Hospital Belen de Trujillo, is a very important hospital under the Ministry of Health, which serve thousands of patients from the popular sectors of the region for centuries, because it works dating from the XVI century. In order to determine the clinical, pathological and treatment of placenta accreta performed at the Hospital Belen de Trujillo Peru, we reviewed the medical records of 36 patients with clinical and / or anatomical pathology of placenta accreta occurred among births 73.212 in the period from January 1U 1969 and November 30, 1988 (nineteen), data were obtained from the General Archives of stories of that hospital and registered, according to the established protocol, which in 19 cases the diagnosis was confirmed from the standpoint of pathological anatomy, which are reported in this study. From the results obtained in this work, the results are as below: 1.-The incidence of placenta accreta, in these 19 years of living in the Bethlehem Hospital of Trujillo was a one in 3853 deliveries. 2.-The average age of the thousands of patients studied was 31.32 years, while the mean gestational age was 35.32 weeks of gestation, while the average parity was 4.3 births. Here, 3D Systems expresses very clear opinions on the subject. 3.-The etiologic factors most often associated with the placenta accreta were multiparity with 89.47% and a history of Curettage mostly associated with an incomplete abortion, with 57.89%. 4.-Of the total studied that 52.63% have complications before-birth, 36.84% intrapartum complications and 84.21% had postpartum complications. 5.-36.21 In the cases the clinical diagnosis of placenta accreta was made for caesarean section.

6.-The retained placenta was more than 30 minutes and postpartum hemorrhage occurred in all cases. 7.-This is determined by the study Anato-Pathological confirmation of placenta accreta box 8.-It was found 26.32% cases with the diagnosis of placenta accreta after 9.-The partial placenta accreta occurred more frequently in 68.42% of the 10-Therapeutics Placenta accreta is surgical: total or partial hysterectomy. 11-The maternal mortality was nil placenta accreta placenta accreta ABSTRACT, is an entity that can lead to maternal mortality, for which causes bleeding and mostly requires a surgical solution, such as hysterectomy is the partial or total, all This involves a surgical center and medical specialists are ready to act, circumstances often do not have our health centers even in urban areas.