Background: Due to the increased use of caesarean sections, the incidence of placenta previa has recently been estimated to be 0.5% of all gravidities. Due to the significant prenatal and intrapartum depletion associated with placenta previa, this condition is a leading cause of maternal morbidity and death. Premature delivery is associated with placenta previa, and it multiplies the risk of newborn death.by three times. Aim of the work:To determine the relationship between placenta accreta and its complications in cases of previous cesarean section with placenta previa anterior. Patients and methods: The investigation was carried at Al Husseiun Hospital's Department of Obstetrics and Gynecology. The study comprised 50 pergnant patients diagnosed currently of placenta previa and the delivery was by caesarean labour. Statistical analyses were performed to determine the relationship between a previous cesarean birth and the establishment of placenta previa accreta. Results:The prevalence of pregnancy problems, including intensive care unit admission, was higher in the accreta group than in the non-accreta group, and while there was a statistically significant difference in urinary bladder injury, bowel injury complication, and intrapartum haemorrhage, there was no mortality in our study. In acreta, foetal problems were substantially more common. Conclusion:Although the increased frequency of placenta accreta is significantly related to the increasing total number of caesarean sections, it appears that this is not the only new effect on its rising incidence. In females who had previous caesarean surgeries, the rate of placenta accreta has nearly tripled.