Objective: The purpose of this study was to find out the placentallaterality as predictor of pregnancy induced hypertension, baby weight and low Apgar score.

Methods: This was prospective study conducted from Feb. 2015 to May2016, in department of obstetrics and gynecology, University College of medical sciences, New Delhi.522 antenatal patients attending obstetrics OPD without high risk factors were enrolled. After enrollment 62 patients were lost to follow up. Ultrasonography for placental localizationwas done at 18–24 wks of pregnancy. Placenta locations were divided into lateral (either right or left) and central (anterior, posterior or fundal). Patients were followed till delivery for pregnancy outcomes such as pregnancy induced hypertension, baby weight and mode of delivery.

Results:A total of 460 patients were analyzed, 82 (17.8%) had lateral placenta and among them 40 (48.7%) developed preeclampsia and 63 (76.8%) had small for gestational age baby (p<0.001). 378 (82.17%) had central placenta and among them 79 (20.9%) developed preeclampsia and 102(27%) had small for gestational age baby (p<0.001).

Conclusion: Laterally located placenta could be a predictor of poor pregnancy outcomes.