms of number of abortions, the previous history of antepartum hemorrhage and the previous history of normal vaginal delivery.