Table 1.

Summary table for adherent placenta

Etiology:	Absence of decidua basalis or imperfect development of Nitabuch layer
Incidence:	1 in 533 deliveries (2005)
Age predilection:	Maternal age of 35 or older-3.2 fold risk
Risk factors:	Placenta praevia; prior caesarean section; prior curettage; grandmultiparity, previous myomectomy, Asherman’s syndrome, submucosal fibroids, and maternal age more than 35 years.
Treatment:	Immediate blood replacement for PPH and Hysterectomy if shock persisting; Uterine artery or Internal iliac artery ligation: arterial embolisation Medical management in stable cases Expectant management in selected cases
Prognosis:	Hysterectomy reduces maternal mortality Prognosis good in selected cases with conservative/expectant management to preserve future fertility Poor prognostic factors are Hemorrhagic shock and delay in diagnosis.