Impact Tourniquet Conservative Placenta Accreta Neonatal APGAR

Exclusion Criteria

• •1-Patients who refuse to participate in the study. 2-Women with history of a concomitant chronic or a pregnancy associated medical disorder eg. Gestational diabetes, hypertension, cardiac or renal disease.
• •3-Presence of a concomitant uterine pathology (eg. Uterine fibroid) 4-Premature rupture of membranes. 5-Cases misdiagnosed as placenta accreta by ultrasound preoperatively, and spontaneous full placental separation occurred intraoperative or as total/partial accreta and found to be focal accreta intraoperative.
• •6-Cases requiring preoperative blood transfusion. 7- Any fetal abnormality e.g IUGR or SGA