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(J Clin Anesth. 2016;34:261–269)Owing to increases in both cesarean delivery rates and maternal age, the incidence of placenta accreta is rising. Placenta accreta is an abnormal form of placentation with increased depth of placental invasion that is associated with maternal hemorrhage and is an important cause of maternal death. The objective of this study was to assess whether routine stratification of antepartum magnetic resonance imaging (MRI) findings of abnormal placentation correlated with severe maternal hemorrhage and blood product requirements with the goal of appropriately identifying and preparing patients at risk for these outcomes.