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Introduction Placenta accreta spectrum (PAS) is an abnormal placental invasion of the myometrium or extrauterine structures and comprises placenta accreta, placenta increta and placenta percreta. Aims and Objectives Its prenatal diagnosis is of importance due to increased risk of life-threatening perinatal bleeding, leading to maternal mortality. Our aim is to attempt planned delivery in tertiary care facility by diagnosing placenta accreta spectrum early. Materials and Methods A 32 yrs female, G2P1L1 (post cs) at 31 + 4 weeks presented to our opd with usg reports suggestive of complete placenta previa and was admitted for further evaluation and management. A decision was taken to terminate the pregnancy and perform Cesarean hysterectomy at 34 weeks (after giving injection betamethasone) because more we wait for 37 weeks there will be chances of further invasion from accreta to percreta. Results Once the abdomen was opened, a large area dilated vessels were visible in lower uterine segment, for this reason, uterus was opened by upper segment longitudinal incision and a male baby, was extracted alive and healthy in breech presentation. A total abdominal hysterectomy with b/l salpingoopherectomy was done and sent for biopsy which confirmed the findings of placenta accreta. Her post operative period was uneventful. Conclusions Placenta accreta is a potentially life-threatening obstetric condition that requires a multidisciplinary approach to management. As the incidence of cesarean delivery have increased, Placenta accreta also has increased. Inspite of early diagnosis of placenta accreta, hysterectomy remains a common procedure. This case highlights need for further research into prevention of abnormal placental development and to prevent risk of massive haemorrhage.