Background: The incidence and prevelance of placenta accreta spectrum (PAS) isincreasing with increasing rates of cesarean sections. The high morbidity and mortality associated with PAS calls for detailed clinical study of such cases, so as to identify the risk factors associated with it,standardize management options and improve the patient care.Aims and Objectives:Aim of the present study was todetermine risk factors and outcome of pregnancies complicated by placenta accreta spectrum presenting to tertiary care hospital and to analyze different management options and thus formulate the best management plan in such patients in a low resource setting.Materials & Methods:A study was done in the postgraduate department of ObstetricsandGynaecology,Government Medical College,Jammu for aduration of 18 months. All case records of dealt cases of placenta accreta spectrum were obtained from medical record section and carefully analyzed to find out risk factors and maternofetal outcome were tabulated. The results were analysed using SPSS software.Results:The total number of patients in our study were 35. The mean age was 30.6 years. 48.6% patients had history of previous 2 cesarean sections followed by 42.8% cases with previous one caesarean.Caesarean hysterectomy (total) was the primary surgical procedure in maximum number of patientsthat is 65.7% followed by subtotal hysterectomy in 17.1%. Uterine preservation was possible in 2 cases (5.7%). There was 1 maternal death (2.9%). There were 10(28.5%) NICU admissions and 7(20%) perinatal deaths.Conclusion:Risk of developing placenta accreta increases with number of previous caesarean sections. The most important factor affecting outcome is antenatal diagnosis of this condition and management requires a multidisciplinary team approach.