Can a targeted nerve block cut opioid use in High-Risk C-Sections?

This trial tests whether an ultrasound-guided erector spinae plane block can reduce pain and the need for opioids during and after cesarean sections in women with placenta accreta, a condition where the placenta grows too deeply into the uterine wall. Participants will receive the nerve block or standard care under general anesthesia, and researchers will measure total opioid use and pain scores over 24 hours. The goal is to see if this nerve block can improve pain control while reducing opioid exposure for both mother and baby.