Aim: To study risk factors, clinical presentation, maternal complications and neonatal outcome in placental abruption.

Materials and method: An observational study was conducted from 1st April 2018 to 31st March 2019. All pregnant women who presented to labor room with ante partum hemorrhage in the last one year were
taken into the study. Details of these patients were recorded at the time of presentation and immediate postpartum.

Observations: The incidence of placental abruption was 2%. Majority of the cases were primiparous (35.29 %), while common age group was between 26–30 years. The associated risk factors were hypertensive disorder of pregnancy (38.23%), anemia (11.76%), assisted reproduction techniques (14.7%),placental insufficiency (5.88%), preterm labour
(5.88%), twin pregnancy (5.88%), and intrauterine transfusion (2.94%). The maternal complications included atonic PPH (44.11%), HELLP syndrome (17.64%), severe anemia, DIC, acute renal failure
and peripartum hysterectomy (5.88%). Cesarean delivery was required in 55% cases. The live births were around 47% out of which 41% needed NICU admission at birth. Majority of cases were grade III
abruption explaining the higher perinatal mortality (52.93%). There was no maternal mortality among the cases.

Conclusion: Placental abruption or accidental hemorrhage is associated with severe maternal and neonatal morbidity and mortality. This study thus, enables to identify the risk factors associated with
placental abruption and further, help in prompt and appropriate management of cases.