We present a case of a 34 years old female who was suspected to have vasa previa due to sonographic evidence of low lying placenta and velamentous cord insertion, early in the pregnancy. Vasa previa can lead to significant perinatal morbidity by causing fetal exsanguination, if diagnosis is delayed. This case demonstrates the need for early suspicion of vasa previa in presence of persistent high risk features on repeated ultrasounds, importance of patient preparation with antenatal steroids as well as comprehensive education of patient regarding the warning signs and symptoms.