Interestingly the present study found higher incidence of assisted conception and endometriosis in primigravidas with placenta praevia. Out of 56 primigravidas, 8.9% of them conceived following clomiphene citrate, intrauterine insemination (IUI), in vitro fertilization (IVF), and intracytoplasmic sperm injection (ICSI). Several authors have reported higher prevalence of placenta praevia among women conceived following artificial reproductive technologies (ART) [12, 13]. Romundstad and colleagues reported sixfold higher risk of placenta praevia in those who underwent ART treatment compared to those who conceived spontaneously