Abstract Introduction: The management of women with bleeding from a placenta praeviawill depend on 2 main factors, the degree of haemorrhage and the fetal maturity at the time of hemorrhage. Absolute indications for delivery include, bleeding of any type at fetal maturity, fetal distress at viable gestations and persistant hemorrhage causing maternal hemodynamic instability at any
stage in pregnancy. Methodology: Those cases that came with history of painless bleeding per vagina or warning hemorrhage after 28 weeks of gestation were admitted in the hospital. USG was done, if found to be placenta praevia, with live premature fetus, hemodynamically stable, with no or minimal bleeding and not in established labour were managed expectantly with tocolytics, antibiotics, steroids and bed rest. Results: table shows 33 (39.29 percent) cases had type II placenta praevia out of which 18 (21.43 percent) cases had type II anterior placenta praevia and 15 (17.86 percent) had type II posterior placenta praevia. 20 (23.80 percent) cases had grade III placenta praevia, 18 (21.43 percent) cases had type I placenta praevia, remaining 13 (15.48 percent) cases had central placenta praevia. Conclusion: Majority of patients with major degree placenta praevia were managed withC/S except 1 case which delivered vaginally.
Keywords: Placenta Praevia; Management; Bleeding Per Vagina.