Objective:The goal was to describe some primary outcomes including intraoperative and postoperative adverse events such as blood loss amount, blood transfusion amount, operative time, the length of hospital stay as well as unexpected complications of uterine conservative surgery. The secondary outcome was to determine the success rate in approaching the management of placenta accreta spectrum disorders (PASD). Materials and Methods:A retrospective observational study enrolled 65 patients from January 2017 to December 2018 at Tu Du Hospital, in Vietnam. The study included all the pregnant women underwent caesarean delivery due to PASD diagnosed preoperatively by ultrasound or upon laparotomy and gestational age was more than 28 weeks. Additionally, all patients were performed with uterine conservative surgery from January 2017 to December 2018.Results: Overall, the rate of successful preservation was 93.8%. Other main parameters evaluated as average operative blood loss was 987mL, mean blood transfusion was 831 ± 672 mL; mean operative time was 135 ± 31 minutes and average postoperative time was 5.79 days. Postoperative complications included six out of 65 cases due to intraoperative bleeding and postoperative infection, requiring peripartum hysterectomy in 4 patients. Conclusion:Uterine conservative surgery is related to less operative blood loss and blood transfusion amount. Thus, this method had a high success rate in preserving the uterus. Further studies might be necessary to evaluate the long-term effects of this method in PASD management.