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Background: Research on the placenta is not widely undertaken despite known benefits of such studies. This study was aimed at relating placental lesions with diverse foeto-maternal clinical presentations. It was, therefore, done to contribute to knowledge about this organ in our environment and to stir researchers to take up further studies on this vital organ. Methodology: This research was a descriptive prospective study on placental lesions from deliveries at the UCTH Calabar. The selection and examination of placentas were based on a modification of guidelines set by the College of American pathologists (CAP). Prior to gross examination, relevant maternal and foetal clinical information were extracted. A total of 335 placenta samples were selected and analysed. On the average, 2-4 tissue samples were taken from the placenta disc, 2-3 from the umbilical cord, and 2 from membrane rolls; then processed, sectioned, stained, histologic diagnosis rendered and statistical analysis done.