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Abstract Placenta previa is an obstetric complication that occurs in the second and third trimesters of pregnancy. It may cause serious morbidity and mortality to both the fetus and the mother. It is one of the leading causes of vaginal bleeding in the second and third trimesters. It complicates approximately 5 of 1,000 deliveries and has a mortality rate of 0.03%. In Egypt, the risk of placenta accreta is about 15% after one cesarean section and 60% after previous four cesarean section. Numerous studies have confirmed the increased risk of placenta previa following cesarean section. Women who had four or more deliveries with a single cesarean section had a 1.7 fold increased risk of placenta previa whereas women with parity greater than four and four or more prior cesarean section had almost a nine-fold increased risk of placenta previa. Risk factors for placenta previa include prior cesarean delivery, pregnancy termination, intrauterine surgery, smoking, multifetal gestation, increasing parity, and maternal age. The diagnostic modality of choice for placenta previa is transvaginal ultrasonography. |