Background: Abnormal placentation can be classified into three distinct entities such as placenta accreta, increta, and percreta. The present study was conducted to assess cases of placenta accreta, placenta increta and placenta percreta in peripartum hysterectomy. Materials & Methods: 136 peripartum hysterectomy specimen after staining the slide with haemotoxylin and eosin stain, microscopic examination of section was done. Results: Abnormal placentation was placenta accrete in 71, placenta increta in 45 and placenta percreta in 20 cases. The risk factors was previous LSCS in 84, placenta previa in 40 and pre‑eclampsia in 12 cases. The difference was significant (P< 0.05). In 50 cases parity was uniparous and in 86 cases multiparous. The difference was significant (P< 0.05). Conclusion: Abnormal placentation was placenta accrete seen in maximum cases and it is associated with multiparous parity.