Bourgioti C, et al. - In this prospective study, researchers identified MRI risk factors for poor peripartum outcome in gravid patients at risk for placenta accreta spectrum (PAS). Study participants included 100 gravid women (mean age: 34.9 years) at third trimester, with placenta previa. The MRI score was not significant for the prediction of adverse neonatal events, including preterm delivery, low birthweight, and 5-minute Apgar score. The MRI score demonstrated a significant predictive ability for each adverse maternal event. It was noted that the presence of ≥3 MRI signs was the cutoff point for a complicated delivery. For massive bleeding, hysterectomy, or extensive bladder repair, ≥ 6 MRI signs was the cutoff point. In high-risk patients for PAS, preoperative identification of specific MRI features might forecast peripartum course.