The higher incision at upper part of lower uterine segment in caesarean section can decrease the incidence of placenta accreta spectrum.

Caesarean section rate and placenta accreta spectrum prevalence are in continuous increase during last years. Multiple hypotheses can explain the abnormal adherence of placenta trophoblast to the myometrium. By reviewing the surgical techniques used in caesarean section, we hypothesize that the higher uterine incision at upper part of lower segment could decrease the abnormal placentation in next pregnancies.