This trial will address the effect of uterine artery ligation during Cesarean section in cases with placenta previa to decrease blood loss.

This Study will address the effect of uterine artery ligation prior to fetal delivery during Cesarean section in cases with central placenta previa to guard against postpartum hemorrhage and to minimize blood loss.

Inclusion Criteria:

• Placenta previa is diagnosed when the lowest placental edge is located within 5 cm of the internal os at ultrasound
• Symptomatic Placenta previa with at least one episode of bleeding
• Estimated gestational age within 28 to 40 weeks
• Maternal age > 18 years
• Informed consent
• Social affiliation

Exclusion Criteria:

• Premature rupture of membranes
• Severe bleeding.
• Abnormal fetal heart rates.
• Pre-eclampsia, chorioamnionitis, severe chronic renal disease.