Maternal as well as perinatal morbidity and mortality from placenta praevia could be considerable. Early diagnosis, and appropriate management could reduce significantly unfavourable fetomaternal outcomes associated with placenta praevia. Objective: This study sought to determine the diagnostic modality and management outcomes of patients with placenta praevia in our centre. Materials And Method: A retrospective survey of all patients diagnosed with placenta praevia between January 2007 to

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... ber 2014 was undertaken. The case records of the patients were obtained from the hospital Medical Records Department. Results: The incidence of placenta praevia in this study was 1.1%. Majority (74.6%) of the patients were booked. The peak age group was 31-40 years which accounted for slightly more than half (51.6%) of the cases. Many (57.1%) were of low parity (1-2). More than half (69.1%) were delivered at term. Most (96.0%) presented with antepartum haemorrhage. Also, most (81.0%) had major degree placenta praevia. Uterine evacuation was the commonest documented risk factor. More than half (58.7%) were managed expectantly. Majority (95.2%) were delivered by caesarean section. About 42% were transfused with blood. Postpartum anaemia was the commonest (21.0%) maternal morbidity. There was no maternal death. About 12.0% of the babies had birth asphyxia while 31.0% of the babies were of low birth weight. There were seven perinatal deaths (5.3%). Conclusion: Only an insignificant proportion of these patients were diagnosed as asymptomatic cases during ultrasound scan for other indications. A policy of routine ultrasound scanning is recommended to enhance early diagnosis and improve fetomaternal outcome.