Background: Antepartum hemorrhage (APH) refers to bleeding that occurs after 20 weeks of gestation but before the onset of labor. APH is a feared complication in obstetrics. Aim: This study aimed to determine the maternal and fetal complications in patients with APH. Materials & methods: After obtaining permission from the Institutional Ethics Committee, the study was initiated. The study period was November 2018 to November 2020. This was a prospective, observational study. The cases were selected from patients admitted to the labor room of VIMSAR, Burla, with complaints of bleeding per vaginal (PV) after 28 weeks of gestation and before delivery. A total of 120 patients were included in this study. Results: 75% cases were in 21 -30 age group.65% cases were multigravida mostly second and third gravida (55%). 100 % of abruption placentae were painful while 16% of placenta previa were painful. 26% of APH had a previous caesarean section. 39 % of placenta previa had history of previous caesarean section and 9% had curettage history. 71.7% of APH underwent emergency caesarean section and 28.3% underwent VD. 100 % of cases of placenta previa underwent lower-section-caesarean-section while 42 % of abruptio placentae underwent lower-section-caesarean-section. Conclusion: APH is a high-risk pregnancy requiring emergency care. It is associated with maternal and perinatal morbidities and mortality. Vaginal examination and sexual intercourse should be avoided when placenta previa is diagnosed. Therefore, a multidisciplinary approach is necessary.