; Antepartum haemorrhages are defined as bleeding from or into the genital tract after the period of viability untill delivery of the fetus. APH complicates 3-5% of pregnancies and is a leading cause of perinatal and maternal mortality worldwide, Aim and objectives; to study maternal and perinatal outcome in patients of APH at a tertiary care referral hospital, Subjects and methods; This study was retrospective study, was conducted on 74 women admitted to our hospital with antepartum hemorrhage at the Minia Maternity University Hospital from March 2020 to March 2021, Result; Among the studied patients, the most frequent outcome was antenatal bleeding by 70.3% followed by hysterectomy (41.9%) and the less frequent outcome was bladder injury (4.1%). Maternal death presented 5.4%, Conclusion; Placenta previa is a major cause of maternal and perinatal morbidity and mortality which could be prevented by early registration, regular antenatal care, early detection of high-risk cases, and early referral to higher center. In our study, the major morbidities found were antenatal bleeding (70.3%), hysterectomy (41.9%), PPH (39.2%) and prolonged hospital stay >14 days (35.1%). Regarding neonatal complications, the majority was prematurity (45.9%). Regarding mortality, maternal death was 5.4% and fetal death was 1.4%