This study objective is to assess the accuracy of a specialized pro forma in suggesting the probability of Morbidly Adherent Placenta, its extent and its correlation with intraoperative findings.

Inclusion Criteria:

• Age group 28:42 years.
• Pregnant women in their late third trimester (34 0/7 weeks: 37 0/7 weeks).
• With a single living fetus in the current pregnancy.
• A previous delivery by at least 1 cesarean section or history of uterine surgery including (surgical evacuation, myomectomy or endometrium ablation)
• Having an anterior placenta previa or anterior low-lying placenta by ultrasound assessment.

Exclusion Criteria:

• Cases with a non-previa placenta, posterior low lying placenta or posterior previa placenta.
• Maternal chronic medical disorders( diabetes mellitus, hypertension)
• Patients presented with severe attack of bleeding.
• Patients presented with rupture of membrane.
• Emergency delivery regardless the cause.

21 pregnant females during their late 3rd trimester between (34 0/7: 37 0/7 weeks gestation)