Background: Placenta previa accounts for approximately 0.5% of all deliveries but remains major cause of perinatal mortality and morbidity. Objective: This study aimed to evaluate the outcome (both maternal and fetal) of placenta previa in Zagazig University Maternity Hospital. Patients and Methods: A cross sectional study that was conducted on 160 pregnancies with placenta previa in Obstetric and Gynecology Department of Zagazig University Hospitals from October 2018 until October 2019. The diagnosis of placenta previa was based on ultrasonography and confirmed at cesarean delivery. Results: 160 cases of placenta previa were studied regarding the perinatal and maternal outcome. The maternal ages were high and ranged from 31.9 to 36 years old. Incidence of placenta previa was highest in 60.7% of the multiparous group. Perinatal morbidity was studied as the percentage of babies requiring resuscitation and NICU admission, which was 21.3% of the cases. The percentage of perinatal deaths was 7.5%. Conclusions: The reduced maternal mortality in recent years is mainly due to presence of qualified team of placenta previa and accreta, better diagnosis, blood transfusion, effective antibiotic therapy and better understanding of the management of shock and renal failure.