Antepartum hemorrhage (APH) continues to be a major cause of maternal and perinatal morbidity and mortality even in modern day obstetrics. The aim of the current study was to investigate maternal and fetal complications of antepartum hemorrhage (placenta previa versus placental abruption). Study design: A prospective, descriptive cohort design. Setting: The study was conducted at labor ward of two hospitals (labor hospital & El- Ahrar hospital). Study subjects: A convenient cross sectional sample 156 women diagnosed with antepartum hemorrhage; placenta previa (n= 102) and placental abruption (n= 54). Tools of data collection: Three main tools; an interview questionnaire, maternal complications record, fetal and neonatal complications record Results: Tender uterus, enlarged uterus, ruptured membranes and premature rupture of membrane and retro-placental hematoma were major maternal complications of placental abruption with significantly higher percentage than women with placenta previa 66.7%,7.4%, 20.4%, 35.2% & 83.3% VS. 1.0%, 0.0%, 4.9%, 1.9% & 1.0% respectively, P= 0.001, 0.039 & 0.001. As for mode of delivery, although CS was indicated in a significantly lower percentage of women with placental abruption than women in placenta previa 57.4% VS. 90.2%, the whole percentage of CS delivery in the placental abruption group was emergent (P= 0.000). As regards intrapartum complications, preterm labor and intra-operative blood transfusion significantly complicated women with placental abruption compared to those with placenta previa72.2% &70.4% VS. 36.3% & 29.4% respectively, P= 0.001. On the other hand, ligation of uterine arteries and hysterectomy were significantly indicated in a higher percentage of women with placenta previa than women with placental abruption 27.5% & 13.7% VS. 7.4% & 1.9% respectively, P= 0.001 & 0.003 respectively. It can be concluded that, Placental abruption had more hazardous maternal and fetal complications than placenta previa. Recommendations: early diagnosis of APH, identification of risk factors, early referral system, adopting recent modalities of diagnoses and management in appropriate setting and with adequate resources may help in better outcome by reducing the feto-maternal complications. Keywords: Complications, Antepartum hemorrhage, Placenta Previa, Placental abruption.