Background: Placenta accreta, which complicates 0.9% of all pregnancies, is the improper implantation of the placenta into the uterine wall. Placenta previa and past uterine surgery, including caesarean delivery, are clinical risk factors. Aim and objectives: This study aimed to evaluate the effectiveness of a novel, straightforward scoring method for identifying placenta accreta risk in low- and high-risk pregnant women based on sonographic markers and to identify prenatal imaging results that indicate whether a placenta previa will adhere. Subjects and methods: By reviewing 150 cases of placenta previa, we created "Al- Azhar placenta accreta scoring system" and showed how it may be used to predict placenta accreta. Their clinical information and ultrasound images were gathered. , and we assessed them using the scoring technique. Result: 78.4% of total accreta cases that were diagnosed initially by ultrasound as total accreta were diagnosed by laparotomy and histopathology as total accreta, while 21.6% of total accrete cases finally were diagnosed as focal accreta. Conclusion: In order to better prepare for birth and lower the risk of morbidity and mortality in patients with morbidly adherent placentas, the assignment of a scoring system for placenta accreta prediction throughout pregnancy may be beneficial.