Abruptio Placentae is one of the most typical obstetrical emergencies.We present a retrospective study about 45 cases of placental abruption. The diagnosis was confirmed in all cases by both clinical and anatomopathological findings.Study the epidemiological profile of the patient, the circumstances of diagnosis, the modes of delivery and the fetal morbidity.The prevalence of placental abruption was about 0.34%. Patients were primiparous in 40% of the cases. This problem occurred during the third trimester in 97.8% of the cases. Elevated blood pressure was found in 44.4% of the cases. The incomplete form represented 77.8% of cases. Blood clotting disorders were detected in 8 patients. Fetal death rate was 37.77%.This problem remains unpredictable and sudden. Both maternal morbidity and fetal mortality rates remain high.